1. Divya Narayanan ScM Candidate Johns Hopkins Bloomberg School of Public Health Supervisor: Mike Fried Chief Information Officer, Baltimore City Health Department May 6, 2016

2.  Baltimore City Health Department (BCHD) Organization  Methods and Approach  Description of Databases  Limitations and Challenges  Recommendations

3. Commissioner of Health Division of Aging and Care Services Administrative Services Community Services Client Services Advocacy Services Adult and Geriatric Services Division of Youth Wellness and Community Health Chronic Disease Prevention Asthma and Lead Prevention

4.  One of the oldest health departments in the country  Grant-funded work  Wide range of projects and services

5.  Identifying existing information and how to best restructure  Working on the development of a new database  Obtaining demographic information for use in the development of a master patient indicator  Contributing to the design of future databases

6.  Data collection  Data management  Data analysis

7.  Meetings with users of the databases  Researching new database structures  Data dictionaries and exploration

8.  Generation of a unique ID  Document and external referral management  Quality control

9.  Case management of children with poisoning and buildings with lead paint  Manual data entry from external referrals  Monthly quality control  Unique ID

10.  Originally a combination of Lead and Asthma  Developed by the city  Manual entry based on referrals  Quality control

11.  Time, accessibility to resources  Time, accessibility for future implementation  Confidentiality (MPI)

12.  Eliminate data redundancy  Combination of smaller databases  Master Patient Indicator (MPI)  Improved documentation across systems and divisions

13.  Baltimore City Health Department Mike Fried Steve Litzenberger Wayne Johnson Wynona China Aging and Care Division Darcy Phelan-Emrick  PHASE Beth Resnick Paulani Mui Thank you!