Data Integration Needs for a West Texas Health Security Initiative

1. Data Integration Needs for a West Texas Health Security Initiative Moderator: Kenneth L Stewart – Angelo State University Panelists – Annette Sobel – Texas Tech University Health Sciences Center Billy U. Philips, Jr. – Texas Tech University Health Sciences Center

2. Specific definitions for syndromic surveillance are lacking, and the name itself is imprecise. • Diverse names used to describe public health surveillance systems for early outbreak detection include: • early warning systems (8,9); • prodrome surveillance (10); • outbreak detection systems (11); • information system-based sentinel surveillance (12); • biosurveillance systems (13--15); • health indicator surveillance (16);and • symptom-based surveillance (17). • However, syndromic surveillance is the term that has persisted.

3. Syndromic surveillance has been used for early detection of outbreaks, to follow the size, spread, and tempo of outbreaks, to monitor disease trends, and to provide reassurance that an outbreak has not occurred. Syndromic surveillance systems seek to use existing health data in real time to provide immediate analysis and feedback to those charged with investigation and follow-up of potential outbreaks.

4. Texas Regional Extension Centers West Texas Regional Extension Center Texas Tech University HSC $7.1 Million 1,133 providers North Texas Regional Extension Center DFW Hospital Council $8.4 Million 1,498 providers CentrEast Regional Extension Center Texas A&M HSC $5.2 Million 1,000 providers Gulf Coast Regional Extension Center UT HSC Houston $15.2 Million 2,928 providers West Texas TTUHSC Service Area 108 Counties 12% Population Fuel, Fiber, Food Texas Medical Association

5. Comprehensive Support throughout the Entire EHR Implementation Process Plan Transition Implement Operate & Maintain 1 2 3 4 Readiness assessment Practice workflow redesign EHR implementation Achieving meaningful use WT-HITREC Strategy: Partner with Vendors & Implementation partners WT-HITREC Strategy: Align with ONC to create standard EHR system selection HIT education & training Partnering with state and local HIEs Prepare for future pay for performance

7. Texas Approach to Statewide HIE Goal: Enable improvements in the quality and efficiency of the Texas health care sector by establishing an electronic HIE infrastructure for the state. Strategies Implementation of the Texas HIE Plan is being coordinated between the Texas Health and Human Services Commission and THSA

8. Texas HIE Connectivity Reference: healthit.gov

9. Meaningful Use Policy Goals • Improving quality, safety, efficiency, and reducing health disparities • Engaging patients and families in their health care • Improving care coordination • Improving population and public health • Ensuring adequate privacy and security protections for personal health information

10. CQM Selection and HHS Priorities All providers must select CQMs from at least 3 of the 6 HHS National Quality Strategy domains: • Patient and Family Engagement • Patient Safety • Care Coordination • Population and Public Health • Efficient Use of Healthcare Resources • Clinical Processes/Effectiveness

12. Challenges Public Health Data Systems - Complete, Comprehensive, Correct Intraoperability – Standards & Vendor Rules of Engagement Health Information Exchange –Workforce (HIT, GIS, Informatics) Signal Detection – Use Cases & Analytics Protocols – Response Planning Safety, Privacy, Security – Perspective