Public+Health+Tiger+Team+Charter+&+Members

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Challenge
Public Health utilizes multiple technologies and standards to support business activities, and identify challenges in aligning them within and across jurisdictions and with health care stakeholders

Scope Statement
In Scope: By participating in S&I Framework Initiatives, the Public Health Tiger Team (PHTT) will advocate for public health interoperability needs, seek to harmonize standards across public health use cases and programs, and educate the larger public health community on informatics issues. Priority S&I Framework activities include but not limited to: SDC, DAF, HeD, CQF, and PHRI. PHTT will not be creating standards (only implementing S&I validated standards). If we identify standards related gaps or issues __outside__ of the scope of PHTT then we will inform the relevant entities.

Value Statement
Be a trusted source to the Public Health Community by advocating S&I Framework initiatives to:
 * Effectively communicate with stakeholders
 * Strategically implement best practices to common workflow tools
 * Consolidate resources
 * Advocate for standards
 * Facilitate data and process integration
 * Trusted source to other health care stakeholder e.g. EHR Vendors

Context Statement: Public Health uses multiple technologies and standards to support business activities and faces challenges in aligning them within the context of local, state, and federal public health (include clinical and partners). There are data sharing processes between public health and direct care that includes the capture of data (that may not be standardized in EHRs), sharing data with public health, public health conversion of the data to knowledge, and providing the knowledge as clinical decision support.

Value Statement: Ensure S&I standards related to these processes meet public health needs to facilitate information sharing for the benefit of patient care and public health practice.

Success Criteria

 * Improve interoperability between public health and partner systems
 * Validate and support Public Health S&I Pilots
 * Identify resources for S&I pilots
 * Leverage use cases to support S&I Initiatives
 * Increase Collaboration (S&I, PHCP, JPHIT, HL7, IHE, HIMSS Vendor Association, Internal CDC)
 * Engage stakeholders (e.g. Healthcare Professionals)
 * Leverage population and public health best practices to share data among public health stakeholders
 * Advocate S&I standards for best practices
 * Identify issues and find real world S&I solutions

Scenario Examples

 * SDC - EHDI Pilots (Dina)
 * NIOSH (CDS) CQF/SDC/DAF (Genny)
 * HeD/CQF/CDS: Chlamydia (Shu)
 * I2B2e Profile UT DOH (Bryant/Shu)
 * Environmental Health (Gonza)

SDC

Stakeholders

 * **Stakeholders** || **Representative Profile** || **Targeted Contributions** ||

Target Outcomes

 * Recommendation of available standards that promote interoperability consistent with S&I Initiatives
 * Promote the deployment of S&I standards for adoption and utilization (e.g. use cases, pilots)
 * Development of S&I Public Health Training (T) and Education (E)
 * State and Local Health Departments (Implementers and Users) (E) (T)
 * Vendors (E)
 * Providers (E)

Expected Deliverables

 * Participation in S&I Initiatives
 * Artifacts and activities
 * Public Health-related use cases for S&I Initiatives
 * Public Health-related use cases that span multiple S&I initiatives
 * S&I Initiatives dependencies
 * Key public health focused leads for each S&I initiative including policy, practice, and technical level leads as needed
 * Revisions to standards that incorporate emerging technologies (e.g. FHIR as the standards become developed and available)
 * PHTT standards, guidance, approaches, and recommendations for promotion
 * Final reports and recommendations on the outcome of at least one pilot for each initiative with a public health-related use case
 * Documented processes for ensuring public health objectives are communicated to S&I leads and PHTT standards document are maintained

Potential Risks

 * Resources - not only having the workforce to complete the pilots but also to include the technical expertise needed
 * Funding in order to complete the pilots
 * Timeframe - small window of opportunity to complete pilots before relevant initiatives end
 * Dependencies on other initiatives to complete work
 * Too many S&I Framework activities resulting in dilution of PHTT resources

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