National Health Information Systems Initiatives and Current State Child Health Information System In

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National Health Information Systems Initiatives
and Current State Child Health Information System
Integration Efforts

• S. Nicole Fehrenbach, MPP, PhD Candidate
• February 29, 2004
• AMCHP Annual Conference

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Government Technology Expenditures in Billions
2002
Source Center for Digital Government
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Context National Level

• DHHS Support of Integration Activities
• National Health Information Infrastructure (NHII)
• Public Health Information Network (PHIN)
• Medicaid Information Technology Architecture
  (MITA) Initiative
• National Conference on Developing Child Health
  Information Systems to Meet Medical Care and
  Public Health Needs

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Letter from CDC HRSA Dir/Admin to State Health
Officers, April 1, 1998
As a matter of public health policy, ASTHO,
NACCHO, CDC, and HRSA endorse the use of CDC and
HRSA categorical health grant funds to support
the development of integrated health information
systems. Such integration will benefit
categorical health programs and also address
cross-cutting public health information needs.
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National Health Information Infrastructure (NHII)

• NHII is the set of technologies, standards,
  applications, systems, values, and laws that
  support all facets of individual health, health
  care, and public health. The broad goal of the
  NHII is to deliver information to
  individualsconsumers, patients, and
  professionswhen and where they need it so they
  can use this information to make informed
  decisions about health and health care.

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NHII Workgroups

• Privacy and confidentiality
• Architecture
• Standards and vocabulary
• Safety and quality
• Financial incentives
• Consumer health
• Homeland security
• Research and population health

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Public Health Information Network (PHIN)

• Public health portion of NHII
• Managed by CDC
• Vision To integrate public health partners
  information across the nation.
• Based on standards
• Promote interoperability of diverse systems

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Medicaid Information Technology Architecture
(MITA) Initiative

• Through the MITA project, CMSs goal is to
  provide the states with a conceptual architecture
  which will serve as a framework for improved
  system development and data exchange within and
  among states, federal agencies, and other health
  care partners.

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Developing Child Health Information Systems to
Meet Medical Care and Public Health Needs

• December 3-4, 2003
• Atlanta GA

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Conference vision

• Improving childrens health and health services
  through timely provision of accurate and
  comprehensive information

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Conference recommendations

• A series of action steps in four areas
• Governance
• Information infrastructure
• Economic issues
• Use of information
• Meeting summary and recommendations posted at
• www.allkidscount.org

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Context State and Local Level

• State and local governments are significant
  purchasers of information technology
• Several state and local health departments are in
  the process of integrating child health
  information systems

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AKC Integration Survey

• 23 HD identified as integrating CHIS
• AKC Connections members
• GSB/HRSA grantees
• 2000 Immunization Registry Annual Report
  responses
• AIRA Programmatic Registry Operations Workgroup
  responses
• Telephone interviews April-July 2003
• 18 reported current/future integration activities

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Contact Information

• Nicole Fehrenbach
• 404-687-5622
• nfehrenbach_at_phii.org
• nfehrenbach_at_taskforce.org
• www.allkidscount.org
• www.phii.org