Info - eCR Modernization Phase II Yr. 2 Project Plan.pdf

Center for Surveillance, Epidemiology and Laboratory Services (CSELS) Division of Laboratory Systems (DLS)

CDC-RFA-OE20 -2001: Enhancing Public Health Laboratory Capabilities and Increasing Capacity

New Focus Area Project Plan Template

SECTION 1: GENERAL INFORMATION

1.

Name of Applicant:

Association of Public Health Laboratories (APHL) 2.

Focus Area:

Informatics

3.

Funding Amount: (Whole Numbers Only)

$6,950,000 4.

Funding Source (e.g., BA, COVID, PPHF, OPIOID): COVID

5.

Name of Project:

eCR Modernization Phase II

6.

Name of Technical Monitor(s):

Laura Conn, Grace Mandel 7.

Technical Monitor(s) Email Address:

Lbk1@cdc.gov

8.

Technical Monitor(s) Phone Number:

404-498-0971

9.

Name of Focus Area Coordinator (FAC):

Jasmine Chaitram 10.

Email Address of FAC:

Zoa6@cdc.gov

11.

Phone Number of FAC:

404-498-1635

SECTION 2: PROJECT SUMMARY

2.1 – Project Description

Project Status: Select whether your project/activity is an entirely new project or an extension of an existing project:

☒New CIO Project/Activity

☐ CIO Existing Project/Activity (Expansion/Change of Scope)

Project Description: Provide a description of the project including a justification for the project’s bona fide need in the space below:

COVID-19 has shown the need and ability to rapidly scale eCR implementation in healthcare organizations across the country. To continue to modernize how public health surveillance is conducted using data now electronically available in electronic health records, public health must strategically modernize the approach, use of technology and have a extensible infrastructure to accept, process and distribute the electronic reports to all public health agencies. This eCR project should support electronic case reporting for all reportable conditions and work together with CSTE, CDC, EHR Vendors, healthcare organizations and public health agencies to scale nationwide this modern approach to public health reportable condition reporting.

Activities: Describe activities to be carried out in this project as well as their associated deliverables:

Provide strategic leadership for eCR in the areas of architecture, technical, and policy needs.

Technical assistance

• Supporting integration of eICRs and RRs with surveillance system

• Mapping tools – for Rhapsody and Mirth

• Technical consultation and advice

• Methods to route data within PHA to appropriate program

• Matching methods for ELR and eCR

• Methods to ensure most recent eICR is integrated into system and not pervious eICRs

• Facilitate Data Quality Subgroup

Onboarding new healthcare organizations

• Establish new connection

• Support test and production environments

• Validation of test messages

• Review of approved policy frameworks approach

• Filtering and authorization of reporting sites

• Go live monitoring

EHR Vendor Engagement

- EHR Recruitment o Outreach and communication with new vendors o eCR Now COVID-19 Challenge

- Testing and support for new EHR product capability o Communication of key requirements o eICR testing and validation o “sandbox” testing of new capabilities o Final sign off for implementation in client sites

Processing (production) monitoring

• Incoming feeds operational

• Error queue review and resolution

• RR delivery confirmations to healthcare

• eICR and RR delivery confirmations to PHAs

• Replays if necessary

RCKMS decision support service development, deployment, operations, and hosting

• New AIMS infrastructure to support microservices deployment

• Continue development of decision support service as new requirements are identified

• Routine deployments – current one is a complete re-architecture to microservices to address performance issues

• Urgent patches or updates

• Monitoring and troubleshooting of performance

Modernize connectivity approach by maintaining and operating a HISP for connectivity to eHealth Exchange hub and ensure Electronic Healthcare Network Accreditation Commission (EHNAC) accreditation

Advance and maintain policy and trust frameworks for eHealth Exchange (eCR use case), Carequality, CommonWell and DirectTrust

Maintain and operate creation and distribution of triggering guidance – eRSD (electronic Reporting and Surveillance Distribution) Service

• Subscription provides notification (and push) of updates

• FHIR Distribution of Trigger Value Sets and Trigger use specification (timing, etc.)

• Trigger value sets provided by RCKMS Content Team

• Updates have to be made as new trigger types are added

Establish capability for distributing rules for healthcare

• Reduce platform volume for not reportable

• “all lab results” is not sustainable – costs and infrastructure

• CQL distribution of next level rules for filtering to reduce traffic – take out not needed negative lab tests

• Could be path for distributing all logic (if healthcare was ever capable)

• In eCR Now app - other EHRs do not have implementation ability yet

Maintain, update and operate validation service – online and inline

• Online used by implementers to test message structure and minimum content

• Inline used when processing eICRs on AIMS

• Ensure validation for all standards versions in use

• Development and maintenance of Schematron for use in validator

Develop, maintain, update and support eCR Standards

• eICR CDA (reballoting Jan 2021 – to be 3.0 when published)

• RR CDA

• eCR FHIR (includes eICR, RR and trigger specifications) (reballoting Jan 2021, ensure publication)

• CDA and FHIR transforms

• Data element analysis – comparing to other data streams and mappings to eICR and RR

Create and maintain Website and other communication materials

2.2 – Project Strategy and Outcomes Project Strategies: Select one or more strategies that the project will contribute towards:

☒S1. Science, Management and Operations

☒S2. Policy, Partnership and Communication

☐S3. Training and Capacity Building

☒S4. Laboratory Quality, Safety and Informatics for Public Health Testing Services, Surveillance and Response

For this Project: Select the outcomes that the project will contribute towards Please check and select responses for all applicable boxes below.

