Linking Public Health and Clinical Care

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Linking Public Healthand Clinical Care

• Kathleen Blair, City of Milwaukee Health
  Department
• Jonathan Temte, UW Department of Family Medicine
• Lawrence Hanrahan, WI DHFS
• Matthew Schwei, WI DHFS

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Agenda

• eHealth Linking Public Health Clinical Care
• Review WI eHealth Plan for Public Health, our
  Vision, and Mission
• Notes from the Field (Dr. Temte)
• Todays Goal Next Steps to Improve Linkage

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eHealth Linking Public Health and Clinical Care
e
Based on Sources MN eHealth AHIC
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WI eHealth Plan for Public Health

• Link eHealth to Prevention Management
• Link Public Health (PHIN) and Clinical Care
  Information Systems
• Link Public Health Clinical Care in ways that
  Improve Both
• Create Chronic Disease Surveillance Systems
• Establish Biosurveillance for Rapid Outbreak
  Detection

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Public Healths eHealth Vision

• A Transformed Public Health System where all
  Public Health Practices are Supported by eHealth

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Public Healths eHealth Mission

• An engaged public health system will specify the
  eHealth systems requirements to support the state
  health plan
• It will implement WI State Health Plan System
  Priority 1 Integrated Electronic Data and
  Information Systems

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Progress Towards Public Health Clinical Care
Linkage

• WHIE - Public Health Information Network (PHIN)
  Linkage
• UW Family Medicine Electronic Health Record
  (PHIN) Linkage

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UW Family Medicine
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(No Transcript)
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PHIN Analysis, Visualization, and Reporting (AVR)
Portal
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WI PHIN AVR Portal Secure, Role Based Access
Control University of Wisconsin Department of
Family Medicine PilotEHR Clinic De-Identified
Visit Records (1 YR N 309,000)
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Data Cube (Structured Data for Efficient
Exploration)
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Geographic Information System (GIS)Diabetes
Visit Count by Zip Code
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Stored Analytic ProcessLogistic Regression
Modeling Diabetes Risk Predicted by Age and Body
Mass Index
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Acute respiratory infections, 480-487 - Pneumonia
and influenza AND Temperature Category equal to
100 and above AND Service Year equal to 2007
Filter and Graph Data Cube ARI, Influenza, and
Temperature Chart Example
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How do we improve the linage between Public
Health and Clinical Care?What are Wisconsins
next eHealth steps for

• Public Health Surveillance and Response?
• Health Status and Disease Measurement?
• Population Based Research?
• Population Based Health Care Quality Improvement?
• Health Education, Communication, and Marketing?
• Policy Statements?
• Demonstrations?
• Funding?

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Next Steps

• Share key themes with conference attendees
• Share summary of todays discussion with website
  developers
• Seek stakeholder input through just in time
  workgroups and meetings.

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For More Information Please Contact

• Lawrence Hanrahan WI DHFS
• Lawrence.Hanrahan_at_dhfs.wisconsin.gov
• WI eHealth Care Quality and Patient Safety Board
• http//ehealthboard.dhfs.wisconsin.gov/