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Public Health in HIT Standardization and Strategic Partnerships

Public Health in HIT Standardization and Strategic Partnerships . Public Health Data Standards Consortium Annual Business Meeting November 8, 2012 Arlene H. Stephenson, MAS Chief of Staff American Public Health Association.

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Public Health in HIT Standardization and Strategic Partnerships

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  1. Public Health in HIT Standardization and Strategic Partnerships Public Health Data Standards Consortium Annual Business Meeting November 8, 2012 Arlene H. Stephenson, MAS Chief of Staff American Public Health Association

  2. Population Health Measures Can Address 21st Century Health Problems(but not without data and HIT) • Growing chronic diseases • Emerging & reemerging infectious disease • Unaddressed injury epidemics • Public health emergency preparedness • Patient safety • Addressing the social determinates of health • Eliminating health disparities • Community based care coordination • Health education & literacy

  3. Major Systems Change Coming

  4. Some Drivers of Population Health System Change • Growing capacity to link & analyze large data sets • Disruptive & fast technology • Social media, E-Communication, hand held wireless devices • Need to document ROI for health interventions • Cost, quality & value • Enhanced use of data to drive public policy to improve health

  5. Some Drivers of Population Health System Change • Population mobility • Better integrate primary care & public health • Globalization • Access disparities to E-Tech • Generation Y (Millennials) • Baby boomers

  6. Example: Enhanced use of data to drive public policy to improve health • Motorcycle helmet law in Maryland • Data used to demonstrate • Motorcyclists greater rate of no health insurance • Inpatient stay caused hospital bad debt • Inpatient costs resulted in Medicaid eligibility • Post hospital costs for rehab also costly • Death rates with and without helmets • Data sets used: hospital discharges, Medicaid claims, Medical Examiner’s – but not linked • Bill successful in 2nd year (but with a twist)

  7. U.S. Healthy People 2020 Goal Use health communication strategies and HIT to improve population health outcomes and health care quality, and to achieve health equity

  8. Health People 2020 Policy Objectives Enable quick and informed action to health risks and public health emergencies Increase health literacy skills Provide new opportunities to connect with culturally diverse and hard-to-reach populations Provide sound principles in the design of programs and interventions that result in healthier behaviors Increase Internet and mobile access

  9. Healthy People 2020 E –Technology Objectives Support shared decision-making between patients and providers Provide personalized self-management tools and resources Build social support networks Deliver accurate, accessible, and actionable health information that is targeted or tailored Facilitate the meaningful use of health IT and exchange of health information among health care and public health professionals

  10. Social Media: Power Health Tools Twitter YouTube Facebook Flickr LinkedIn Foursquare Blog E-mail Online educational tools: Webinars, Podcasts

  11. 10 Essential Services of Public Health

  12. Telehealth Population Health Issues Track diseases and trends Research Investigate new disease outbreaks Public health workforce training Communicate effectively to stakeholders Care coordination for complicated patients Partnerships with private sector, civic groups, NGOs, faith community, etc

  13. Potential Strategic Partners Financing – Insurers - Regulators • Local & state & federal health data sets • Large insurers and Third Party Administrators (TPAs) • Regional Health Information Organizations (RHIOs) Health Care Sector • Public Health • Health Care Providers Other Stakeholders • Informatics community • Environmental community • Social services community • Educational community • Others

  14. Track Diseases and Trends – using data outside the healthcare system partnership 5440Reportsin MDsince start of 2011 flu season • 751 – Reported symptoms • 4689 - Reported no symptoms

  15. Using HIT to change personal health behavior • Why do we take care of our cars on schedule, but not ourselves? • Jiffy Lube as a model for preventive health? • My husband – the walking public health hazard • The difference a single letter from his insurer made – thank you Care First NCA

  16. Paying For Population E-Health Is Challenging • Not a line item in a budget • Grant based - Not fee based • Obsolescence is a problem • Questions about ROI for prevention • Results become key & data is the driver • Population health IT systems need planned investments • Data linkages to HIT • Specialized systems

  17. Recommendations For The Future • Advocacy at federal and local levels to make strategic investments in population based HIT & data systems • APHA and PHDSC work to bring together stakeholders • Require appropriate linkages of public health & health care & data systems • Demand accountability for population based outcomes from all

  18. Arlene H. Stephenson, MAS Chief of Staff American Public Health Association WWW.APHA.org “Protect, Prevent, Live Well”

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