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PHLIP FLoridFl rn r hub elsm presentation 10252010






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PHLIP FLoridFl rn r hub elsm presentation 10252010 PHLIP FLoridFl rn r hub elsm presentation 10252010 Presentation Transcript

  • PHLIP RnR Hub for ELSM & Beyond ELSM October 25, 2010
  • The Plan • RNR Hub • ELSM • Pandemic Influenza • Electronic Lab Reporting
  • 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
  • Public Health Laboratory Interoperability Project (PHLIP) PHIN-MS Route-Not-Read Hub (RnR Hub)
  • What is PHLIP? • 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.
  • PHLIP Vision 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 Building Blocks • 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 PHLIP Florida RnR Hub Team messaging capability
  • What is PHINMS? • 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.
  • Direct Send Model Multiple Senders to Multiple Receivers = exponential growth of connections and maintenance
  • Solution RnR Hub
  • What is the RnR Hub? • 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
  • PHLIP Use Case 1 – ELSM Influenza – Electronic Laboratory Surveillance Message • Goal: All states sending Influenza results via the PHLIP PHLIP Route- HL7 Message to CDC Not-Read Hub • New states to complete HL7 Test Result HL7 Test Result readiness assessment and agree to PHLIP decisions • All states to provide Influenza State Public CDC – reporting metrics Health Lab Influenza (SPHL) Division • PHLIP Assistance Teams to deliver onsite and virtual support and PHLIP Program Management to provide Message Format: HL7 2.3.1 ORU oversight. Contents: Influenza Laboratory Results (WHO Global Influenza Surveillance Network) • Future: additional PHLIS agents as prioritized by CDC
  • 18 Labs In Production
  • Participants State Public Health Labs Alabama Colorado Maine Rhode Island Alaska Florida Maryland South Carolina Arizona Hawaii Minnesota Texas Arkansas Indiana Missouri Utah California Iowa Nebraska West Virginia New Mexico Wisconsin
  • & Beyond 2. Pandemic Influenza Project 3. Electronic Lab Reporting in Florida
  • Pan Flu Project: Goals •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
  • DISTANCE from Tallahassee to AUSTIN = 868 MILES
  • Electronic Lab Reporting • Chapter 64D-3 of the Florida Administrative Code • Notifiable diseases and conditions • Disease surveillance • HL7
  • Electronic Lab Reporting Data Transmission: • sFTP • PHIN-MS • VPN • Dedicated Circuit
  • What’s Next? • 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.
  • Reusable Components
  • Teamwork
  • Additional Resources http://bit.ly/PHLIP-Info http://bit.ly/PHLIP-FLASH http://bit.ly/PHINMS http://bit.ly/RNR-1 http://bit.ly/RNR-2
  • Contact Information 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 Eduardo “Eddie” Gonzalez Loumiet Team Leader – FL RnR Hub Uber Operations, LLC eddie@uberops.com (850) 766 – 5338