1. Public Health Data Standards Consortium http://phdatastandards.info http://phdatastandards.info

2. 1 PHDSC / eHealth Initiative Annual Conference May 2005, Washington, D.C. What Public Health Brings to Health Information Technology Perry F. Smith, M.D. State Epidemiologist, New York State Representative, Council of State and Territorial Epidemiologists (pfs01@health.state.ny.us)

3. 2 Federal Public Health Obligation u “support of knowledge development and dissemination through data gathering, research, and information exchange” IOM, 1988

4. 3 The Mutual Benefit for Medical Providers and Public Health u Facilitated public health reporting and access to medical information u Health alerts u Case management, support, partner notification u Access to public health data and guidance (eg, drug resistance, outbreak alerts, infection control guidelines) u Laboratory reports and tracking u Preparedness planning and resource allocation

5. 4 Examples from New York State

6. 5 Immunization Information Systems (IIS) u Secure computerized information systems that combine vaccination histories from various sources and creates a single complete immunization record u IIS are made available to providers to help ensure correct and timely immunization, especially for children

7. 6 How do ISS Help? u Immunizations occur in various provider sites leaving fragmented histories. IIS bring that data together to create a complete record so providers can make informed decisions on correct immunization. u IIS apply the ACIP-recommended schedule to the history to identify when immunizations are due. u IIS generate reminder/recall letters for the provider to send to families for scheduling appointments. u IIS can generate complete histories for parents eliminating the need for paper forms for provider offices. u Public health offices can monitor immunization compliance levels by geographic regions and identify pockets of need.

8. 7 NY State DOH Internet E-Health Commerce Secure web transactions - Authentication - - Access Control - - Firewall - DOH Data Warehouse & HIN and Health Provider Web Servers Local Health Departments World wide Internet Clinical labs & Health Care Providers HEALTHCOM Network Encrypted Link Health Information Network (HIN) Encrypted Link

9. 8 Electronic Communicable Disease Reporting New York State

10. 9 Public Health Alerts

11. 10 Laboratory Reports and Tracking Through the NYSDOH Internet Commerce Site Health Provider Network (HPN), submitters have access to specimen reports and specimen receipt notices.

12. 11 Newborn Care, New York State DOH MSDS Birth Certificate Hospital Data Entry VRS Vital Records Follow-up CMS FAX Physician or Case Manager Blood Spot Card Draw Blood Sample Mailer A. Establish link to EBC records A Exception Reports B. Report missing or late blood spot cards B C. Allow mailer image viewing through browser Mailer C Hospital HIS INTERNET WAARP Firewall WebServer iCMS C

13. 12 u “Never let a computer know you’re in a hurry.” Anonymous …but public health and medical providers need to work together fast if we want to end up with IT solutions that work optimally.

14. 13 Question for Consideration How else could Public Health assist medical practitioners through IT?