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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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