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A Program of The Robert Wood Johnson Foundation
Standardization in the public health lab:The case for a collaborative approach
Dave RossAnita Renahan-WhitePete Kitch
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“It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that just ain’t so.”
Mark Twain
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My Theme …
Collaboration can create • Motivation for standardization• Agreements on a foundation for
standardization– Business case– Business processes– Requirements– Design
• Relationships that can sustain and maintain the standard
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Our mission and approach
We advance public health practitioners’ ability to strategically apply information systems that will produce the desired impacts on the public’s health. We do this through:
• fostering collaboration, innovation and action,
• clarifying problems and identifying solutions,
• crafting meaningful, yet practical measures of performance linking system value to public health strategic goals.
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Our work within the IT Life Cycle
• Use/Evaluate/Plan– System performance metrics– Program performance outcomes
• Conceptualize and Plan– Governance structures– Business cases, policy cases
• Define Requirements– Business process definitions– Requirements definitions– Vendor assessments
• Design– Design specifications
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Partners for rapid progress
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Requirements Phase
• October 22, 2002 to April 15, 2004• 16 states and 1 county public health
volunteered as partners• APHL-PHLs-CDC-PHII partnership• Adopted an enterprise view
Results:• Comprehensive requirements adopted
nationally and owned by APHL members• Evaluated vendor products with respect to
>500 objective requirements• Available through APHL
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Design Specification Phase
• Nov. 03 – May 04• Goal – delineate how the requirements
translate into specification design and standards needs
• Focused on 6 core business processes:– Specimen submission– Specimen request– Specimen scheduling– Test preparation– Recording and verification– Results reporting– QA/QC
• 25 states and NYC + CDC
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Implications for PHDSC
• Thinking together makes good cents$• Partnership is a framework for identifying
needed standards and for endorsing their use
• Design will highlight further standardization between:– PHLs – CDC – clinical health care– PHLs – EPA – related agencies
• PHDSC should assist in identifying all potential review partners and help to coordinate standardization when it extends beyond proprietary diads
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Charlie Brown
“That’s the secret to life….replace one worry with another.”