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