population and public health patricia taiwo. introduction public health focuses on the health of the...

Population and Public HealthPatricia Taiwo

Introduction• Public health focuses on the health of the population and the

community as a whole by ensuring conditions that prevent diseases and injuries, and promoting optimum health.

• Before 2001 and after 2004.• Public Health Information Network (PHIN)

-an integrated healthcare and public health system using information effectively to advance population health

and well-being.

Number of Influenza- Associated Pediatric deaths

Population Health and Meaningful Use

• Meaningful Use Stage 1 2011-2013

• Public Health –providers must test one of:(Hospitals) Transmit required disease Electronic Laboratory Reports (ELR) using HL72.5.1 message and LOINC

• Transmit syndromic public health reports using HL7 2.3.1 or 2.5.1• Transmit immunization records to immunization registries using

HL7 2.3.1 or 2.5.1 and

• Population Health-Create registries of patients with similar conditions

Benefits

• Harness resources for precise decision-making to help improve population and patient outcomes and reduce costs • Ensure organizational readiness and increase

information to support mission • Enhance access to relevant, actionable information

(e.g., reports and dashboards), • Monitor key performance indicators (KPIs), and

make well-informed decisions.

Barriers

• Some jurisdictions lack electronic laboratory reporting, syndromic surveillance, immunization registries• New standards (e.g., HL7 v.2.5.1 electronic laboratory

reporting)Vocabularies, message structures, transport mechanisms not always defined

• Need to migrate old PH systems to new standards• Need to migrate old data providers (old custom

approaches)• Need to on-board new data providers• Manage impacts on workload and workflow • Few resources provided, declining budgets, workforce