1. 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

2. 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

3. 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

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

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

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

7. 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

8. 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

9. 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

10. Matrix of Common Functionality and Roles

11. 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

12. 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

13. 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

14. 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

15. Data Silo to Data Mart to Data Warehouse15

16. 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

17. Phase 1: Changes to Operations Data17

18. 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

19. Phase 2: Data Marts 19

20. 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

21. Phase 3: Data Warehouse 21

22. 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

23. Phase 4: Public Health Information Record23

24. Amount of Data Decreases with Each Layer24

25. 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

26. 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

27. 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  Phone: Fax:  BlackBerry:  27