1. Public Health’s Role in Health Information Exchange Farzad Mostashari, MD MSc NYC Department of Health and Mental Hygiene

2. 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?

3. Public Health Participation is Valuable Has data (esp pediatrics) Has experience –Technical (Registries) –Analytic (epidemiologic/data mining) –Standards Can access $$

4. Public Health Participation is Valuable 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?

5. How to Engage Public Health 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

6. Do Their Job Better Better compliance w/ mandatory reporting Quality, Efficiency & Completeness) –Immunizations –Newborn screening –Hearing screening –Communicable Diseases –Vital registratio

7. 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)

8. 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