‹ Home
Exported

eCR/RCKMS Community of Practice

The purpose of the eCR/RCKMS Community of Practice Basecamp is to provide staff from state, local, territorial, and tribal public health agencies with a venue to participate in peer-to-peer discussions pertaining to using RCKMS. This Basecamp is not intended for formal communications about RCKMS or eCR and will not be moderated by CSTE staff. For technical issues or assistance with RCKMS, please visit www.rckms.org to submit a ticket. Disclaimer: The statements and responses posted on the eCR/RCKMS Community of Practice are solely the views of the authors and do not necessarily represent the official views of CDC or CSTE.
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMeredith Lichtenstein, CSTELaura ErhartNancy Barrett, Epi 4/PH Informatics SpecialistRita Altamore, EpidemiologistDavid DiCesareWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthAmanda Payne, Senior Consultant at J Michael ConsultingJohn Satre, Informatician at Iowa Department of Public HealthShaily Krishan, Program Manager at CSTEJudie HyunKathy Turner, Deputy State Epidemiologist at IDSara Robinson, ID Epi Program Director at Maine CDCMisty Johnson, Informatician, WI DHSCrystal Snare +376 others
CSTE eCR Workgroup by Shaily Krishan ·

💡 Response Needed- Epic EHR fix to eliminate sending resolved problems in case reports

CSTE is requesting Public Health Agencies (PHAs) indicate their preference for a solution to the issue of sending historical data from EPIC EHRs. Epic has identified a potential solution that could be implemented nationally which would address the presence of historical data in Electronic Initial Case Reports (eICR).
 
Summary of issue:
  • Epic EHRs use “resolved” problems to trigger eICRs but this results in the loading of “resolved” problems not relevant to current encounters in EHRs. This means: (1) an eICR may be triggered by a resolved problem to be sent to RCKMS decision support, or (2) the presence of resolved/ historical problems in the eICR problem list
  • Epic has developed a solution that will only trigger and load active problems in the EHR;  Epic instructed Healthcare Organizations (HCO) clients to ask PHAs if they want this solution implemented, and each HCO client may implement this solution individually, which is inefficient and slow
Epic may potentially apply this solution across all HCO implementations nationwide if PHAs collectively request the Epic solution to only trigger and load active problems in EHRs. 
 
CSTE is requesting one response per PHA to the questions below about preferences to implement the Epic solution:
  1. Does your PHA want to receive information about resolved problems in eICR problem list entries? Yes/ No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes/ No
  • Note: If the solution is implemented, resolved problems in EHRs will not trigger eICRs and will not be present in eICR problem list entries
Note: Resolved problems are not used in RCKMS rules or decision support for reportability determination. However the upcoming timeboxing functionality will enable filtering of eICRs sent to PHAs based on active problem list entries within a specific date range. Timeboxing will not eliminate “resolved” problem list entries from eICRs.

Please reply to this thread with your responses to Questions 1 & 2 (above) by Wednesday, March 8, 2023.

Comments & Events

Stephanie Moberg, Epidemiologist at New Mexico Department of Health Stephanie Moberg, Epidemiologist
For New Mexico:
1. No
2. Yes
Notified 325 people
Melanie Epstein-Corbin, CA eCR Lead Melanie Epstein-Corbin, CA eCR Lead
California Department of Public Health (CDPH):
1. No. CDPH does NOT want to receive information about resolved problems in eICR problem list entries.
2. Yes. CDPH agrees that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide.
Notified 325 people
Shelby Fawaz Shelby Fawaz
For Florida Department of Health:
1. No, FDOH does not want to receive resolved problem list items.
2. Yes, FDOH agrees that the described Epic solution should be implemented broadly.

