Connecting Public Health to Clinical Care through Health Information Exchange:
Current Activities in Indiana
Shaun Grannis MD MS FAAFPThe Regenstrief Institute, Inc.Indiana University School of Medicine
What We’ll Cover Brief overview of the Indiana
health information exchange and public health environment Data flows/coverage Notifiable condition detection Clinical messaging
Targeted public health alerting Enhancing clinician reporting to
public health Surveillance
The Problem(s)
Data needed for public health processes, including situational awareness processes, are scattered across separate systems
This situation hinders public health's ability to perform situational awareness
HIE's can aggregate and deliver data to support public health practice
The Problem(s) Public health generally lacks methods
for communicating with clinical enterprise that are at once efficient, reliable, consistent, and comprehensive
This situation hinders bi-directional communication capabilities between PH and clinical care
HIE's can facilitate bi-directional communication
Information Exchange
Automated Notifiable Case Detection
Notifiable Condition Detector
InboundInboundMessageMessage
PotentiallyPotentiallyReportableReportable
ReportableReportableConditionCondition
ReportableReportableConditionsConditionsDatabasesDatabases
ReportableReportableConditionsConditionsDatabasesDatabases
Abnormal flag,Organism name in Dwyer II, Value above threshold
Compare to Dwyer I
Record Countas denominator
E-mailE-mailSummarySummary
Realtime Daily Batch
PrintPrintReportReport
ss
To PublicTo PublicHealthHealth
To To InfectionInfectionControlControl
NCD Login Screen
NCD Administration Page
NCD Dashboard Page
Clinical Messaging/Public Health Messaging
Results Delivery – An Illustration
Targeted Public Health Alerting
Enhancing clinician reporting to public
health
Reporting Form
Conclusions
Success Factors Add value (solve
problems) Proceed
Incrementally Re-use existing
processes
Key Questions What’s the
problem? What solution? How does
solution address the problem?
Surveillance
Chief complaint (ADT): Clinical abstract trigger Medication reconciliation trigger Hospital utilization tracking
ICD-9: Clinical Care (EMR) Clinical DSS Quality Reporting
Lab tests: Results delivery Clinical care (EMR)
Notifiable condition detection Public Health processes
Connecting Public Health to Clinical Care through Health Information Exchange:
Current Activities in Indiana
Shaun Grannis MD MS FAAFPThe Regenstrief Institute, Inc.Indiana University School of Medicine
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