2022-04-25 IEW All Partner Call with CDC Meeting notes

1:50pm

10m

1

Meeting Opens

Andrea

2:00pm

5

1-4

Welcome and Housekeeping

Julia

2:05

10

4

CDC Introductions

Introduction - Lauren, David, Genny, Michele, Shirley roles

2:15

10

6 - 11

Project Progress

Julia

2:35

20

13 - 25

Partner Presentations

Partners

Slides!

AC - Jena - While Partner Go-Live is 4/22, they are already testing, and checking on priorities of health center.

In first sprint, what data elements are y ou collecting?

We have condensed ODH code sets into a workable format - wll be drop-down for industry, that will populate dropdowns for position. AC is curious abou thow to map data model - what source codes?? for specific occupations… how best to capture the data…

The question: “I work as an ________” “I work as a barista”

https://www.cdc.gov/niosh/docs/2022-101/

TECHNICAL REPORT A Guide to the Collection of Occupational Data for Health: Tips for Health IT System Developers

The value sets HCN is usin g- there is a list of NAICs 20 category list, Occupation uses 98 categories. They are user defined in intergy, and the search engine only searches teh first few characters of the title. @Daniel Parras created a spreadsheet so that staff can search for the right thing to enter into the system…

Genny: Could they use the CDC’s spreadsheet to search because it is more comprehensive? From the Spreadsheet with categories

Daniel - also we have the smallest unit of occupation - the health centers taff are instructed to search for the occupation (and therefore see the category?).

Dr. Chung-Bridges agrees using the larger spreadsheet would be a good enhancement.

FILE: PHVS Industry CDC NAICS 2012 - V2.xlsx -
FILE: PHVS Occupation CDC ONET-SOC 2010 - V2.xlsx -
FILE: PHVS CDC ODH Value Sets (Excluding Industry Occupation) - V2.xlsx -

Shirley Burton; Do patients enter their own data into the EHR? Dr. Chung-Bridges - no, not at this time. Data is collected by the staff -they are in the middle of an Epic upgrade.

Ms. Burton: Do the staff probe or just take the first answer? Not clear. Dr. Chung-Bridges can find otu. Sometimes people don’t really know what their occupation is - the staff has to ask them questions to figure that out.

Genny emphasized the use of the Guide - “I am a _________” or “I work as a ________”

David Blackley: Do you have a sense (even anecdotal) of why patients are initially reluctant to provide employment status info?

Genny: Do they keep the paper form and go back to look at the occupation? Yes - we are validating at the CHC level - the paper against what HCN is eeing on their end.

from David Blackley to everyone: 2:47 PM
For all partners: Could there be opportunities to securely and electronically collect patient work information prior to the encounter? (e.g. via a MyChart-type tool?)

Where does this go in the EMR? Extended page in registration because Intergy won’t accomodate in the EHR. They are using the first 20 categories for the industries, for the occupations - that’s where the spreadsheet comes in. There is no free texting - it is chosend from NAICs fror Industry and __ for occupation.

OCHIN -

Implementation by end of May - integrating directly into EHR.

Health center site is at a teaching chiropractic (clinic? center? hospital?)

OCIN trying to use the actual list - Yes, trying to integrate the actual list into the EHR. Will be collected via registration workflow. Security issue when patients are also employees - keep that info in the personal health record, not the employee record. So when the info comes from the person itself it is part of the personal record not the personnel record.

Training Materials

HCN already shared theirs.

Stories about how it impacted how the health center provided care, about how staff members collected the information.

2:40

5

26

Evaluation

How are the partners evaluating where they are?

How do staff communicate why we are collecitng the information and how it will be used? HCN: Yes, we do talk with staff about how to explain this to patients. Because it’s good for your health if we collect this information.

Genny: There is a statement in the Guide that is helpful to explain.

2:41

1

27

Collection of Training Materials

How do you explain to staff and to patients the importance of collecting employment and occupational data for use in improving health for essential workers? Why we collect this data, why so important?

2:42

1

27

Invitation to submit a story

Toot your horn! Tell stories! Help other networks and health centers! We would like to create some vignettes and stories that help others understand how you are using data to learn and improve.

If selected, your story will be the subject of a podcast and social media blurbs and posts produced by NACHC with consultation from you!

Let me know aprice@nachc.org if you have an idea for a story from about the value of identifying essential workers.

2:43

1

Admin

Please review your SOW on the Confluence page, get agreement on deliverable status with NACHC, and then invoice - for Task 1.

3:00pm

Closing

Funding is not clear at this time. Thanks for all the work on this!