come to the table l.
Skip this Video
Loading SlideShow in 5 Seconds..
Come to the Table PowerPoint Presentation
Download Presentation
Come to the Table

Loading in 2 Seconds...

play fullscreen
1 / 44

Come to the Table - PowerPoint PPT Presentation

  • Uploaded on

Come to the Table. Public Health Informatics for MCH Leaders. Overview. Define Public Health Informatics Review Terminology Describe the context Relate Public Health Informatics to the role of MCH leaders. Definitions. Common terms we’ll be using today. What is Informatics?.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Come to the Table' - fruma

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
come to the table

Come to the Table

Public Health Informatics for

MCH Leaders

  • Define Public Health Informatics
  • Review Terminology
  • Describe the context
  • Relate Public Health Informatics to the role of MCH leaders

Common terms we’ll be using today

what is informatics
What is Informatics?
  • We define public health informatics as the:

Systematic application of information and computer science and technology to public health practice, research and learning

  • An integrated data system allows authorized users to access a consolidated view or record for an individual child
  • Authorized users can view-at a glance-the services provided by a public health agency to an individual child
  • Authorized users can determine the status of that child’s involvement with Public Health Services
medical home
Medical Home
  • A medical home is defined as primary care that is accessible, continuous comprehensive, family centered, coordinated, compassionate, and culturally comprehensive
why informatics is important for mch leaders
Why Informatics is important for MCH leaders
  • Information is the very foundation of public health practice
  • Expectations of service from the public
  • Accountability
examples of real world informatics practice
Examples of Real World Informatics Practice
  • Overview
    • Key elements in successful integration projects
    • Examples of informatics practices in maternal and child health
minnesota s experience

Minnesota’s Experience

Informatics activities

Statewide e-Health

MCH informatics

minnesota infrastructure
Minnesota Infrastructure
  • Center for PH Informatics at MDH
  • e-Health support and activities
  • 2007 Legislation

Minnesota e-Health Initiative Vision

“… accelerate the adoption and use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs and enable individuals and communities to make the best possible health decisions.”

Source: Committee Report to the Legislature, January 2004

mn e health 2007 policy actions
MN e-Health 2007 Policy Actions

State mandate that all healthcare providers have interoperable EHRs by 2015

State mandate to establish health data standards by 2009

Revise and recodify MN Health Records Act

$14M in grants and loans for rural providers and community clinic


ehr mandate
EHR Mandate

Applies to all healthcare providers

Includes LTC, home care, ancillary services

EHRs need to be able to exchange data with others; i.e., be interoperable

Target data of 2015

HIT Plan Workgroup addressing:

“What is an EHR?”

“What does ‘implemented’ mean?”

“What level of interoperability is enough?”

“What do sectors do when there is no acceptable EHR product for them?”


health data standards
Health Data Standards

Key to interoperability

Mandate for MDH to establish by 01/09

Will adopt nationally established standards as approved

Bigger challenges:

How to develop detailed implementation guides

How to get venders to incorporate the standards

Long term project


e health grants and loans
E-Health Grants and loans

$3.5M in grants will be available in 2008

Up to $750,000 for implementation

Up to $50,000 for planning

Requires a community collaborative of two or more unrelated organizations

1:3 match required

$3.13M in no-interest loans also available

6-year payback; starts after 2 years


recommendations four focus areas 17 priority projects
Recommendations: Four Focus Areas, 17 Priority Projects

Empower Consumers

Accelerate the availability and use of accessible, portable “My Personal Health Record.”

Inform and Connect Healthcare Workers

Fund and implement interconnected health information technology statewide, focusing on secure health information exchange.

Protect Communities

Improve population health and protect communities through accessible prevention resources, widespread knowledge of community risks, and rapid detection of and response to public health threats.