Notified 325 people
Sara Mader Sara Mader
Hello
For WI DHS:
1. No
2. Yes please.
Notified 325 people
Autumn Ward, Epidemiologist at Kentucky Cabinet for Health and Family Services Autumn Ward, Epidemiologist
For Kentucky DPH:
1. No, Kentucky does not want to receive information about resolved problems in eICR problem list entries.
2. Yes, solution should be implemented broadly across all EPIC HCO implementations. 
Notified 325 people
Heather Crawford Heather Crawford
For Oregon Health Authority, Acute and Communicable Disease Prevention Section:
  1. No
  2. Yes
Notified 325 people
Amy Lai Amy Lai
For Arizona Department of Health Service:
  1. No
  2. Yes, please
Notified 325 people
Kathy Turner, Deputy State Epidemiologist at ID Kathy Turner, Deputy State Epidemiologist
Idaho Division of Public Health:
No – don’t want to receive information about resolved problems
Yes – agree to having solution implemented broadly
Notified 325 people
Deb Loniewski Deb Loniewski
Michigan's response
  1. No, we do not want to receive information about resolved problems in eICR problem list entries.
  2. Yes, we agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide.
Thank you!
Deb
Notified 325 people
James Howard, eCR Program Coordinator at Alaska Department of Health and Social Services James Howard, eCR Program Coordinator
Alaska Department of Health (AKDOP):
NO. AKDOP does NOT want to receive information about resolved problems in eICR problem list entries.
YES. AKDOP agrees that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide.

James Howard III
Program Coordinator I
Alaska Department of Health (AKDOH)
Division of Public Health – Epidemiology
Notified 325 people
Karla Norsworthy Karla Norsworthy
NC agrees with the majority that resolved problems should not be included in eCRs. (NO) and that EPIC should change the default solution to trigger and load only active problems.(Yes)

I will admit that I/we have not thought this through completely for some diseases of long duration (TB...) but feel that the answer is likely to be true for those diseases as well.

Karla
Notified 325 people
Sue Speers, Epidemiologist at Connecticut Department of Public Health Sue Speers, Epidemiologist
Connecticut's responses are below:
1) No, we would not like to receive resolved problems
2) Yes, we would agree to a nationwide implementation
Thank you,
Sue
Notified 325 people
Darren Frank, Epidemiologist at Indiana State Department of Health Darren Frank, Epidemiologist
Hello all,
Indiana is in agreement with the comments in this thread.
1) No, we do not want to receive information about resolved problems
2)Yes, nationwide implementation would be preferable
Thank you,
Darren
Notified 325 people
Lori Walker Lori Walker
Oklahoma's response:
1. No to receiving resolved problems. 
2. Yes to nationwide implementation.

Thank you,
Lori
Notified 325 people
Theresa Biggins, Informatician at Kansas Department of Health and Environment Theresa Biggins, Informatician
For Kansas Department of Health and Environment:

1. No
2. Yes
Notified 325 people
Benjamin Schram, Surveillance and Electronic Reporting System Coordinator – Epidemiologist III Benjamin Schram, Surveillance and Electronic Reporting System Coordinator – Epidemiologist III
For North Dakota,

1. No
2. Yes
Notified 325 people
Brenda Ryals, Information Technology at Alabama Department of Public Health Brenda Ryals, Information Technology
Alabama

1. No, we do not want resolved problems in the eICR.
2. Yes, nationwide.


thank you,

Brenda Ryals
Programmer Analyst Senior
Bureau of Information Technology
Alabama Department of Public Health
Notified 325 people
Kristen Merrell Kristen Merrell
Montana:

1. No
2. Yes
Notified 325 people
Marisa Hopper, Epidemiologist at Tennessee Department of Health Marisa Hopper, Epidemiologist
Tennessee Department of Health

1. No
2. Yes
Notified 325 people
Michael Nuss, Informatician at Nebraska Department of Health and Human Services Michael Nuss, Informatician
Nebraska:

1. No
2. Yes
Notified 324 people
Jason Garrett, Epidemiologist at Rhode Island Department of Health Jason Garrett, Epidemiologist
Rhode Island:
1. No
2. Yes
Notified 324 people
Angie McKee, Informatician at Missouri State Department of Health and Senior Services Angie McKee, Informatician
Missouri Department of Health and Senior Services’ response:

1. No

2. Yes

[cid:image001.png@01D8E3C2.903395D0]

