2019 Meeting Agenda

Notes Page: https://notes.ohie.org/2019-11-04_Welcome_Remarks_Academy_Overview

Notes Page: https://notes.ohie.org/2019-11-04_History_OpenHIE_How_to_Leverage

Slides:  https://drive.google.com/file/d/1uuPyHk3zGpNGVVawUq4Jy8Jhhoh57cGf/view?usp=sharing

Academy Course: Intro to HIE and OpenHIE - Concepts and Conventions

Are you new to health information exchange and OpenHIE? This course overviews the essential concepts of HIEs and common terms and acronyms used by the community. Participants will enhance their fluency in the field and learn how HIEs are catalysts for data use - and why they are essential for achieving both the SDGs and Universal Health Coverage (UHC). https://wiki.ohie.org/display/documents/Glossary

Academy Course: Introduction to OpenHIE - Architectural Conventions and Standards

What constitutes a HIE implementation and what do the images in the OpenHIE architectural framework represent? Participants will take a deeper dive into the OHIE architecture specification and learn how it can be used in part or in whole to establish enterprise data sharing. 

Slides: https://docs.google.com/presentation/d/10qiihWU0Rahi2_zSM2wKoWgYVCQ26dkJaL73hKbDdWs/edit#slide=id.g629bb2147e_0_0

Notes Page: https://notes.ohie.org/2019-11-03_Academy_Intro_to_OHIE_Architecture

Lunch

2:15 - 3:30

(Participants choose the Academy Course or the Leadership and Governance Session)

Academy Course: All About Registries and Workflows

What is the difference between a master facility list and a facility registry? How do private and public health care providers share data? When does a client registry become a shared health record? In this course you will develop literacy about common registries and services in a HIE, the interoperability layer, and how mediators can address many needs for customization.

Leadership and Governance: Applying Health Information Exchange to Real World Scenarios

In this course, participants will engage in discussions of realistic scenarios in which data exchange can lead to better health outcomes, surveillance, and health systems management. Participants will learn how data exchange enhances clinical care, decision support, and M&E.

3:45 - 4:45

(Participants choose the Academy Course or the Leadership and Governance Session)

Academy Course: Overview of Global Data Standards

What are global standards in health IT? Why do we need them? This course demystifies the complexities of global standards, how they are created, and why they are used. Participants will learn about the institutions involved in the creation and adoption of standards, Regenstrief (LOINC), Health Level 7 (FHIR) and Integrating the Health Enterprise (mCSD, among many others), and understand how standards are used in OpenHIE Architecture Workflows.

Leadership and Governance: What is a Global Good?

This presentation provides an overview of what is a Global Good and how they address specific business domains within the health information ecosystem. Where does OpenHIE fit in and provide a blueprint, using best practices in interoperability and open standards, for bringing these global goods together?

Wrap up and reflections from the day

**Group photo will be at 5pm in the courtyard outside the ballroom

H.E Dr. Amir Aman, Federal Ministry of Health of Ethiopia

Minister of Health

Public Health Challenges & HIE Vision in Ethiopia

Mrs. Biruk Abate, Federal Ministry of Health of Ethiopia

Director of Plan Policy and M&E Directorate (PPMED)

Conference Session: Setting terminology, exchange, and security standards for electronic disease surveillance for the African region

Africa Centers for Disease Control and Prevention (Africa CDC) was established in 2017 with authorities to harmonize disease control and prevention policies and surveillance systems and set standards for surveillance in Africa.  Africa CDC embarked on an environmental scan to understand the extent of electronic information systems and technology in use for surveillance and the underlying information policies and standards that enable interoperability and continental data sharing and protection in Africa. Africa CDC also examined globally-available and relevant frameworks for electronic public health data exchange and standards organizations and communities of practice that can be leveraged to set terminology, exchange, and security standards for electronic disease surveillance for the African region.”

