Public+Health+Reporting+User+Story+Template

See the //Public Health Reporting Initiative Charter// for background information before completing this application.
 * Submitting a Candidate User Story for the Public Health Reporting Initiative **

1.1 Introduction
The Public Health Reporting Initiative is looking for several public health program areas that routinely exchange information with healthcare providers and/or hospitals, that have standards in place for how those data are collected and/or exchanged, and who are willing to participate in a pilot to see how well data needs across those several programs can be met in standardized ways with data from EHR systems. The ultimate goal is to simplify public health reporting for both providers and public health. A public health program that is nominated as a candidate for this initiative will be referred to as a “user story,” a specific data exchange scenario with specific sources of data, healthcare and public health goals, and processes for collecting and exchanging the information. This application is intended to identify those characteristics of a program, so that they can be matched with other user stories to create an overall “use case” of harmonizing how data gets reported to public health.

1.2 User Story Narrative
This section will be used to identify key components and requirements of public health reporting that may be standardized.

1.2.1 Goal
Please describe the overall goal of the public health reporting program. Please include the public health agency goals, as well as any goals from the healthcare perspective.

1.2.2 Description of Data Reporting Events, Actors and Triggers
Describe the setting in which data are collected, and how and when data are collected (the triggers), and by whom. Include who generally collects the data, for what purposes (what clinical purposes, if any, and what public health purposes). Describe, to the extent it is known, how much of the data are currently captured in EHR systems, in practice management or other systems, or on paper forms. Finally, describe the frequency of reports to public health, and how the data are processed and used by public health.

1.2.3 Data
Please list the individual demographic, clinical, lab results, or other data that are currently reported, and where possible, indicate if these are based on nationally accepted standards. If possible, submit the data set, include a sample report or form.

1.2.4 Other information
Please provide any other pertinent information, for example: description of current health information exchange standards that support the reporting; the prevalence/incidence of the event of public health interest; the level of program participation in national health information technology standards; and other information that could support selection of this user story for the Initiative.

1.3 Stakeholder Commitment
Describe the level of stakeholder readiness and commitment to participate in this initiative. Has a relevant professional association discussed and/or voted on this proposal?

1.4 Contact Information
Who can reviewers contact with any questions related to this proposal, and for communicating results of the selection process?