1. Population Health and Health Information Technology HTM520, National University Kathleen Sullivan, July 2012

2. Introduction Health IT has potential to dramatically improve health of populations. EMRs and HIEs have focused on individual patients or limited episodes of care of patient groups Public health agencies, ACOs, payers should be included

3. Definitions Public Health Population Health Population Medicine

4. Introduction Source: University of Wisconsin, Population Health Sciences

5. Benefits and Examples – Public Health Achievements

6. Benefits of IT: Population Medicine EMR/PHR is building block Improved information about chronic and infectious disease Earlier detection of infectious disease outbreaks Improved tracking of chronic disease management and education

7. Benefits of HIE: Population Health Improved assessments of disease burden in community, or of the impact of community-wide prevention initiatives Ability to promptly route and deliver to community clinicians emergent information from public health Assist cross-jurisdictional collaboration on data collection and sharing Improved coordination of care across public and private providers

8. MU and Population Health Meaningful Use - Using certified EHR technology to Improve quality, safety, efficiency, and reduce health disparities Engage patients and families in their health care Improve care coordination Improve population and public health All the while maintaining privacy and security

9. MU and Population Health Phase 1 - Must choose at least one: Submit data to Immunization Registries (P, H) Submit reportable lab results (H) Submit syndromic surveillance data (H, P)

10. MU and Population Health Phase 2 Phase 1 From “Menu” to “Core” Report to cancer registry (P) Or other specialized registry (P)

11. HIEs and Population Health Key player in standards development and harmonization Involved with HL7 & IHE HITSP and S&I Framework

12. Organizations and Standards CDC PHSIPO – PH Surveillance and Informatics Program Office PHIN – PH Information Network PHDSC PHII

13. Challenges Funding Standards still developing Public health may not be ready HIE technology may not be ready

14. Momentum and Future Growth of HIEs Social Media Mobile Apps Globalization

15. Wireless and Population Health UCSD Multidisciplinary Research Center