1. A Presentation of the Colorado Health Institute 1576 Sherman Street, Suite 300 Denver, Colorado 80203-1713 1 Public Health Data Standards Consortium Expert Panel in Electronic Data Exchanges Convened in Partnership with the Health Resources and Services Administration (HRSA) Fairmont Hotel 2401 M Street NW, Washington DC 20037 Arthur Davidson, MD, MSPH Denver Public Health, Denver Health December 5-6, 2006 and the Colorado Health Information Exchange, an AHRQ-funded State and Regional Demonstration Project

2. 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. 3 Colorado: Data Sharing Progress Mesa County The Children’s Hospital Boulder IPN Larimer Weld Denver Health El Paso County MedSouth IPA University Hospital Kaiser Permanente Exempla Rose Medical Group Colorado Care Collaborative (RMD) Payer # 1 – # X Pharmacy #1 - # X Independent 3 rd party hosted “Community” patient index Standard vocabulary and messaging Vendor neutral Rural /small practice access ? CHCN - Health Center? Colorado Immunization Information System Centura CDPHE SureScripts

4. 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. 5 Point of Care Business Line - Logical Architecture

6. 6 Patient Guideline Sequence Diagram

7. 7 Level 1 Trauma Center Public Health Rocky Mountain Poison/Drug Center Metropolitan Medical Response System Center for Public Health Preparedness Telemedicine Community Health 911/EMS Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties, and Epidemics (RMCMR) Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties, and Epidemics (RMCMR) Correctional Care School-based Clinics Family Health Centers Patient Care EducationResearch Nurse line Hospital Acute Care

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