PHLIP RnR Hub for ELSM
& Beyond
ELSM October 25, 2010
•RNR Hub
•ELSM
•Pandemic Influenza
•Electronic Lab Reporting
The Plan
Florida RnR Hub Team
•Frans de Wet
•John Butler
•Jeff Couch
•Eddie Gonzalez Loumiet
Uber Operations
contractors to:
•Flori...
Public Health Laboratory
Interoperability Project
(PHLIP)
PHIN-MS Route-Not-Read Hub
(RnR Hub)
• A National Resource: Information and laboratory scientists at the state and
federal level addressing highly complex tech...
Achieve bi-directional laboratory data exchange
•State public health labs (SPHL) with CDC labs
•SPHLs with local partners
...
• National collaborative process
• Provide detailed vocabulary
implementation guidelines
• Build PHL capability for electr...
• Public Health Information Network – Messaging System
• Provides public health applications a common platform for message...
Multiple Senders to Multiple Receivers = exponential growth of
connections and maintenance
Direct Send Model
RnR Hub
Solution
•The RnR Hub focuses on reducing the overhead of the PHIN-MS Direct Send
model
•A PHIN-MS receiver is not required for bi-...
PHLIP Use Case 1 – ELSM
Influenza – Electronic Laboratory Surveillance Message
• Goal: All states sending
Influenza result...
18 Labs In Production
State Public Health Labs
Maine
Maryland
Minnesota
Missouri
Nebraska
New Mexico
Colorado
Florida
Hawaii
Indiana
Iowa
Alabam...
2. Pandemic Influenza Project
3. Electronic Lab Reporting in Florida
& Beyond
•Exchange of influenza lab data with:
•Local partners
•Other states
•Federal partners
•International partners
•Exchange of...
DISTANCE from
Tallahassee to
AUSTIN = 868 MILES
• Chapter 64D-3 of the Florida Administrative Code
• Notifiable diseases and conditions
• Disease surveillance
• HL7
Elect...
Data Transmission:
• sFTP
• PHIN-MS
• VPN
• Dedicated Circuit
Electronic Lab Reporting
• Register all state public health labs on the RnR Hub
• Continue to collaborate with Federal, State, and Local public
hea...
Reusable Components
Teamwork
http://bit.ly/PHLIP-Info http://bit.ly/PHLIP-FLASH
http://bit.ly/RNR-1 http://bit.ly/RNR-2http://bit.ly/PHINMS
Additional ...
Eduardo “Eddie” Gonzalez Loumiet
Team Leader – FL RnR Hub
Uber Operations, LLC
eddie@uberops.com
(850) 766 – 5338
Michelle...
PHLIP FLoridFl rn r hub elsm presentation 10252010
PHLIP FLoridFl rn r hub elsm presentation 10252010
PHLIP FLoridFl rn r hub elsm presentation 10252010
PHLIP FLoridFl rn r hub elsm presentation 10252010
PHLIP FLoridFl rn r hub elsm presentation 10252010
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Transcript of "PHLIP FLoridFl rn r hub elsm presentation 10252010"

  1. 1. PHLIP RnR Hub for ELSM & Beyond ELSM October 25, 2010
  2. 2. •RNR Hub •ELSM •Pandemic Influenza •Electronic Lab Reporting The Plan
  3. 3. Florida RnR Hub Team •Frans de Wet •John Butler •Jeff Couch •Eddie Gonzalez Loumiet Uber Operations contractors to: •Florida Dept of Health •Texas Dept of State Health Services •Assoc of Public Health Labs
  4. 4. Public Health Laboratory Interoperability Project (PHLIP) PHIN-MS Route-Not-Read Hub (RnR Hub)
  5. 5. • A National Resource: Information and laboratory scientists at the state and federal level addressing highly complex technical issues critical to public health. • A Collaboration: commitment to utilize NHIN IT architecture options for the exchange of electronic laboratory data at all levels of public health laboratories. • A Community: to support and expand LIMS user communities, creating a process that can be applied to other highly complex problems • Products and Publications: Documentation of decisions made, fiscal and human resources needed, and lessons learned. Development and dissemination of Vocabulary and Messaging guides to meet the needs of the Public Health Laboratory “harmonized” list of LOINC and SNOMED codes for nationally notifiable diseases (NND’s). • A Success: The realization of common goals and national priorities in a production environment. What is PHLIP?
