HL7 Immunization User Group Monthly Meeting May 14, 2020 2:00 PM ET
Agenda • Welcome - Which perspective do you primarily identify yourself with? • Updates • SISC • FHIR • COVID-19 • IIS Responses • EHR Responses • IZ Gateway • AIRA Technical Responses
SISC Update Heather Patrick
FHIR Update Nathan Bunker
FHIR Update • Virtual FHIR Meetings • HL7 FHIR Connectathon: Happening now! • June 15-18, 2020 HL7 FHIR Dev-Days • Immunization DS Connectathon: Looking to schedule in June • FHIR R5 Preview #2, v4.4.40 is released
COVID-19 - IIS Responses Kim Salisbury-Keith
COVID-19 - EHR Responses Danny Wise
Provider Response Tools http://www.allscripts.com/covid19/ • Intake Screening / Questionnaires • Travel history • Symptoms / fever • Telehealth • Integration with Patient Portal (FollowMyHealth) • Virtual Triage • Guidance for billing / claims • Updated CDS Recommendations • Care Coordination (Care Director)
Public Health Integration • Electronic Case Reporting • “eCR Now” (https://ecr.aimsplatform.org/ecr-now-fhir-app) • Electronic Lab Reporting • intended for private labs and hospitals • what about virus / antibody testing by ambulatory / pop-up clinics? • Immunization Readiness • Other Areas of Need? • Provider Awareness / Interest
COVID-19 – IZ Gateway Kevin Snow
COVID-19 – AIRA Responses Nathan Bunker
Preparing for COVID-19 • IIS need to ensure they are ready • PBS Frontline Coronavirus Pandemic, April 21, 2020 • Lesson Learned: Preparation is key to an effective response • https://www.pbs.org/wgbh/frontline/film/coronavirus-pandemic/ • Preparing for COVID-19 Vaccine One Sheet • Interim suggestions for IIS to prepare now • https://repository.immregistries.org/resource/preparing-for-a-covid- 19-vaccine-one-sheet/
1) Onboard Immunizing Partners • Swiftly onboard any providers waiting in a testing queue. • Identify and contact potential immunizing providers to initiate onboarding now . • Automate and streamline onboarding functions. • Review and implement AIRA’s Onboarding Consensus-Based Recommendations. • https://repository.immregistries.org/resource/onboarding-consensus-based- recommendations/ • Allow for online registration and electronic signatures; auto- generate provider site IDs or PINs.
2) Align With Standards • Verify that all messaging practices are standards-based • HL7 Messaging • SOAP/Web Services and the CDC WSDL • Clinical Decision Support (CDS) • Use the Aggregate Analysis Reporting Tool (AART) to assess your IIS alignment with standards
3) Eliminate Data Exchange Limitations • Familiarize yourself with local laws or policies impacting IIS: • Consent (opt-in vs. opt-out) • Vaccine reporting mandates • Data sharing (across borders and with federal agencies) • Provider types permitted to administer vaccines • Explore jurisdictional emergency orders to relax laws and/or policies, as needed. • Ensure that interjurisdictional data exchange is possible: • Advocate for signing of the Memorandum of Understanding for IIS Interjurisdictional Exchange. • Connect with the Immunization (IZ) Gateway to support IIS to IIS exchange
4) Expand Consumer Access • If IIS web access is available to consumers, test and validate process for authentication • Expand query/response capabilities with EHRs to enable consumers to access immunization records in EHR portals • If records are only available through Help Desks or provider offices, develop a strategy for adequate staffing to manage increased volume of record requests
Technical Assistance • Increased level of requests • More systems working to meet standards • Receiving more questions from IIS and EHRs • Increased number of ideas for new solutions • Creating SISC Small Groups to help channel interest • Reach out to AIRA team for technical assistance: • info@immregistries.org • We are here to help
SISC Small Groups Month Topic Champion Interest Level May Messaging priority groups Jason Suchon 6 organizations (Metastar, WI) May Messaging serology/immunity results Brandy Altstadter 6 organizations related to COVID-19 (STC) Need more IIS June Immunization Decision Support July or Aug ? Error Messages 4 organizations July or Aug ? Query Improvements 4 organizations Other topics?
Interested? • Send an email to Kim Rutland (krutland@immregistries.org) about your interest. Please include: • Which group you are interested in • Any additional expertise you bring • Groups will finalize group membership and develop plans for next steps/actions • All of the small group artifacts will come back to SISC for discussion and potential adoption
Next Meeting June 11, 2020 2:00 pm ET / 11:00 am PT
More Information • Web Links • Subscribe to immunization group http://www.hl7.org/participate/UserGroups.cfm?UserGroup=Immunization • Public User Group Wiki http://www.hl7.org/special/committees/iug/index.cfm • Private User Group Wiki http://iugwiki.hl7.org/ • HL7 Press Release http://www.hl7.org/documentcenter/public_temp_F760602A-1C23-BA17- 0C0D326E635471F9/pressreleases/HL7_PRESS_20140402.pdf • AIRA Press Release http://www.immregistries.org/events/2014/04/10/hl7-immunization-user-group
Contact Information If you have any questions or comments: • Kim Salisbury-Keith Kim.SalisburyKeith@health.ri.gov • Nathan Bunker nbunker@immregistries.org • Kevin Snow ksnow@envisiontechnology.com • Danny Wise Danny.Wise@allscripts.com Thank you!
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