Building public health clinical health information exchanges the minnesota experience
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Building Public Health / Clinical Health Information Exchanges: The Minnesota Experience. Marty LaVenture, MPH, PhD Director, Center for Health Informatics Minnesota Department of Health. Interoperability and Health Information Exchange. MN Public Health Information Network (MN-PHIN)

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Building Public Health / Clinical Health Information Exchanges: The Minnesota Experience

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Building Public Health / Clinical Health Information Exchanges: The Minnesota Experience

Marty LaVenture, MPH, PhD

Director, Center for Health Informatics

Minnesota Department of Health

Interoperability and Health Information Exchange

MN Public Health Information Network (MN-PHIN)

Improving state-local effectiveness & efficiency

Minnesota e-Health and MN-PHIN

Initiating Key Projects

Mn Health Care Connection

Privacy & Security

EHR Grants

Advisory Committee

New Projects

MN Public Health Information Network

04 05









Changing Environment

The Purpose of MN-PHIN

To create …

  • the infrastructure, the policies and the skilled workforce

    To improve …

  • the collection, management, uses, and exchange of timely and accurate data; and

  • the design, functions and interoperability of public health information systems.

Current MN-PHIN Priorities

  • Support information system projects of state and local importance

  • Promoteadoption of standards for interoperability and exchange

  • Communicateknowledge, information and best practices; assess and build informatics capacity

  • Engage key partners in advancing the strategic application and management of public health information systems.

MN-PHIN Informatics Profiles

Measuring and Building Public Health Informatics Capacity in Minnesota

The Profiles measure …

Functional Capacity

An informatics-savvy organization …

Resource Capacity

An informatics-savvy organization has …

Necessary to Achieve

Creates strategic direction for

informatics within the agency

Assures knowledge, data and

information needs are met

Staff Competencies


Senior Informaticians



Assures effective management

of information systems

Assures effective management

of IT operations.

Directors & Managers

Data Management/

Reporting Tools

Communicates with policy

makers, staff and the public

Leverages data standards

Front line staff

Inventory of Systems,

Processes and Datasets

Evaluates and improves

information systems/Processes

Assures interoperability with

other information systems.

Assures confidentiality,

security and integrity of data

Provides training in

public health informatics

The Community of Practice supports…

Community of Practice

Created to Build FunctionalandResource Capacities

Minnesota Public Health Information Network

MDH Center for Health Informatics






Self Assessment



Knowledge Sharing

Print Materials





Project Tools




Example Tool for Agencies

Source: Public Health Informatics Institute (

Examples of supporting the Community of Practice

“Public Health Data Standards 101”

  • 3. Key Barriers and Challenges

  • “What are some of the key challenges and barriers?

  • Data (e-mail) overload / knowledge deficit

  • Assuring rural / underserved needs are met

  • Addressing population health issues

  • Use opportunities for federal/private funding

  • Model for sustainable funding for projects

  • Utilizing expertise state wide

  • 1. Value Proposition

  • “What are the achieved or anticipated benefits of HIE”

  • Empower citizens as health/care consumers

  • Ensure all relevant medical information on an individual is securely available to their current physician or to an emergency room

  • Reduce costly inefficiencies within and across health care settings

  • Use health care and public health data to better protect communities against health risks or threats.

  • Improve the safety and quality of health care

  • 2. Securing “Buy-In” From Stakeholders

  • “How did you secure buy-in from stakeholders?”

  • Be inclusive of private and public healthcare and public health settings, including LTC

  • Build on a “culture of collaboration”

  • Create broad statewide vision

  • Focus action on visible steps

  • Guide by broad public – private advisory Committee

  • Use a neutral convening body

  • 4. Key Lessons Learned

  • “ What would you recommend others do?”

  • Be consumer focused

  • Establish communities of practice

  • Use endorsing Legislation

  • Gov/t role: neutral convening body, facilitation, assist in measurement, assessment and communications

  • You don’t need “all” the answers today

  • Leading from the “backseat” is OK

  • Plan Broadly, Implement Incrementally

  • Include Public Health from the beginning

Thank You

Web Resources

  • Reports and policy

  • Directory of projects

  • Shared tools and templates

Minnesota e-Health Initiative

[email protected]

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