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Population & Public Health Achievements in Meaningful Use: Stage 1 and Beyond

Population & Public Health Achievements in Meaningful Use: Stage 1 and Beyond. Seth Foldy , MD MPH FAAFP. Director, CDC Public Health Informatics and Technology Program Office To HIT Policy Committee Meaningful Use Workgroup Oct. 6, 2011.

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Population & Public Health Achievements in Meaningful Use: Stage 1 and Beyond

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  1. Population & Public Health Achievements in Meaningful Use:Stage 1 and Beyond Seth Foldy, MD MPH FAAFP Director, CDC Public Health Informatics and Technology Program Office To HIT Policy Committee Meaningful Use Workgroup Oct. 6, 2011 Office of Surveillance, Epidemiology, and Laboratory Services Public Health Informatics and Technology Program Office

  2. Why It Matters • Electronic laboratory reporting: faster, more complete reporting of communicable and toxic diseases that require IMMEDIATE public health response • Immunization registries: help clinicians, schools, health departments and parents improve vaccination rates against killer diseases • Syndromic surveillance: early warning, ongoing awareness and tracking to manage disease outbreaks and other emergencies • EHRs, PHRs, quality reporting, decision support, disease registries: all tools to increase the prevention-effectiveness of health care

  3. Stage 1 Challenges • Limited state/local health dept. informatics capacity • “Forced march” to new message standards • Loose match between certification requirements and implementation guides • Legacy and uncertainty regarding transport mechanisms • RESPONSE: Emergency mobilization by CDC and public health professional associations for: • Education and technical assistance • Tools to validate and translate message formats • Reportable condition mapping table vocabulary provisioning • Active engagement of HIT coordinators, RECs, vendors • Aligned public health grant language to support MU 3

  4. Achievements • 38 states and large cities now offer MU “testing” to eligible providers/hospitals • At least 15 now have MU-compliant information submission in production (test & queue strategy) • Interoperability tools widely used (rising fast); more in the pipeline • http://www.cdc.gov/EHRmeaningfuluse/tools.html • Modest (4-27%) number of providers and hospitals claimed exclusions on public health objectives

  5. Next Steps & Challenges • Continue rapid transition of public health systems to MU standards • HL7 2.5.1 likely required for immunizations, syndromic surveillance • Bring EHR certification closer to PH practice-fewer disappointments and interface needs • Prepare for new NwHIN secure transport protocols • Improve communication and predictability • Facilitating other types of PH case reporting • Cancer registries in Stage 2? • Other high-volume case reports in Stage 3? • S & I Framework public health reporting initiative underway

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