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Raising Public Health Stake on the National Agenda on HIT Adoption in Healthcare

Raising Public Health Stake on the National Agenda on HIT Adoption in Healthcare. Marcy Parykaza, MGA Chief, Information Management Services Bureau Delaware Division of Public Health State HIT Coordinator President, NAPHIT National Association for Public Health Information Technology.

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Raising Public Health Stake on the National Agenda on HIT Adoption in Healthcare

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  1. Raising Public Health Stake on the National Agenda on HIT Adoption in Healthcare Marcy Parykaza, MGAChief, Information Management Services BureauDelaware Division of Public HealthState HIT CoordinatorPresident, NAPHITNational Association for Public Health Information Technology

  2. Effect of Silos • Programs • Funding • Data Standards • Meaningful Use • Siloed agendas • HIT adoption • PH vs CMS • Standards • Who • What • What is the PH Vision for 2020? • How can we get there? Our Plan…Over the next two days……

  3. Why me?Why me! Why me…. • IT Director, PH CIO • Public Health Administrator • State HIT Coordinator

  4. Who do we serve? How is it Governed? Why are we doing it? • HIE • REC • Beacon • State Agencies • Political Appointees • ARRA/ACA/ELC/CMS • Health Reform Public Health public health

  5. Do we need a Do-Over? • What is the Plan? • For us • For our organizations • For those we serve • Is it technical, political, social? • Is it doable? • Is it transferable? • What does interoperability and integration mean?

  6. Effect of Silos • People are talking • Data is being shared • Standards are being developed • Infrastructure grant money is becoming available Creating more technically confusing data structures Creating non-sustainable data storage sites Creating countless communication portals Raising issues of privacy and security Pushing the limits of HIPAA Angering providers

  7. …silos without standards

  8. Can MU be a catalyst for: Funding Standards Interoperability Integration Expansion How can PH get on the MU “hay wagon” Where does PH fit within the objectives of CMS Meaningful Use – the New Master?

  9. What does it mean to Public Health? • Stage 1 – EP’s MU of EMRs • EP reporting: • Immunizations • Reportable lab results • Syndromic surveillance • E-prescribing • Reduction of disparities • Public Health in HIE • Planning • Funding • Sustainability • Governance • State HIT Coordinator • Who should it be? • Whose agenda? • HITECH • ARRA • ACA • CMS • HIT Adoption • Dog chasing the tail? • Deadline • Money • Implement • Report • redo Public Health Eligibility

  10. What is the vision? • Patient(client-centric) • Standardized across organizations • Shared locally, nationally, globally • Affordable • Sustainable • Usable

  11. Why we need to adopt standards

  12. How Delaware Public Health (DPH) is getting there.

  13. CIO SOA view of DPH

  14. …we went from this… (no standards – no vision)

  15. ……to this (a vision based on standards)

  16. ..standards based interoperability.

  17. How we are getting our users on board……

  18. What are the public health functions in DE?

  19. User tasks …..

  20. …related to an IT process.

  21. Repeatable and Institutionalized: • “We are part of a client centric, process driven, interoperable public health system.” • “We are more similar than we are different.” Without a vision…what are you leading?

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