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A health department-led initiative to advance and monitor the statewide HIT infrastructure to support public and population health in Minnesota Karen Soderberg.

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Presentation on theme: "A health department-led initiative to advance and monitor the statewide HIT infrastructure to support public and population health in Minnesota Karen Soderberg."— Presentation transcript:

1 A health department-led initiative to advance and monitor the statewide HIT infrastructure to support public and population health in Minnesota Karen Soderberg Office of Health Information Technology (OHIT) Minnesota Department of Health Public Health Informatics Conference April 29, 2014 1

2 Topics Framework for monitoring e-health Policy levers E-Public Health Minnesota Resources Emerging issues 2

3 Collaborators Marty LaVenture, OHIT Kari Guida, OHIT MDH Office of Performance Improvement The Minnesota e-Health Initiative 3

4 Minnesota e-Health Initiative A public-private collaboration established in 2004  Legislatively chartered  Coordinates and recommends statewide policy on e-Health  Develops and acts on statewide e- health priorities  Reflects the health community’s strong commitment to act in a coordinated, systematic and focused way “Vision: … accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs, and enable individuals and communities to make the best possible health decisions.” 4

5 Policy Levers Minnesota Law: – E-prescribing mandate – Interoperable EHR mandate – HIE oversight – Health records act CMS meaningful use incentives (HITECH Act) 5

6 About Minnesota 6 Local Public Health (Community Health Boards) 2010 Population: 5.3 Million (source: US Census Bureau)

7 MN’s e-Health Framework Adoption of electronic health record (EHR) systems Effective use of EHRs Interoperability – the secure and standardized exchange of health information among providers/organizations 7 AssessPlanInteroperateReadinessEffective UseImplementSelect Continuum of EHR Adoption Adopt Exchange Utilize The Minnesota Model

8 MN e-Health Profile Surveys that measure provider/organization e- health status using the framework of the MN Model – Adoption of EHRs – Effective use – Interoperability Identify gaps and barriers Help develop programs and inform decisions at the local, state and federal levels of government, and support community collaboration efforts. 8

9 Methods Online surveys; option to complete hard copy Participation required for hospitals/labs, clinics, local public health Collaborate with the community to develop and field 9 YearResponseResp Rate Hospitals2013140/14895% Clinics20131,180/1,39984% Clinical labs2012137/137100% Local Health Departments*201352/52100% Nursing Homes2011316/38283% Chiropractic Offices2011277/80334% * MN has 71 city and county-based health departments, 34 of which belong to combined jurisdictions called Community Health Boards

10 Minnesota Adoption of EHRs 10 ~ Community Health Boards, some of which have >1 local health department * Clinical Labs use lab information systems rather than EHRs Source: Minnesota Department of Health, Office of Health Information Technology

11 LPH Electronic Systems Used, 2012 11 EHR SystemNumberPercent PH-Doc2446% CHAMP2038% CareFacts815% Digital Health Department36% Custom-built local system36% Decade12% Other48% No system in place24% Total*52 * More than one system may be in use in multi-county jurisdictions

12 Changes Planned for EHR in 2013 12

13 Informatics Activities Conducted in 2012 13

14 Public Health HIE Activity, 2012 14 Gap -6 -7 -18 0 -2 -9

15 Clinical HIE Activity, 2012 15 Gap -40 -38 -19 -16 -9 -4

16 Health Information Exchange Activities Used, 2012 16

17 Hospital and Clinic HIE with Public Health, 2013 17 Hospital N = 139; Clinic N = 1,114

18 EHR-related Skills and/or Roles Needed, 2012 18

19 MN e-Health Guidance MN e-Health Guides – Guide 1: Addressing Barriers to EHR Adoption – Guide 2: Recommended Standards – Guide 3: e-Prescribing – Guide 4: Effective Use of EHRs – Guide 5: Health Information Exchange http://www.health.state.mn.us/e-health/reports.html Stratis Health HIT Toolkit http://www.stratishealth.org/expertise/healthit/ localpublichealth/index.html 19

20 Continuing and Emerging Issues MDH readiness for HIE Privacy and security Workforce training Patient/consumer engagement Accountable care models Learning health system – http://www.iom.edu/Activities/Quality/LearningHealthCare.aspx http://www.iom.edu/Activities/Quality/LearningHealthCare.aspx 20

21 Contact Information Karen Soderberg Phone: (651) 201-3576 karen.soderberg@state.mn.us http://www.health.state.mn.us/e-health Assessment reports and survey instruments: http://www.health.state.mn.us/e-health/assessment.html 21

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