Post on 05-Jan-2016
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PHDSC / eHealth Initiative Annual ConferenceMay 2005, Washington, D.C.
What Public Health Brings to Health Information Technology
Perry F. Smith, M.D.
State Epidemiologist, New York StateRepresentative, Council of State and Territorial Epidemiologists
(pfs01@health.state.ny.us)
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Federal Public Health Obligation
“support of knowledge development and dissemination through data gathering, research, and information exchange”
IOM, 1988
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The Mutual Benefit for Medical Providers and Public Health
Facilitated public health reporting and access to medical information
Health alerts Case management, support, partner notification Access to public health data and guidance (eg,
drug resistance, outbreak alerts, infection control guidelines)
Laboratory reports and tracking Preparedness planning and resource allocation
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Examples from New York State
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Immunization Information Systems (IIS)
Secure computerized information systems that combine vaccination histories from various sources and creates a single complete immunization record
IIS are made available to providers to help ensure correct and timely immunization, especially for children
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How do ISS Help?
Immunizations occur in various provider sites leaving fragmented histories. IIS bring that data together to create a complete record so providers can make informed decisions on correct immunization.
IIS apply the ACIP-recommended schedule to the history to identify when immunizations are due.
IIS generate reminder/recall letters for the provider to send to families for scheduling appointments.
IIS can generate complete histories for parents eliminating the need for paper forms for provider offices.
Public health offices can monitor immunization compliance levels by geographic regions and identify pockets of need.
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NY State DOH Internet E-Health Commerce NY State DOH Internet E-Health Commerce
Secure web transactions
- Authentication - - Access Control -
- Firewall -
DOH Data Warehouse&
HIN and Health Provider Web Servers
Local Health
Departments
World wide Internet
Clinical labs & Health Care Providers
HEALTHCOM Network
Encrypted Link
Health InformationNetwork (HIN)
Encrypted Link
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Electronic Communicable Disease ReportingNew York State
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Public Health Alerts
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Laboratory Reports and Tracking
Through the NYSDOH Internet Commerce Site Health Provider Network (HPN), submitters have access to specimen reports and specimen receipt notices.
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Newborn Care, New York State
DOH
MSDS
BirthCertificate
HospitalData Entry
VRS
VitalRecords
Follow-up
CMS
FAX
Physician or Case Manager
BloodSpot Card
Draw BloodSample
MailerA. Establish link to EBC records
A
ExceptionReports
B. Report missing or late blood spot cards
B
C. Allow mailer image viewing through browser
Mailer
C
Hospital
HIS
INTERNET
WAARPFirewall
WebServer
iCMS
C
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“Never let a computer know you’re in a hurry.”
Anonymous
…but public health and medical providers need to work together fast if we want to end up with IT solutions that work optimally.
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Question for Consideration
How else could Public Health assist medical practitioners through IT?