Public Health Agencies

Public Health Agencies - Readiness and Implementation Checklist

The following activities for public health agencies need to be undertaken to prepare for eCR

√ Author in RCKMS 

In order for the Reportable Conditions Knowledge Management System (RCKMS) to fully adjudicate electronic initial case reports (eICRs), each public health agency (PHA) needs to author their jurisdictional reporting specifications in RCKMS. The RCKMS decision support service will compare the data in the eICR to the jurisdiction specifications to determine the reportability of the eICR. 

Currently, RCKMS includes over 200 reportable conditions and authoring is open to PHAs continuously. More information, including the current list of conditions, is available from the RCKMS website (external link). The codes for those conditions are available from the RCKMS Content Repository site (external link) and are used to map those SNOMED condition codes into public health surveillance systems.

You can also download a content release plan (file download) for additional conditions to be authored. Default content (value sets, criteria, and logic sets) has been developed and can be viewed by visiting the RCKMS Content Repository site (external link).

√ Establish initial connectivity with AIMS for receipt of eICRs/RRs outside jurisdiction

Test and use the existing connection with the Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) platform to receive eICRs and copies of Reportability Responses (RRs) documents from the AIMS platform for reporters outside of your jurisdictions. The initial use of this eCR connection will only be for the very limited cases where patients who reside in your jurisdiction receive care elsewhere and have a condition that is reportable to you.

√ Visualize eICRs and RRs as an interim solution for out of jurisdiction reports

Until your surveillance system has the capability to consume and process the eICRs, these documents can be visualized as HTML for use by surveillance personnel.  

If your PHA needs assistance with this initial connectivity or visualization, contact the eCR Team via the eCR service desk.

√ Determine readiness and build capacity in infrastructure/surveillance system(s) for eICRs and RRs

The first step will be to determine the capabilities of your technical infrastructure/surveillance system(s) to consume and use eICRs and RRs. If capabilities do not exist, PHAs should define a plan for upgrading/building in eCR capabilities.

If eCR functionality exists within your technical infrastructure/surveillance system(s), it will be best to first determine a workflow approach for receipt and processing of eICRs into your surveillance system(s). See more details about testing and implementation on the Public Health Agencies - Onboarding and Implementation page.

√ Declare readiness for eCR onboarding with healthcare providers within the PHA jurisdiction

PHAs should declare readiness for eCR as a public health reporting option (typically on the PHA website) for the Centers for Medicare and Medicaid Services (CMS) Promoting Interoperability (PI) programs. This is where healthcare providers would “register their intent” to carry out eCR. Similar to other public health reporting objectives, PHAs may choose to place those that have registered in a queue for onboarding, but allow them to receive credit for active engagement in PI.