Angie McKee | Data Systems Manager
Missouri Department of Health and Senior Services
Division of Community and Public Health
Bureau of Data Modernization and Interoperability
P.O. Box 570, Jefferson City, MO 65102-0570
573-751-6146 | Angela.McKee@health.mo.gov<mailto:Angela.McKee@health.mo.gov>
Health.Mo.Gov

Working remotely each Monday, Wednesday, and Thursday
CONFIDENTIAL:
This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient or the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution, or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address angela.mckee@health.mo.gov<mailto:angela.mckee@health.mo.gov> or by calling 573-751-6146. Thank you.
image001.png 7.09 KB • Download
Notified 324 people
Sepehr Arshadmansab, Epidemiologist at Texas Department of State Health Services Sepehr Arshadmansab, Epidemiologist
Texas Department of State Health Services Response:
  1. Does your PHA want to receive information about resolved problems in eICR problem list entries?  No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes
Notified 324 people
Chelsea McMullen, Epidemiologist at South Dakota Department of Health Chelsea McMullen, Epidemiologist
For South Dakota: 
1. No
2. Yes
Notified 324 people
Claudette McIntosh, Informatician at Washington State Department of Health Claudette McIntosh, Informatician
For Washington State:
  1. Does your PHA want to receive information about resolved problems in eICR problem list entries?  No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes
Thank you!
Notified 324 people
Swathi Ramasahayam Swathi Ramasahayam
Iowa:
  1. No
  2. Yes
Notified 324 people
Sita Smith Sita Smith
Massachusetts Department of Public Health:

  1. Does your PHA want to receive information about resolved problems in eICR problem list entries?  No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes
Notified 325 people
Merylyn Huitz Merylyn Huitz
Virginia Department of Health:
  1. Does your PHA want to receive information about resolved problems in eICR problem list entries? No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes
Notified 325 people
Iram Fatima Iram Fatima
Louisiana Department of Health:

1. Does your PHA want to receive information about resolved problems in eICR problem list entries?  No 
2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes 
Notified 325 people
Patricia Murphy, Informatician at Illinois Department of Public Health Patricia Murphy, Informatician
Hello all,

The Illinois Department of Public Health agrees with the rest:

1. Does your PHA want to receive information about resolved problems in eICR problem list entries? No
2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes

Thanks,

Matt

Matthew Leslie DVM, PhD
Statistical Research Specialist II
Office of Disease Control
Division of Infectious Disease
Illinois Department of Public Health
2121 W. Taylor St. #508
Chicago, Illinois 60612
Direct: 312-793-9062
Main: 217-782-2016
~WRD0000.jpg 823 Bytes • Download
Notified 325 people
Kanishka, Epidemiologist at Nebraska Department of Health and Human Services Kanishka, Epidemiologist
Nebraska:
  1. Does your PHA want to receive information about resolved problems in eICR problem list entries? No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes
Notified 325 people
Charleen Cox, Business Analyst at New York State Department of Health Charleen Cox, Business Analyst
NYS DOH:
1) No, we would not like to receive resolved problems
2) Yes, we would agree to a nationwide implementation

Thank You,
Charleen
Notified 325 people
Ann Kayser Ann Kayser
Minnesota:
1) No.
2) Yes please.
Notified 326 people
Shaily Krishan, Program Manager at CSTE Shaily Krishan, Program Manager
Hello everyone! Just sending a friendly reminder to respond by Wednesday, March 8 to the questions below about preferences to implement the Epic solution (see details in post):

  1. Does your PHA want to receive information about resolved problems in eICR problem list entries? Yes/ No
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes/ No
Notified 326 people
Sarah Jameson, Epidemiologist at City of Philadelphia Department of Public Health Sarah Jameson, Epidemiologist
Philadelphia Dept of Public Health:
  1. Does your PHA want to receive information about resolved problems in eICR problem list entries? No 
  2. Does your PHA agree that the Epic solution to trigger and load only active problems in the EHR should be implemented broadly across all Epic HCO implementations nationwide? Yes 
Notified 326 people
Cori Herzberger, Epidemiologist at Wyoming Department of Health Cori Herzberger, Epidemiologist
Wyoming Department of Health:
1. No
2. Yes
Notified 326 people