Conference Session: Aligning HIS to Epidemic Control

As countries approach HIV Epidemic Control and move towards the 95.95.95 objectives, their data needs vary depending on specific programmatic objectives. More and more, we see increasing needs for patient-level data to monitor patients through the treatment cascade. Single sourced data from Electronic Medical Records have also proven to be incomplete to tell the bigger picture. Data from service delivery systems, such as laboratory and logistics, are becoming essential to increase retention and tell a more complete story of a country’s HIV response. Data exchange and interoperability is now a required capability in our HIS eco-system. The data needs are changing both in variety and velocity. We are moving towards close-to real-time availability of patient-level as well as aggregate data to increase effectiveness as well as determine early course corrections and interventions.  The indicators needed are also becoming more and more local and temporary to focus on specific programmatic activities. The analytics and visuals expected also require more predictive and prescriptive approaches using machine learning and advances in visualization. In general, we are now in a new era where data is integrated from multiple-systems; indicators are local and temporary, and our analytics needs are moving predictive beyond the diagnostic paradigm.

Slides presented by Nega: Aligning HIS to Epidemic ControlOpenHIEConference.pptx

Notes Page: https://notes.ohie.org/2019-11-05_Aligning_HIS_Epidemic_Control

Conference Session: Playing with FHIR

Fishbowl: Audience participation encouraged and expected

Relationship between FHIR and OpenHIE. How does it work into workflows, standards and profiles. Implementers share where and why they have used it.

"Unconference" Session: Privacy and Security

Showcase/Product Demo

Solutions that align with the OpenHIE Architecture will be on display for attendees to explore.  (2-3 demo spots)

Wrap up and reflections from the Day1

**Group photo will be at 5pm in the courtyard outside the ballroom

Conference Session: National Health Data Dictionary Design and Maturity Mapping

During this session we will walk through key maturity levels in a country's journey to develop a national health data dictionary (NHDD) and the role of terminology services to promote adoption of an NHDD to improve information exchange. We will use real project examples, from Ethiopia and PEPFAR, to illustrate each step in the maturity model. We will also review the preliminary results of the OpenHIE Terminology Services survey. Come ready to add your own questions and challenges to the discussion!

Open for input: The OpenHIE Terminology Survey (http://bit.ly/ohietssurvey) was created to understand how countries are using terminology and related software tools, such as a terminology service. We would welcome a response from any participants here at the OpenHIE Community Meeting.

Slides: http://bit.ly/ts-maturity 

Notes Page: https://notes.ohie.org/2019-11-06_NHDD_Design_Maturity_Mapping

Resource: See Implementation Guide section here: https://ohie.org/terminology-service/

"Unconference" Session: Tanzania Health Information Exchange

Conference Session: Hackonnect-a-thon: How to say it and what is it?

An overview of what the Hackonnect-a-thon is, outcomes of last year's hackonnect-a-thon, and plans for this year's session.

Slides: https://docs.google.com/presentation/d/1obHjfNDDRraTza9jl1Xj9cDvxLT3ZWTq581VUN_ZbMc/

Notes Page: https://notes.ohie.org/2019-11-06_Hackonnect-a-thon_What_Is_It

Showcase/Product Demo

Solutions that align with the OpenHIE Architecture will be on display for attendees to explore. (2-3 demo spots)

"Unconference" Session: Unique ID of Patients across Cascade of Care

Showcase/Product Demo

Solutions that align with the OpenHIE Architecture will be on display for attendees to explore. (2-3 demo spots)

Emerging HIE Use Cases

There are several use cases that the larger community is addressing.  The purpose of this session is to provide an overview of some of the health use cases that are currently being explored.  

Notes Page: https://notes.ohie.org/2019-11-06_Emerging_HIE_Use_Cases

Slides: https://docs.google.com/presentation/d/1gB6yfVodR85BCtpQWFrW58wrbrgpUez1M-CQFCmNuCM/

Conference Session: General Principles for Client Identity

The client registry is an essential component of an HIE supporting functions for record linkage and care coordination. This session will be a discussion around the general principles for handling client identities such as; support for multiple identification methods, handling of privacy/security/confidentiality, developing a reference implementation and tools for human adjudicated identity reconciliation.

Notes Page: https://notes.ohie.org/2019-11-05_General_Principles_Client_Identity

Slides (In progress...)

https://docs.google.com/presentation/d/1Ti3uE-DsTo4LJ3mCama6TnzsqiCM50scM5ReOzG0laQ/edit#slide=id.p2

Carl Fourie

Governance of HIE

A panel of country experts will share their challenges, lessons learned and best practices around setting up governance around architecture for health information exchange. 

Conference Session: Instant OpenHIE

What is it? How will it help me? What's the MVP and the timeline?

