Public Health Data Standards Consortium http:phdatastandards'info

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Public Health Data Standards Consortium
http//phdatastandards.info
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Connecting Communities for Better Health PHDSC /
eHealth Initiative Annual Conference
May 25, 2005 Washington DC
Role of Population/Public Health In Regional
Health Information Exchanges - Critical
Infrastructure to Advance Population Health
- Track 6 Population Health Marty LaVenture,
PhD MPH Director, Public Health
Informatics Commissioners Office Minnesota
Department of Health
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Assumptions / Considerations

• Public health/Population well established
• Informatics is a young and emerging sub-specialty
  
• Public /population health fits into all four (4)
  goals of the framework for strategic action
• Organizational context is important to role
• Governmental (federal, state, local)
• Academic, research and teaching
• Health systems
• Consumer
• Opportunities for action now

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Public Health Mission

• Institute of Medicine what we, as a society,
  do collectively to assure the conditions in which
  people may be healthy.
• Public health must be a partner to fulfill its
  mission
• Mandated to protect and improve the health of all
  people within a legal jurisdiction
• Public health informs, coordinates care and
  resources, and regulates
• Effective public health requires an understanding
  of the interdependent nature of its functions
  with those of the health care system

Adapted from David Ross, Sc.D., Public Health
Informatics Institute
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What Public Health/Population Health Offers To
NHIN/RHIOs?

• A.Knowledge and experience in
• Complex health data systems and integration
• e.g surveillance, environmental health,
  preparedness systems
• Particular information systems e.g immunization
  data into EHRs, birth, lab,
• Data Acquisition and quality methods
• Matching records and de-duplication
• Data standards, PHIN
• Information management
• e.g Confidentiality, security, state laws, data
  sharing policies
• Shared governance models and collaboration
  activities
• e.g Understanding provider enrollment and
  engagement
• e.g Neutral objective partner
• Analytical methods and epidemiology

Adapted from David Ross, Sc.D., Public Health
Informatics Institute
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What Public Health/Population Health Offers To
NHIN/RHIOs? (continued)

• B. Client information and direct services
• Immunization registry data and decision support
• Laboratory analysis, results reporting and
  population-based analysis and recommendations
• Care coordination for children with special
  healthcare needs
• C. Provide epidemiologic information to improve
  diagnostic accuracy and treatment decisions
• Outbreak alerts
• Patterns of drug-resistant organisms within a
  community
• Trends that spark community collaboration on new
  health initiatives

Adapted from David Ross, Sc.D., Public Health
Informatics Institute
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What Public Health/Population Health Offers To
NHIN/RHIOs? (continued)

• D. Convenient access to guidelines and
  recommendations
• Infection control practices, Screening
  recommendations, etc.
• E. Point of service tools for diagnosis/patient
  education
• Guidelines embedded in EHRs sensitive to local
  prevalence and service information
• Screening reminders for local at risk groups
• Information for patients in need of supportive
  social or other services e.g., children with
  special needs
• F. Automated tools for quality improvement
• Immunization audits of office practices
• Newborn screening follow-up (e.g., sickle cell)
  and care coordination

Adapted from David Ross, Sc.D., Public Health
Informatics Institute
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What NHIN/RHIOs Can Offer To Public
Health/Population Health?

• Increase quality (accuracy, timeliness,
  completeness) of information e.g disease
  reporting/applied research
• Broaden opportunities for participation in health
  /disease surveillance / prevention activities
• Improved case management and care coordination
• Communicable disease patient management (e.g.,
  TB), Newborn screening follow-up
• Uniform way to share data with broader set of
  users push the standards
• Promote connectivity
• e.g Provide single method to share data for all
  users
• Resources cost sharing
• Support new partnerships

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Challenges / Opportunities for public health

• Providing Leadership
• Balance regulatory roles with community
  partnership
• Public health role in governance
• Financing participation
• Finding sustainable commitment
• Business-like data exchange partnership
• Linking systems with reliable performance
• Providing public health data quality and
  availability

Adapted from David Ross, Sc.D., Public Health
Informatics Institute
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Challenges / Opportunities for public health
(continued)

• Update information system infrastructure
• Definition of public health business processes
• Base level of nationally adopted information
  system requirements
• Address Particular needs State / County / City /
  Research
• Continuous participation in national standards
  setting bodies
• Collaboration to bring clear, defensible
  positions that argue for specific standards on
  behalf of the public health enterprise

Adapted from David Ross, Sc.D., Public Health
Informatics Institute
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Minnesota e-HealthInitial Focus
Interoperability and Health Information Exchange
MN Public Health Information Network
(MN-PHIN) improving State-Local
effectiveness efficiency
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Thank You

• Questions?
• Marty LaVenture
• Martin.laventure_at_state.mn.us
• 612-676-5017