Community-wide Information Systems Design: Concepts and an Illustration

Patricia Flatley Brennan,RN PhDPatricia Flatley Brennan,RN PhD

Natalie Norcross, MLSNatalie Norcross, MLS

David Grindrod, MADavid Grindrod, MA

Marti Sopher, PhDMarti Sopher, PhDUniversity of Wisconsin-MadisonUniversity of Wisconsin-Madison

Support for this project was provided by the IADL Intiative, National Library of Medicine

HHSSLLEALTHYSTEMSAB

Design strategies that facilitate institutional and enterprise

information systems

are insufficient

for developing the information infrastructure

needed to meet health and health care

information management challenges

of the 21st century.

Options for Community-wide Information Systems Design

Outreach modelsOutreach models Single entity establishes connections to selected Single entity establishes connections to selected

collaboratorscollaborators UWUWHealthHealth

Enterprise-wide modelEnterprise-wide model Multi-entity alliances create interconnectionsMulti-entity alliances create interconnections

CaregroupCaregroup PeaceHealthPeaceHealth

Regional Health Information SystemsRegional Health Information Systems Business-to-business interactionBusiness-to-business interaction

IndianapolisIndianapolis

Community-wide Information Systems PlanningCommunity-wide Information Systems Planning

Challenges in the creation of local and national health information

infrastructures:governance

models Effective governance is needed to

balance stakeholder claims and maximize available resources.

Performance and economic models are needed to guide investment decisions and evaluation strategies.

Creating effective

governance structures: Start with what is already

there!

An example: An example:

The Dodge Jefferson The Dodge Jefferson Healthier Communities PartnershipHealthier Communities Partnership

The Dodge-JeffersonHealthier Communities

Partnership

The initiative:djhelp.info

Creating djhelp.infoCreating djhelp.info

1. Confirmation of community need;

2. Assessment of existing health and social service information providing and resource referral

3. Technical Planning

4. Business Planning and Sustainability

Lessons LearnedLessons Learned

1. Community-wide information planning requires involvement of stakeholders

2. Assessing local needs and resources identifies opportunities for improving access to health information.

3.Brokering provides an efficient alternative to creation of entirely new initiatives.

4. Building community partnerships increases the capacity of the community

Remaining challengesRemaining challenges

Insuring financial sustainability of the Insuring financial sustainability of the resourceresource

Promotion its use to the communityPromotion its use to the community Engaging new participantsEngaging new participants

Key--- creating a systematic way to appraise Key--- creating a systematic way to appraise investment and impact investment and impact