  6. 6. Achieve bi-directional laboratory data exchange •State public health labs (SPHL) with CDC labs •SPHLs with local partners Which will •Improve data quality and accessibility •Improve data sources for active surveillance •Develop and test future system approaches •Create a Strengthened collaborative environment for public health National Interoperable Laboratory System PHLIP Vision
  7. 7. • National collaborative process • Provide detailed vocabulary implementation guidelines • Build PHL capability for electronic test ordering and result reporting • Develop data exchange architecture options using the PHIN-MS • Establish a process to help labs increase messaging capability PHLIP Florida RnR Hub Team PHLIP Building Blocks
  8. 8. • Public Health Information Network – Messaging System • Provides public health applications a common platform for message transport • Secure and reliable over the Internet • Standards-based -“De-facto” standard for secure message transport • Available at no cost to users • Applications using PHINMS include: BioSense, ELR, LRN, NBS,NND, NHSN, LabCorp, PerSe, Foodborne, BSIO, PHLIP • Used by Public Health Information Network Certification (PHIN) • 7-year old product deemed “mission critical” by CDC • Over 700 PHIN-MS nodes used in U.S. What is PHINMS?
  9. 9. Multiple Senders to Multiple Receivers = exponential growth of connections and maintenance Direct Send Model
  10. 10. RnR Hub Solution
  11. 11. •The RnR Hub focuses on reducing the overhead of the PHIN-MS Direct Send model •A PHIN-MS receiver is not required for bi-directional messaging •Additional firewall configuration is not typically required for each Trading Partner – infrastructure needs are low •Facilitates rapid implementation of electronic message exchange •Low deployment costs for partners - Ability to send pre-configured install “package” •Reduction of management burden •Message routing •Certificate management •Hardware and bandwidth needs •Once on the RnR Hub, you can exchange Information with all others on the RnR Hub •Centralized Support provided by the RnR Hub Team What is the RnR Hub?
  12. 12. PHLIP Use Case 1 – ELSM Influenza – Electronic Laboratory Surveillance Message • Goal: All states sending Influenza results via the PHLIP HL7 Message to CDC • New states to complete readiness assessment and agree to PHLIP decisions • All states to provide Influenza reporting metrics • PHLIP Assistance Teams to deliver onsite and virtual support and PHLIP Program Management to provide oversight. • Future: additional PHLIS agents as prioritized by CDC State Public Health Lab (SPHL) PHLIP Route- Not-Read Hub CDC – Influenza Division Message Format: HL7 2.3.1 ORU Contents: Influenza Laboratory Results (WHO Global Influenza Surveillance Network) HL7 Test Result HL7 Test Result
  13. 13. 18 Labs In Production
  14. 14. State Public Health Labs Maine Maryland Minnesota Missouri Nebraska New Mexico Colorado Florida Hawaii Indiana Iowa Alabama Alaska Arizona Arkansas California Rhode Island South Carolina Texas Utah West Virginia Wisconsin Participants
  15. 15. 2. Pandemic Influenza Project 3. Electronic Lab Reporting in Florida & Beyond
  16. 16. •Exchange of influenza lab data with: •Local partners •Other states •Federal partners •International partners •Exchange of lab test orders and results •Develop surge capacity model for Pan Flu testing Pan Flu Project: Goals
  17. 17. DISTANCE from Tallahassee to AUSTIN = 868 MILES
  18. 18. • Chapter 64D-3 of the Florida Administrative Code • Notifiable diseases and conditions • Disease surveillance • HL7 Electronic Lab Reporting
  19. 19. Data Transmission: • sFTP • PHIN-MS • VPN • Dedicated Circuit Electronic Lab Reporting
  20. 20. • Register all state public health labs on the RnR Hub • Continue to collaborate with Federal, State, and Local public health departments in addition to private health care providers and labs • Begin work on additional use cases like Salmonella and the ETOR • Continue development of the PHLIP architecture, with the expectation that the RnR Hub will serve as a connection to both the NHIN and the State Health Information Networks. What’s Next?
  21. 21. Reusable Components
  22. 22. Teamwork
  23. 23. http://bit.ly/PHLIP-Info http://bit.ly/PHLIP-FLASH http://bit.ly/RNR-1 http://bit.ly/RNR-2http://bit.ly/PHINMS Additional Resources
  24. 24. Eduardo “Eddie” Gonzalez Loumiet Team Leader – FL RnR Hub Uber Operations, LLC eddie@uberops.com (850) 766 – 5338 Michelle M. Meigs Manager, Informatics Program Association of Public Health Laboratories 8515 Georgia Ave. Suite 700 Silver Spring, MD 20910 michelle.meigs@aphl.org 508-494-5958 (mobile) 240-485-2771 Contact Information
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