Transcript Public Health`s Role in Health Information Exchange

Public Health’s Role in
Health Information Exchange
Farzad Mostashari, MD MSc
NYC Department of Health
and Mental Hygiene
Questions
• Why are we still in the small room?
• Does the CCBH community really
believe that public health is valuable?
• Does the public health community really
believe that CCBH is valuable?
• How do we move forward?
Public Health Participation
is Valuable
• Has data (esp pediatrics)
• Has experience
– Technical (Registries)
– Analytic (epidemiologic/data mining)
– Standards
• Can access $$
Public Health Participation
is Valuable
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Outside competitive arena
Mandate for population health
Speak to Public/Consumers
Trusted by community
Organizing principle
– Eg. P4P Indicators, EHR functionalities
– Why should society care?
How to Engage Public Health
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Limited resources, many priorities
What`s in it for public health?
1. Help them do their job better
2. Do what they couldn`t do before
Do Their Job Better
• Better compliance w/ mandatory reporting
Quality, Efficiency & Completeness)
– Immunizations
– Newborn screening
– Hearing screening
– Communicable Diseases
– Vital registratio
Transform Public Health
• Bilateral real-time communication with clinical
information systems
• Real-time public health surveillance
(syndromic, drug resistance, adverse events)
• Resource management (flu vaccine)
• Incorporation of epidemiologic information
into clinical decision support
• Monitor and improve the quality of care for
priority PH issues (Tob, HIV, DM, CAD)
How Do We Move Forward?
• In the Public Health Community
– Involve core constituents and visionaries
– Shuttle diplomacy
– Energize and engage senior officials
• In the CCBH community
– Take population health seriously
– Define population health goals
– Demonstrate improvement in PH outcome