Daryl Chertcoff

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2022 HL7 Working Group Meeting Continues to Advance a Public Health Agenda

The HLN Consulting team attended the HL7 36th Annual Plenary & Working Group Meeting (WGM) held in Baltimore, MD, September 17 – 23, 2022. More than 500 attendees, representing all aspects of the industry, were a part of the WGM in-person meeting after 2 years of virtual meetings. The seven day event started on Saturday with a weekend connectathon. This meeting offered an opportunity for attendees to come together and collaborate. It was a valuable meeting especially for people involved in standards development around healthcare. Read More »

Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection

A key element of public health surveillance is the reporting of infectious and certain non-infectious conditions to state, local, and tribal public health agencies (PHA) around the United States. Historically, there have been a number of key challenges with the process of case reporting that is pervasive in the United States today. To help overcome some of these barriers, an effort has been underway to move the process of case reporting to electronic. A key component of the emerging electronic care reporting (eCR) strategy is the use of clinical decision support (CDS) to help clinical care organizations determine if a reportable condition is present in a patient's record. Multiple approaches have been identified for this CDS service, including a centralized model being implemented today, and several distributed options which will likely become equally viable. Given the size, diversity, and decentralized nature of healthcare enterprises, it is likely that all three approaches for CDS discussed in this article will be deployed simultaneously.

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Daryl Chertcoff

Daryl Chertcoff provides project and technical leadership on complex, multi-vendor application design and development efforts, and has architected major public health systems. As a senior project manager for HLN Consulting since 2000, he uses a diverse set of skills and approaches to tackle complex problems in creative and unique ways. Daryl has worked with a wide range of technologies and he has managed, designed and implemented systems and applications that utilize various integration and database technologies.

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Electronic Case Reporting (eCR) Takes Front Stage at PHI2018 Conference

But the real buzz at the conference seemed to be about electronic case reporting (eCR). This refers to the national effort to replace the current paper and FAX process of submitting reportable conditions from clinical care sites to state and local public health agencies with a more automated electronic process fed from electronic health records (EHRs)...HLN demonstrated the workflow for eCR at the HIMSS18 Interoperability Showcase. However, we did not see a lot of interest on eCR at the HIMSS conference. At PHI2018 we had significant interest, both among public health officials who were anxious to see how they could initiate eCR in their jurisdictions, and other vendor and stakeholder groups who seemed to feel eCR was becoming viable and more “real.”

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HLN's Report on Patient Centered CDS Learning Network Conference

The Learning Network is an initiative funded by the Agency for Healthcare Research and Quality (AHRQ) whose goal is to encourage collaboration and development of tools and resources to support clinical decision support (CDS) as it relates to individual patients and their caregivers. This work is an offshoot of the Patient-Centered Outcomes Research (PCOR) initiative which focuses on the relationship between healthcare providers in patients in making better, more informed, healthcare decisions. A sister project to the Learning Network is the AHRQ-funded CDS Connect Repository which has begun to house shareable CDS artifacts which represent evidence-based standards of care.

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