1. Sandy Anton & Julia Howland February 20, 2014 Healthy Hearts: Transforming Communities through the Integration of Public Health and Primary Care

2. Healthy Hearts Project Overview Data-driven, community integrated primary care improvement for cardiovascular care Part of the CDC funded We Choose Health Project Five year project: ending date 9/30/2016 Engage Rural Health Clinics, FQHCs and Health Departments in non- metropolitan Illinois

3. Primary care: How will this work? Receive EHR data from participant clinics Translate data into a dashboard of clinical indicators Use the dashboard to identify provider and clinic opportunities for improvement

4. Community: How will this work Collaborate with Health Departments and community partners to implement interventions to improve cardiac health Facilitate cooperation between community agencies, public health, and primary care: data sharing, develop population approach to health

5. popHealth Open source Clinical quality measure reporting tool Supports stage 1 and stage 2 Meaningful Use measures Development: other measures, including PCMH Open source software supported by the Office of the National Coordinator Vibrant national user community

6. popHealth Interfaces with electronic health reports to receive health data using nationally recognized data standards CCD preferred, CSV possible Produces dashboard reports in a provider-friendly format for quality improvement Reports available on patient, provider, clinic level In development: reports for clinic networks and geographic areas

7. The Public Health Node Framework for integration between data aggregators and providers Transforms and maps data, classifies cases Used for surveillance, immunization data, electronic lab reporting Certified for Meaningful Use and HIPPA

8. Technology

9. Individual measure screenshot

10. Insert slide of patient list

11. Implementation Strategies Implementation of data dashboards for quality of care Community collaboration for population health improvements

12. Contact information Julia Howland, Epidemiologist, Healthy Hearts 312-814-1344 Julia.Howland@illinois.gov Sandy Anton, Project Lead, Healthy Hearts 309-231-6123 Sandy.Anton@illinois.gov