Category Archives: Health records/electronic health records
Up to 80 percent of family physicians are expected to use electronic health records (EHRs) by the end of this year, and experts across the country are talking about ways to leverage this influx of data to inform better health. A pre-conference workshop at the National Association of County and City Health Officials (NACCHO) Annual Meeting focused on Beacon Communities, which are part of a pilot to demonstrate how meaningful use of EHRs can lead to better health and better health care at a lower cost. The HHS Office of the National Coordinator for Health IT is providing $250 million over three years to 17 selected communities throughout the United States where numerous institutions are sharing data to inform quality improvement and other data-informed efforts.
The NACCHO meeting highlighted Beacon communities that are partnering with public health in different ways to forge data-informed population health activities.
Health departments in North Carolina have been required to do community assessments since 2002 as part of a statewide health department accreditation program and are very experienced with working with this data, whereas hospitals are just now beginning to be required to do similar assessments under the affordable care act, according to John Graham, PhD, PMP, Senior Investigator for the NC Institute for Public Health at the Gillings School for Global Public Health, which plays an integral role in the Southern Piedmont Beacon Community.
“Health assessment planning and communication are tools that can be leveraged to foster more collaboration,” said Graham. “We really try to coordinate public health prevention and health care. We can do a lot with clinical interventions, looking at it from a population health perspective.”
As part of an effort to help make sure their residents’ health information is available after a hurricane or other wide-spread disaster, four Gulf states have partnered with six states in the East and Midwest to help relocated patients and their temporary health care providers access critical health information.
State health information exchange (HIE) programs in Alabama, Georgia, Louisiana, Florida, South Carolina, North Carolina, Virginia, Michigan, Wisconsin, and West Virginia worked with the Department of Health and Human Services Office of the National Coordinator for Health IT to create the new system. All of the state HIE programs participating in the initiative have established at least one operational interstate connection and are working with other states including Arkansas and Mississippi. The initiative uses a tool called Direct, created through a collaboration that allows for the secure exchange of health information over the Internet.
The Agency for Healthcare Research and Quality recently published a guide to help primary care clinicians connect their patients’ electronic health records to a local HIE hub and regional health information organizations.