Public Health Data Standards Consortium phdatastandards

1. Public Health Data Standards Consortium http://phdatastandards.info

2. PHDSC / eHealth Initiative Annual ConferenceMay 2005, Washington, D.C. What Public Health Brings to Health Information Technology Perry F. Smith, M.D. State Epidemiologist, New York State Representative, Council of State and Territorial Epidemiologists (pfs01@health.state.ny.us)

3. Federal Public Health Obligation • “support of knowledge development and dissemination through data gathering, research, and information exchange” IOM, 1988

4. The Mutual Benefit for Medical Providers and Public Health • Facilitated public health reporting and access to medical information • Health alerts • Case management, support, partner notification • Access to public health data and guidance (eg, drug resistance, outbreak alerts, infection control guidelines) • Laboratory reports and tracking • Preparedness planning and resource allocation

5. Examples from New York State

6. Immunization Information Systems (IIS) • Secure computerized information systems that combine vaccination histories from various sources and creates a single complete immunization record • IIS are made available to providers to help ensure correct and timely immunization, especially for children

7. How do ISS Help? • Immunizations occur in various provider sites leaving fragmented histories. IIS bring that data together to create a complete record so providers can make informed decisions on correct immunization. • IIS apply the ACIP-recommended schedule to the history to identify when immunizations are due. • IIS generate reminder/recall letters for the provider to send to families for scheduling appointments. • IIS can generate complete histories for parents eliminating the need for paper forms for provider offices. • Public health offices can monitor immunization compliance levels by geographic regions and identify pockets of need.

8. Secure web transactions - Authentication - - Access Control - - Firewall - Encrypted Link Encrypted Link NY State DOH Internet E-Health Commerce HEALTHCOM Network DOH Data Warehouse & HIN and Health Provider Web Servers Health Information Network (HIN) World wide Internet Local Health Departments Clinical labs & Health Care Providers

9. Electronic Communicable Disease Reporting New York State

10. Public Health Alerts

11. Laboratory Reports and Tracking Through the NYSDOH Internet Commerce Site Health Provider Network (HPN), submitters have access to specimen reports and specimen receipt notices.

12. MSDS VRS Draw Blood Sample Blood Spot Card CMS Vital Records Mailer Birth Certificate HIS WAARP Firewall Hospital Data Entry Mailer FAX Newborn Care, New York State iCMS Hospital DOH B Exception Reports C A WebServer Follow-up INTERNET Physician or Case Manager A. Establish link to EBC records B. Report missing or late blood spot cards C C. Allow mailer image viewing through browser

13. “Never let a computer know you’re in a hurry.” Anonymous …but public health and medical providers need to work together fast if we want to end up with IT solutions that work optimally.

14. Question for Consideration How else could Public Health assist medical practitioners through IT?