1. Addressing Privacy and Security In Nebraska
Public Health Information Exchanges
Public Health Informatics:
Collaboration at the Crossroads

2. Public Health Privacy / Security Challenges Public Health Vision
Public Health Informatics: Collaboration at the Crossroads Addressing Privacy and Security in Nebraska Public Health Information Exchanges
Federal Mandate
Public Health Privacy / Security Challenges
Public Health Vision
The Nebraska Perspective
Nebraska Initiatives
Recommended Policies and Practices

3. Federal Mandate Goal: Improve population health
Strategy: Unify public health surveillance platforms into one interoperable platform
Strategy: Streamline quality and health status monitoring
Strategy: Accelerate research and dissemination of scientific data and discoveries

4. Developing a Public Health Vision
Know your purpose
Understand the past
Think positively about the future
Expand potential
Plan strategically
Focus on future

5. Know your Purpose: To Improve the Public’s Health
Traditional Public Health Practice:
Systematic, ongoing data collection
Analysis
Interpretation
Dissemination
Link to public health practice and
research

6. Understand the past Work in the Present Focus on the Future
Program Centric
Driven by Funding
Non Compatible Systems
Non Compatible Data
Non Compatible Language
FUTURE
Person Centric
Driven by Funding
Systems Compatible
Data Compatible
Language Compatible

7. Status of Public Health Systems
Began as stove pipe systems evolving into degrees of integration.
Generally data is one direction. With new standards the options exist for greater bi-directional communication
Generally remain program or population centric
Controlled by States
Post event Reporting
Funding and outbreak driven

8. Vital Records, Registries, Surveys, Chronic Disease
Infectious
Diseases
EMS
Trauma
CODES
Injury
Communicable
Diseases
Seasonal
Influenza
STD
DATA
INTEGRATION AND
ANALYSIS TB
Pandemic
Influenza
HIV
AIDS
Food Borne
Diseases
Epidemiology
Entomology
Public Health
Veterinarian
Grants
Management
Vital Records, Registries, Surveys, Chronic Disease

9. of Population Health IT
Personal Vision
of Population Health IT
Person Centric
Real Time Data Collection
Real Time Data Extraction and Analysis
Person Centric Privacy Maintained
Direct data Integration – human readable
Significant Improvement in Population Health
Seamless Integration with Personal Health Care System
Knowledge Repository (both practice and legal)
Direct data integration indicates that meaning in human language is accessible to all. Does not require a programmer to interpret it. It is not coded and decoded. Reliable data for all purposes.

10. Public Health Privacy / Security Challenges
History
Pre-HIPPA
Freedoms, Constraints, Failures
Present-
Information Excess, Access, Overload
Technology challenges HIPPA
Loss of Border Control - state and federal
Tomorrow
Our Choice –
A Need for a National Public Health Vision

11. The Nebraska Perspective
Nebraska eHealth Council Initiatives:
Create and encourage communication among all partners, especially HIEs.
Foster adoption of all types of Health Information Exchange
Create Information Exchange Backbone
Nebraska HISPC Initiatives:
Identify and remove barriers caused by laws and regulations
Educate and inform citizens and stakeholders

12. Nebraska Initiatives (related to Privacy and Security)
Health Information Security and Privacy Committee (HISPC)
HISPC 10 State Collaborative
Public Health Data Standards Consortium (PHDSC)
Public Health Information Network (PHIN)
National Governor’s Association- Center for Best Practices- Privacy Security Task Force
Health Information Technology Panel (HITSP)

13. Recommend Policies and Practices
We have changed some regulations, and will change more. HISPC continues to review laws and regulations
Invest in systems that meet CCHIT, HITSP and PHIN requirements
Invest in systems that do more…
Think long range, Think strategically, Think big picture,
Practice inclusive integration

14. Contact Information:
David P. Lawton
Public Health Informatics Coordinator
Nebraska Division of Public Health
(402)