2011年4月17日星期日

CDC sees EHR as public health "game changer".

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Slideshow: Healthcare IT Vendor Directory (click on image to enlarge and show) sometimes forgotten in the rush to install electronic health records (EHR) is that the improvement of public health and population is a major objective of the incentive program Federal EHR meaningful use. But many in the public health community count on a greater adoption of EHRs and the interoperability between the doctors and hospitals to help identify and respond to future outbreaks, according to a top government health it official.

"The public health agencies, from local to the State to the Federal Government, have been building for years information technology, but because we do not have many connections to y ' All, we do not have much information to share.""," Dr. Seth Foldy, Director of public health informatics and technology program office of the Centers for Disease Control and Prevention (CDC), said Tuesday. "In the future, we assume that most of our allies will be perched across their EHR for public health".

Speaking at the Institute for Health Technology Transformation-based New York Summit in Atlanta, Foldy highlights some of the public health successes with the exchange of information (HIE) health. Foldy - a family physician, former head of organizations of public health of the city of Milwaukee and the State of Wisconsin and co-founder of the exchange of Information health Wisconsin - immunization registries represent "HIE original."

Foldy said that the response to the pandemic 2009 H1N1 virus has led to mass vaccination effort more important in the history of the United States. Through vaccination online registries, public health agencies were able to monitor the administration of the vaccine and to work with insurance companies to identify candidates for inclusion in high risk who had not yet received the shot.

In 2003, so that the Commissioner of the Ministry of health of city of Milwaukee, Foldy helped to design and quickly deploy a network of four States to detect potential cases of severe acute respiratory syndrome (SARS) based on the symptoms reported in the hospital emergency services. This episode has been shown to Foldy "transformation" power of electronic reporting of laboratory data.

"We know that it is a changer of game in terms of electronic reports on communicable diseases," Foldy said Tuesday. And because the manual reports is a slow and tedious process, electronic transmission of the results of the tests greatly accelerates the ability of the agents of public health to identify outbreaks and pandemics. It also unlocks data that hospitals did not even know was to report, according to Foldy.

Foldy also spoke of an outbreak of cryptosporidium in Milwaukee in 1993 water supply - about three years until he returned to the Ministry of health, which caused nearly one quarter of the population of the region have symptoms such as diarrheadehydration and fever.

After officials identified the outbreak of waterborne diseases rather late in the epidemiological cycle, the city built an electronic "diarrhea meter" to follow the cases reported.

With the outbreak of H1N1 flu in the spring of 2009, "our entire school system was flooded by this virus," Foldy said. The CDC recommended considering the closure of the school systems where more than one school has been affected by H1N1, but that would be to close 10% of capacity in public health, since school nurses and other health care workers has seen so many children. Database of the city have contributed to the case to keep the schools open.

"The whole point of it is to add value", Foldy said. "Public health has a better use case in the world for the sharing of health information."

When there is a change in the politics of health care, such as when research showed aspirin is a cheap but effective to prevent and treat heart attacks, doctors typically distribute leaflets to patients if they do not forget to do so. "This is not a more efficient use of computing," said Foldy.

Physicians have time should to read alerts by fax until many cases have been identified, Foldy noted, then why not public health agencies electronically right EHR Alerts send as soon as there is an identified outbreak?

"There is a case of large firms around us all" in ensuring that electronic reports managed to accelerate the exchange of data, Foldy said.


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