Notes Page: https://notes.ohie.org/2019-11-07_Instant_OpenHIE

Slides: https://drive.google.com/open?id=1PPw8HvGd_3ym3JomR1r-cmBzAsIGdsqFRa8GmFCexIc

1. Blockchain and shared health record overview 

2. FHIR vs Blockchain 

3. Blockchain use cases in health care interoperability 

"Unconference" Session: Evaluation of OpenHIE Projects/Implementation

HIE implementation needs an evaluation framework and evaluation activities for existing implementations. Future donor funding will depend on demonstrating value from the implementation of a health information exchange. This session will focus on several questions including:

• How do we know or will we know that HIE is working and meeting the intended goals?
• How do we continuously improve HIE processes and capabilities?
• Are we getting the value of HIE implemented?
• What is the cost of implementing HIE?

Notes Page: https://notes.ohie.org/2019-11-07_Evaluation_OpenHIE

"Unconference" Session: Facility Registry and GOFR

Notes Page: https://notes.ohie.org/2019-11-07_Facility_Registry_GOFR

Presentation: https://drive.google.com/drive/u/1/folders/1ucMfKwy8X8qFEc1VDoqs1PKPig2uZhh3

"Unconference" Session: WHO Computable Guidelines

Facilitating adoption of decision support logic embedded in clinical guidelines into digital systems using FHIR resources and CQL. 

Notes Page: https://notes.ohie.org/2019-11-07_WHO_Computable_Guidelines

Presentation here: https://drive.google.com/file/d/1OoOn3gnPhsDPdV8oBb9niV0tkfX1WbR4/view?usp=sharing 

Showcase/Product Demo

Solutions that align with the OpenHIE Architecture will be on display for attendees to explore. (2-3 demo spots)

Showcase/Product Demo

Solutions that align with the OpenHIE Architecture will be on display for attendees to explore. (2-3 demo spots)

Ethiopia Showcase

• DHIS2/MFR Integration: It focuses on how the Interoperability Layer (OpenHIM) captures the facility data from the Master Facility Registry (MFR) and pushes it to the electronic HMIS (DHIS2). This includes: Adding a new facility, changing the parent organization of a facility, Retiring (Closing) a facility, Renaming a facility, and related "messaging" tasks. Related challenges and proposed solutions will also be presented. We expect global experiences to be shared by the audience after the presentation - to further enhance the integration efforts that are currently at infant stage.

Binyam Asfaw, Senior Software Developer and MFR/DHIS2 Integration Consultant for Data Use Partnership

Nebyou Azanaw, Senior HIS Specialist, Data Use Partnership 

• MFR: The experience gained from the implementation of the Master Facility Registry (MFR) - that includes the Governance Structure that is tailored to individual regions, facility data curation and update process, org unit hierarchies, successes and challenges regarding the signatory and non-signatory domains, etc. will be presented for the OHIE Community.

Mr. Girum Tadesse, Technical Development Lead, JSI/AIDSFree 

Mesoud Mohammed, Federal Ministry of Health of Ethiopia Deputy Director of Plan, Policy and M&E Directorate (PPMED)

• NHDD: Ethiopia's efforts and lessons will be presented in Terminology Management Services (TMS) in general - and the MOH's National Health Data Dictionary (NHDD) - that incorporated the National Code of Disease (NCoD) and the HMIS Indicators. The NHDD-Mobile App, priority health domains, tasks currently on the pipeline, challenges faced in the course (including level of usability of the dictionary) and way forward with this endeavor will be presented.  

Amanuel Biru, Senior Health Informatics Specialist and the eHealth Architecture Team Lead for Data Use Partnership

Dawit Birhan, Senior Database Engineer and eHealth Architecture Focal Point for Federal Ministry of Health of Ethiopia

Amanuel Biru

Notes Page: https://notes.ohie.org/2019-11-07_Ethiopia_Showcase

Ethiopia's NHDD and MFR Presentations: https://drive.google.com/drive/u/1/folders/1h1j0ZuDngSeLFTLjwcU-dIVVpHo2-ckt

Notes Page: https://notes.ohie.org/2019-11-07_Health_Finance_OpenHIE_Workflows

Slides 1: https://docs.google.com/presentation/d/1c0caFXscZY4BwgL7l4Q2h0vOtn4W7YlnnRdJPteerHw/

Meeting Closing

Event Wrap Up and Ways Forward