Dina Dickerson, MPH Office of Family Health Public Health Division FamilyNet From Silo to Data Mart to Data Warehouse Dina Dickerson, MPH Office of Family Health Public Health Division

FamilyNet FamilyNet is Oregon’s encounter-based data system consisting of a suite of applications that support services provided by the Office of Family Health. Today, the data in FamilyNet is not integrated into a single view of the client. 2

Problem: Legacy Database Silos Duplication of clients across Programs Duplication of effort by users Redundant, often conflicting, data Lack of standardization in data and policies Old technology High maintenance costs Limited access to the data for evaluation Large volume of clients managed Some are popular with Providers & Staff 3

Legacy Database Silos: Redundant, Error Prone, Non-Standard Source: Office of Family Health Information Management Survey, September 2007

Legacy Database Silos: Old Technology, High Costs, Limited Access Source: Office of Family Health Information Management Survey, September 2007

Legacy Database Silos: Large Volume of Clients Managed Source: Office of Family Health Information Management Survey, September 2007

FamilyNet Vision Capability to do assessment of OFH populations to improve health status and better serve our community’s needs. Source: FamilyNet Strategic Planning September 2007 7

Strategic Planning Goals FamilyNet Strategic Planning Goals Information is available on demand and shared as broadly as possible Data is managed to maximize Program effectiveness Partners value and incorporate FamilyNet data into their operations Public Health Information Record is available to Clients, Providers and Partners Source: FamilyNet Strategic Planning September 2007 8

Strategic Planning Goals FamilyNet Strategic Planning Goals Community Extended Family Women Child OFH Population (primary focus on children) Assess Intervention Measure Source: FamilyNet Strategic Planning September 2007 9

Matrix of Common Functionality and Roles

Solution: Address Common Functionality and Roles Referrals Screening for Program eligibility Program enrollment Guideline-directed care plans Service delivery coordination Encounter documentation Service accounting Outcome evaluation Surveillance Source: Office of Family Health Information Management Survey, September 2007 11

Solution: Address Common Functionality and Roles Client Family Staff Program Administrator Provider Agency/Partner Sponsor Legislature Source: Office of Family Health Information Management Survey, September 2007 12

Solution: Tools to Improve Program Effectiveness and Efficiency Decision support Program eligibility and alternatives for ineligible clients Guideline-directed care plans Alerts and reminders to encourage compliance Required elements captured for client encounters Data elements mapped to standards Health Information Exchange Electronic Medical Record Practice Management System 13

Development Occurs in Phases Phase 1: Changes to Operations Data Phase 2: Data Marts Phase 3: Data Warehouse Phase 4: Public Health Information Record 14

Data Silo to Data Mart to Data Warehouse 15

Phase 1: Changes to Operations Data Changes required to Online Transaction Processing systems Optimized for data entry and editing and pre-defined reporting Designed to manage daily operations 16

Phase 1: Changes to Operations Data 17

Phase 2: Data Marts Program users have immediate and ad hoc needs for data Data Marts = Operational Data Stores Program-specific and may be a subset of the data Flattened, de-normalized files organized for ease of data extraction Not mapped to standards Not de-duplicated for Clients across Programs Program users can query and report their data 18

Phase 2: Data Marts 19

Phase 3: Data Warehouse Links client data across programs Maps data to standards Provides tools for data analysis Improves external reporting Enables surveillance Enables decision support Enables health information exchange 20

Phase 3: Data Warehouse 21

Phase 4: Public Health Information Record Enables a single view of client data Enables clients to view their own data Enables Providers and Partners to access their client records on demand Uses web-based technology 22

Phase 4: Public Health Information Record 23

Amount of Data Decreases with Each Layer 24

FamilyNet: Data Silo to Data Warehouse Meets Goals of Strategic Planning Information is available on demand and shared as broadly as possible Data is managed to maximize Program effectiveness Partners value and incorporate FamilyNet data into their operations Public Health Information Record is available to Clients, Providers and Partners Source: FamilyNet Strategic Planning September 2007 25

Acknowledgements Katherine Bradley, Ph.D. Administrator, Office of Family Health J A Magnuson, Ph.D. Informaticist, Office of Disease Prevention & Epidemiology Laura Zukowski, BA Operations & Policy Analyst, Office of Family Health Frank Steinkellner, PMP FamilyNet Project Manager, Office of Information Services 26

Contact Information Dina Dickerson, MPH Manager, MCH Informatics Office of Family Health Oregon State Public Health Division 800 NE Oregon St., Suite 805 Portland, OR  97232 Phone: 971.673.0256 Fax:  971.673.0250 BlackBerry:  503.545.0515 Dina.Dickerson@state.or.us 27