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Bridging Public Health and Clinical Providers: eHealth Data Exchange Strategies

Explore community eHealth data exchanges, the role of health departments as resources, and engaging providers in public health missions. Learn from emerging examples and key implementation activities to build a shared vision for eHealth data exchanges in Colorado.

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Bridging Public Health and Clinical Providers: eHealth Data Exchange Strategies

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  1. Public Health Data Standards ConsortiumExpert Panel in Electronic Data ExchangesConvened in Partnership with the Health Resources and Services Administration (HRSA)Fairmont Hotel 2401 M Street NW, Washington DC 20037Arthur Davidson, MD, MSPH Denver Public Health, Denver HealthDecember 5-6, 2006 and the Colorado Health Information Exchange, an AHRQ-funded State and Regional Demonstration Project

  2. Overview • Community eHealth Data Exchanges:   Purpose/Value Proposition for Public Health and Clinical Providers in the community • Role of the Health Department in Being a Resource for Providers • Engaging Providers in the Public Health Mission of Protecting the Public from Health Threats and improving the effectiveness of Primary Care • Examples of Emerging eHealth Exchanges and how they are bringing together public health and providers • Key Implementation activities, choices, and problems • Accomplishments and Lessons Learned • Building a Shared Vision - Suggestion for the Roadmap on Building eHealth Data Exchanges between Public Health and Clinical Settings

  3. Colorado: Data Sharing Progress Larimer Colorado Immunization Information System Payer # 1 – # X CDPHE Boulder IPN Centura Pharmacy #1 - # X SureScripts Independent 3rd party hosted “Community” patient index Standard vocabulary and messaging Vendor neutral Weld Rural /small practice access ? Exempla CHCN - Health Center? The Children’s Hospital Mesa County Kaiser Permanente Colorado Care Collaborative (RMD) Denver Health University Hospital MedSouth IPA Rose Medical Group El Paso County

  4. Business Lines of Service • Point of care (for patient and/or provider) • Aggregation of clinical information from other hospital/ providers • Immunization history (Colorado Immunization Information System) • Individualized medication lists (Pharmacy Benefits Managers/Retailers) • Allergies, laboratory, radiology, procedures, EKG, …. • Decision support for clinical guidelines • Clinical messaging (from provider to provider) • Laboratory test orders/results exchange (to/from CDPHE, LabCorp, Quest) • ePrescribing • Case reporting, electronic laboratory reporting • Ancillary/referral service results (e.g., radiology, consultant reports) • Administrative (for provider and payer) • Claims submission • Eligibility, credentialing • Population/public health (for provider, payer and/or public health) • Analysis of quality, disparities, morbidity monitoring, pay for performance • Registry development • Registry support: immunization • Bio-surveillance • Community health assessments

  5. Point of Care Business Line - Logical Architecture

  6. Patient Guideline Sequence Diagram

  7. Level 1 Trauma Center Center for Public Health Preparedness 911/EMS Hospital Acute Care Public Health Family Health Centers Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties, and Epidemics (RMCMR) Rocky Mountain Poison/Drug Center Community Health School-based Clinics Telemedicine Metropolitan Medical Response System Correctional Care Nurse line Education Research Patient Care

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