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Connecting Public Health to Clinical Care through Health Information Exchange: Current Activities in Indiana. Shaun Grannis MD MS FAAFP The Regenstrief Institute, Inc. Indiana University School of Medicine. What We’ll Cover.
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Connecting Public Health to Clinical Care through Health Information Exchange:Current Activities in Indiana Shaun Grannis MD MS FAAFP The Regenstrief Institute, Inc. Indiana University School of Medicine
What We’ll Cover • Brief overview of the Indiana health information exchange and public health environment • Data flows/coverage • Notifiable condition detection • Clinical messaging • Targeted public health alerting • Enhancing clinician reporting to public health • Surveillance
The Problem(s) • Data needed for public health processes, including situational awareness processes, are scattered across separate systems • This situation hinders public health's ability to perform situational awareness • HIE's can aggregate and deliver data to support public health practice
The Problem(s) • Public health generally lacks methods for communicating with clinical enterprise that are at once efficient, reliable, consistent, and comprehensive • This situation hinders bi-directional communication capabilities between PH and clinical care • HIE's can facilitate bi-directional communication
Notifiable Condition Detector E-mail Summary Abnormal flag, Organism name in Dwyer II, Value above threshold Realtime Compare to Dwyer I Daily Batch To Public Health Reportable Conditions Databases Inbound Message Potentially Reportable Reportable Condition To Infection Control Record Count as denominator Print Reports
Conclusions • Success Factors • Add value (solve problems) • Proceed Incrementally • Re-use existing processes • Key Questions • What’s the problem? • What solution? • How does solution address the problem?
Chief complaint (ADT): • Clinical abstract trigger • Medication reconciliation trigger • Hospital utilization tracking • ICD-9: • Clinical Care (EMR) • Clinical DSS • Quality Reporting • Lab tests: • Results delivery • Clinical care (EMR) • Notifiable condition detection • Public Health processes
Connecting Public Health to Clinical Care through Health Information Exchange:Current Activities in Indiana Shaun Grannis MD MS FAAFP The Regenstrief Institute, Inc. Indiana University School of Medicine