1. Connecting Communities for Better Health PHDSC / eHealth Initiative Annual Conference Accelerating the Development of Health Information Exchanges and Health Information Technology Use: A Call for Stakeholder Action Track 6 Population Health Lawrence P Hanrahan, PhD MS Chief Epidemiologist Bureau of Health Information and Policy Wisconsin Division of Public Health Adjunct Associate Professor Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health PHDSC Board Member May 25, 2005 Washington DC

2. Public Health, HIT and RHIO Adoption: u To Support Public Health Functions and in so Doing, u Provide “Business Intelligence” to Clinical Care / Others and u Improve Clinical Safety, Efficiency, Outcomes, System Performance, While u Supporting Public Health Informatics

3. Key Stakeholders: u RHIO Collaborations u Health Care Purchasers u Practicing Clinicians u Hospitals and Other Providers u Health Plans u Population Health

4. FromThese Stakeholders: u Greater Dialog / Collective Requirements u Must Work Together u And Articulate Their Domain u Within the Context of Others u To Build an Electronic Commons u That Strengthens Public Health u And Improves Health Care

5. RHIOs: u Must 1 st Create Business Case u Without it, HIT Investment, Data Exchange Impossible u Study Successful Models u Can Cooperate and Still Compete u Involve Population Health & Other Stakeholders

6. Health Care Purchasers: u Integrate Purchaser Business Intelligence Requirements u Pay for Performance u Subsidize Adoption u Involve Public Health for Business Intelligence u Federal Purchasers – Unique Assurance Role

7. Clinicians / Hospitals / Health Plans : u Start & Maintain Dialog with Public Health u Articulate Requirements from Population Health Domain

8. Public Health System: u Create Business Intelligence Case of Population Health Views into Clinical Care Information Streams u Population Health / Public Health Decision Support Models for Clinical Care, Purchasers, Hospitals, Clinicians, Health Systems

9. Influenza ELR Surveillance Provides Clinical Care Decision Support (Diagnosis and Treatment) Clinical Care Public Health Surveillance ELR Decision Support

10. Influenza ELR Surveillance Provides Purchaser, Hospital, Health Plan Decision Support Purchasers / Others Public Health Surveillance ELR Decision Support

11. Summary: u Not Individual Stakeholder Needs, but Complementary Business Cases u Win / Win u To Create Electronic “Commons” Supporting Each Stakeholder Domain u Each One Strengthens the Other u We Must All Come Together