related activities with duke and cdc, fostering public health / primary care integration though...
TRANSCRIPT
![Page 1: Related Activities With Duke and CDC, fostering public health / primary care integration though “Practical Playbook” project (practicalplaybook.org)](https://reader035.vdocuments.net/reader035/viewer/2022062516/56649ddd5503460f94ad5fcc/html5/thumbnails/1.jpg)
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![Page 3: Related Activities With Duke and CDC, fostering public health / primary care integration though “Practical Playbook” project (practicalplaybook.org)](https://reader035.vdocuments.net/reader035/viewer/2022062516/56649ddd5503460f94ad5fcc/html5/thumbnails/3.jpg)
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Related Activities
• With Duke and CDC, fostering public health / primary care integration though “Practical Playbook” project (practicalplaybook.org)
• Focused on public health workforce including work with the Public Health Informatics Institute (PHII) to help form Public Health Informatics Academy and the PHII Requirements Lab (www.phii.org/what-we-do)
• Committed to advancing informatics for a strong public health system
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• Public health informatics at critical juncture• Over 70% of hospitals and 45% of community providers
now have Electronic Health Records (EHRs) subsequent to over 30 billion in public incentive dollars
• Health departments not commensurately supported to participate in electronic interaction with clinical care
• Electronic Health Records (EHRs) do not address many population health functional needs
Context
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• New clinical payment methodologies and the Affordable Care Act (ACA) are pushing clinical care organizations to address more population health functions
• Health is rapidly entering an era of “big data” and clinical care is the largest health data producer
• Jurisdictional, infrastructural, privacy, data and workforce challenges continue to face public health informatics
Context
![Page 7: Related Activities With Duke and CDC, fostering public health / primary care integration though “Practical Playbook” project (practicalplaybook.org)](https://reader035.vdocuments.net/reader035/viewer/2022062516/56649ddd5503460f94ad5fcc/html5/thumbnails/7.jpg)
• Population health• Public health• Population health
management
Relevant Terms
PopulationHealth
Population Health
Management
Public Health
ClinicalCare
HealthDepartment
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Question
How should public health informatics proceed in this age of Electronic Health Records and the Affordable Care Act?
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• Initiated interviews with senior thought leaders• Convened 32 public health, clinical care, and
health informatics leaders including senior representation from the CDC, ONC, ASTHO, NACCHO, CSTE and others
• Complete findings and plans will be forthcoming
• Discussed industry trends, challenges and strategies for moving forward
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Methods
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Findings• EHRs are only one of many important health IT
applications• Population health management and public health
share a number of common functions• Clinical care population health will principally focus
on the 5% of patients who use 50 to 80% of health resources
• Health Information Exchange organizations are either "the answer“ for public health or are "dead"
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Findings – “Information”• Public health access to EHRs, multi-payer claims
databases, and reported data is frequently non-existent or problematic
• Factors involved in connecting to clinical care and low public health "Meaningful Use" reporting numbers are complex
• Basic case reporting still eludes automated clinical care – public health exchange
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Findings – “Public Health”• Data sciences for big data clinical care analytics
are not yet reconciled with epidemiology• Needs for a "value exchange" / partnership
between Accountable Care Organizations and public health
• Public health funding silos impede progress• Health departments will continue to offer the
“jurisdictional denominator” and complete population perspective
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Initial Conclusions• Needs for action• Government HITECH and ACA efforts do not
significantly advance informatics solutions for a strong, population-inclusive public health system
• Clinical care organizations and EHR vendors are early in consideration of population health functions
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Strategies
PopulationHealth
Population Health
Management
Public Health
ClinicalCare
HealthDepartment
Data,Value,and
Synergies
• Establish public health / clinical care value equation• e.g. a public health – ACO business
contract
• Advance second generation approaches to accessing information• e.g. role-based access "accounts" in
EHRs for public health workers
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Strategies
PopulationHealth
Population Health
Management
Public Health
ClinicalCare
HealthDepartment
Data,Value,and
Synergies
• Help rationalize health department and population health IT• e.g. sharing population health and
public health reporting infrastructure
• Align population health incentives, funding and workforce• e.g. help reduce barriers from silo'ed
program funding