Provide Infrastructure

Ensure the e-Health vision and mission are fulfilled.

initiating key projects
Initiating Key Projects

Mn Health Care Connection

Privacy & Security

Steering-Advisory Committee

New Projects

MN Public Health Information Network

04 05









examples of some 45 projects emerging statewide
Examples of Some 45 Projects Emerging Statewide
  • Exchange Projects
  • MnHCC – Statewide coordination
  • CHIC/SISU – Northeast MN
  • Shared Abstract: (AHRQ grant)
  • MIIC – Immunization registry
  • Medications – e-prescribing through the HIPAA Collaborative
  • Winona community exchange project
  • Itasca County Health Network
  • HIT-based Regional Medication Mgmt Pharmacy System
  • Telehealth
  • University of MN
  • Personal Health Records
  • Fairview
  • HealthPartners
  • Children’s
  • Public Health
  • MN Public Health Information Network
  • Informatics Education
  • St. Scholastica
  • University of MN
ichis integrating child health information systems
ICHISIntegrating Child Health Information Systems
  • The birth of an concept
  • PHII methodology
  • Our approach
ichis deliverables to date

ICHIS deliverables to date:


Road map

Task Flow Diagrams

Data Flow Diagrams

Data Exchange Grids

leveraged opportunities
Leveraged opportunities
  • DHS initiated contact
  • Newborn Screening Follow-Up
  • Data Inventory Project
  • Other MDH data system projects
    • Updates of VR, NBS, WIC
    • Chronic disease project
    • Infectious disease project
current and developing activities opportunities
Current and developing activities/opportunities
  • Resource requests at MDH
  • MCH Bureau
    • SSDI (shifting our thinking and planning)
    • TA request to MCH Bureau
  • Next legislative session (2009)
mch leadership
MCH leadership
  • Be at the table
  • Seek and develop resources and opportunities
  • Build capacity and competencies in your workforce
  • Patience & persistence
  • Advocate !
    • At state level
    • At federal level
      • MCHB, related national projects, PHII
  • Vision:
  • All Rhode Island children receive appropriate and timely preventive healthcare as a result of access to and utilization of comprehensive data on preventive health services by authorized users.


KIDSNET facilitates the collection and appropriate sharing of health data with healthcare providers, parents, MCH programs and other child service providers for the provision of timely and appropriate preventive health services and follow up.

kidsnet affiliated programs
KIDSNET Affiliated Programs
  • 4 Targeted:
  • WIC
  • Early Intervention
  • Family Outreach (Home Visiting)
  • Birth Defects
  • 6 Universal:
  • Newborn Developmental Risk
  • Newborn Bloodspot Screening
  • Newborn Hearing Assessment
  • Immunization
  • Childhood Lead Poisoning
  • Birth Certificate
kidsnet system users
KIDSNET System Users
  • Primary Care Providers seeing young children (95%)
  • Family Practice
  • OB/GYN
  • Maternal Child Health Programs
  • Head Start Agencies
  • School Nurse Teachers
  • Home Visitors
  • Certified Lead Centers
kidsnet uses reports
KIDSNET Uses - reports


  • Kids overdue for lead screening by PCP
  • 20-month-old children overdue for immunizations by PCP
  • Pre-filled school health form
  • Newborn screening-missing specimen report at 6 days
  • Medicaid birth report
other kidsnet uses
Other KIDSNET Uses
  • Quality Assurance
  • Program Evaluation/Performance Measures
  • School Entry Requirements
  • Immunization Decision Support
  • Data to learn about MCH population





System Quality Issues Identified

  • Discharged home with no specimen
  • Transferred with no specimen (usually screened out of state at hospital of transfer)
  • Specimens collected late
  • Shipping delays
  • Cancelled orders (due to computer programming!!!!!)
  • NICU policies are critical!
specific roles for mch leaders and managers
Specific Roles for MCH Leaders and Managers

New skills in leadership are needed:

  • Strategic vision of information use
  • Understanding the “business” of public health
  • Development of an “informatics savvy” organization