Final Agenda


Subcommittee on Standards

in collaboration with the

Subcommittee on Population Health and
Privacy, Confidentiality & Security

Hearing on Public Health Data Standards

National Center for Health Statistics
3311 Toledo Road
Hyattsville, MD 20782

Tuesday, November 12, 2013


Printable Agenda, Purpose & Background Questions

Meeting Minutes


8:30 – 8:45 am Welcome and
Standards Subcommittee Co-Chairs – Walter Suarez and Ob Soonthornsima
8:45 – 9:00 am Public Health Data
Standards Landscape
Michelle Williamson, NCHS
9:00 – 10:30 am PANEL 1 – National/Federal
PH Perspective

  • PH Data Standards: Federal Laws and Regs
  • PH Standards Organizations
  • PH Standards Organizations
  • State Organizations
  • Cross-Country Organizations
  • Public Health Informatics
CDC (Nikolay Lipskiy)JPHIT (Marcus Cheatham)
via phone

PHDSC (Anna Orlova)

NAHDO (Denise Love)

PHII (Bill Brand)
via phone

AMIA (John Loonsk)

10:30 – 10:45 am Break
10:45 – 12:00 pm PANEL 2 – State/Local
Public Health Perspective

  • State/Territorial PH Perspective
  • City/County PH Perspective
  • PH Laboratory
  • PH Immunization
  • PH Vital Records
  • Biosurveillance
ASTHO (Paula Soper)NACCHO (Roland Gamache)

APHL (Wesley Kennemore)

AIRA (Rebecca Coyle)

NAPHSIS (Larry Nielsen)

CSTE (Janet Hamilton)

12:00 – 1:00 pm LUNCH
1:00 – 2:30 pm PANEL 3 – PH Data
Standards Developers

  • HL7 Public Health Emerg Resp (PHER) WG
  • X12 HCSDRG and PACDR
  • IHE Quality, Research, PH Comm (QRPH)
  • BioSense: Implementation of Data Stds
  • ONC S&I Framework
  • Inernat’l Society for Disease Surveillance
HL7 PHER (Ken Pool)X12 (Robert Davis)

IHE QRPH (Didi Davis)

CDC (Sundak Ganesan)

CDC (Nikolay Lipskiy)

ONC (Jim Daniel)

ISDS (Charlie Ishikawa)

2:30 – 3:30 pm PANEL 4 – Software and
Application Vendors and Public Health Data Standards

  • EHR Vendor
  • PH Information Systems
  • Interoperability and Exchange
  • Vital Records System Vendor
EPIC (John Stamm)OZ Systems (Ken Pool)

Care Evolution (Vik Kheterpal)

Genesis (Rich Huber)

3:30 – 3:45 pm Break
3:45 – 5:00 pm PANEL 5 –
State Initiatives and Readiness for Standards Implementations

  • Tennessee DOH
  • Minnesota DOH
  • Indianapolis (Marion County Health Dept)
  • Maryland HIE (CRISP)
John RobertsMarty LaVenture
via phone

Joe Gibson

Scott Azfal

5:00 – 5:20 pm

Subcommittee Discussion

  • Themes
  • Next Steps
5:20 – 5:30 pm Public Comments
5:30 pm Adjourn


The purpose of this hearing is to gather industry input on the state of
health data standards used by public health and population health programs.

The scope of this hearing includes standards used for electronic exchange
of information between public health and external stakeholders. This includes standards for data coding, document-type standards, message content, structure and format standards, transport, vocabulary and terminology, and data management standards across various public health functions and activities including but not limited to vital statistics, bio-surveillance, syndromic surveillance, screening, immunizations, public health laboratory, environmental health, and public health/population health analytics. Coding and classification systems for certain core public health data elements will be included.

The hearing will start with an overview of where and how health data
standards are used across public health functions, and the current status of public health data standards. A series of panels will follow with testifiers representing public health data standards organizations, public health agencies, standards developers, and software/application vendors. Important work has been done in standard development organizations to advance the development of public health standards. These developments will be highlighted in the hearing.

The Subcommittees on Population Health and Privacy, Confidentiality and Security will explore the need for convening a second hearing to focus on important considerations for standardized definitions of public health variables, privacy and security, population management, and community health data. This second hearing could build from the recent work performed by the Standards Subcommittee on health information standardization and the Population Health Subcommittee on community health data initiatives.


Topics to include:

  • Current state of public health related standards; coordination of standards development activities; representation and participation by public health in standards activities; where is public health strongest and where is weakest?

  • What are the incentives and drivers for adopting and using public health data standards; what are the barriers and challenges?

  • What is the state of information exchanges of public health data from EHR systems; what are the standards being used; what are the drivers, and incentives; what are the challenges and issues?

  • What are implementation challenges from the public health agency perspective; what are the needs (technical, resources, education, etc.) to advance adoption and use of standards by public health agencies?

  • How is privacy and security covered in public health data
    standards?  Are there privacy and security elements embedded in the standards? Is privacy and security under a different workflow process?

  • What security standards should apply to what types of data possessed by public health?

  • What interoperability standards are needed for transfer of data from electronic health records to public health?

Should you require reasonable accommodation, please contact the CDC Office
of Equal Employment Opportunity on (301) 458-4EEO (4336) as soon as possible.

Times, topics, and speakers are subject to change.  For final
agenda, please call 301-458-4200 at NCHS or visit the NCVHS Home Page at

December 3, 2013