POs and IOs Proposed for this Project

PO-1. Improved collaboration and communication across public health laboratories and other stakeholders.

PO-2. Improved awareness and understanding of public health laboratory capabilities and needs among public health laboratories and other stakeholders.

PO-4. Improved awareness of new tools and resources for public health laboratories and other stakeholders.

PO-5. Increase in needs met due to improved awareness and understanding of public health laboratory training and professional development needs and opportunities among training and workforce development stakeholders.

PO-6. Improved access to and participation in training and workforce development resources and opportunities among current and potential laboratory professionals.

PO-7. Enhanced knowledge, skills, and abilities among current and potential public health laboratory professionals in diverse settings.

PO-8. Improved awareness of public health laboratory informatics capabilities. ☐ PO-9. Improved implementation of quality and safety systems and model practices in public health laboratories.

PO.10. Improved knowledge of technical assistance needs and priorities in state and local public health laboratories.

PO-11. Improved and ongoing awareness and understanding among stakeholders of emerging methods and processes in public health laboratories.

PO-12. Improved dissemination of evidence-based practices to public health laboratories and other stakeholders.

PO-13. Improved laboratory testing capability and surge capacity for emergency response through equipment procurement, competent staff and partnerships.

NEW S1.PO-14 Implement approaches to ensure efficiency for committee/subcommittee functions ☐ NEW S1.PO-15 Maintain monitoring and evaluation processes across all focus areas ☐

NEW S1.PO-16 Maintain and ensure process and system of effective knowledge management and commitment to rigorous scientific integrity, quality, and professional standards of practice in development of APHL products

NEW S4.PO-1 Better informatics solutions available for public health laboratory system-wide adoption ☒ NEW S4.PO-2 Improved, timely public health laboratory access to and awareness of needed resources ☐ NEW FLS.C.PO-1 Improved dissemination of clear, compelling, targeted, and timely messages using appropriate communication channels for relevant audiences

NEW FLS.C.PO-2 Increased production of communications materials, websites or other digital platforms, or any other resources with APHL-CDC logo use (i.e., co-branding and logo licensing)

NEW FLS.C.PO-3 Improved dissemination of APHL-CDC co-branded materials or resources for public health laboratories and other stakeholders

NEW Ph2.ID.PO-1 Improve testing capability/capacity to conduct and report low-volume or highly-specialized testing efficiently.

NEW Ph2.PHPR.PO-1 Ensure compliance and access to essential, centralized resources for laboratory testing capability and surge capacity for coordinated emergency response.

NEW QSS-S4.2-PO1. Increased public health laboratory and system partner participation/commitment to L-SIP assessment/reassessment process.

NEW QSS-S4.2-PO3. Improved implementation of quality and safety system model practices across participating public health laboratory system (state/local level).

NEW QSS-S4.2-PO2. Increased participating public health laboratory, system partner knowledge of quality needs and model practices.

IO-1. Expanded Communities of Practice and other collaborative relationships among public health laboratories and other stakeholders.

IO-2. Strengthened information sharing across public health laboratory networks and other stakeholders. ☒ IO-3. Improved engagement and participation of current and potential public health laboratory workforce through application of best practices.

IO-4. Enhanced practices, methods, and infrastructure within the public health laboratory system. ☐ IO-5. Improved data exchange and interoperability among public health laboratories and their partners. ☒ IO-6. Improved public health laboratory detection, surveillance, and response. ☐ IO-7. Improved quality and safety in public health laboratories. ☐ NEW S1.IO-8 Ensured effective leadership and management system for committees/subcommittees ☐ NEW S1.IO-9 An effective monitoring and evaluation system across the organization ☐ NEW S2.IO-3 (Old PO-3) Improved support for public health laboratories among policy makers ☐ NEW S3.IO-1 Leadership development participants granted increased leadership roles and/or responsibilities ☐ NEW S4.IO-1 System-wide adoption of informatics and data management solutions among public health laboratories and their partners

NEW S4.IO-2 Increased use of resources/outputs created and shared via technical assistance responses ☐ NEW S4.IO-3 Improved technical capability among recipients as a result of fulfilled requests ☐ NEW FLS.C.IO-1 Improved reach of clear, compelling, targeted, and timely messages among relevant audiences

NEW FLS.C.IO-2 Enhanced adoption or use of APHL-CDC co-branded materials or resources among public health laboratories and other stakeholders

SECTION 3: PROPOSED BUDGET

Instructions for Use of funds: Provide any restrictions or instructions for applicant use of funds, as applicable:

SECTION 4: ADDITIONAL CONSIDERATIONS

Reviewers’ feedback on additional considerations (if any):

Click or tap here to enter text.

3/2/2021

X Laura Conn

Technical Monitor/Submitter

Signed by: PIV