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ILHIE Public Health Work Group - Meaningful Use Subcommittee July 29 2010 Meeting Minutes 

July 29, 2010
10 a.m. - 11 a.m.

Attendees (phone):

  • Mary Driscoll, Illinois Department of Public Health
  • Jessica Ledesma, Illinois Department of Public Health
  • Mike Jones, Illinois Department of Healthcare and Family Services
  • Leticia Reyes, Illinois Department of Public Health
  • Mark Flotow, Illinois Department of Public Health
  • Krysta Heaney, Office of Health Information Technology
  • Mark Chudzinski, Office of Health Information Technology

Mary Driscoll: Opened the meeting at 10 a.m. reviewing the agenda.

Mary D. shared a presentation from Seth Foldy, MD MPH FAAFP, State Health Officer and Administrator from the Wisconsin Division of Public Health representing the Association of State and Territorial Health Officials (ASTHO) and the Joint Public Health Informatics Taskforce (JPHIT).

Some things of note were that the CDC has reorganized its National Center for Public Health Informatics (NCPHI). Since they were in various stages of reorganization, they haven't played a major role in HIE efforts, and it has effected state and local levels. So now, since their reorganization, they will be taking more of a leadership role. The ASTHO testimony also complements immunization reporting, syndromic surveillance and lab reporting; also Public Health is home to the HIE coordinator, so their role may be more robust. Also noted is that new nationally created agencies are coordinating with existing agencies, and they are pushing guidelines for Public Health interoperability, which is challenging. On a positive note, it seems our thinking is not behind the curve, we're on the right track, but our systems may be lagging.

Mark Flotow: They say that the systems they do have, have been in place for many years, and that they have had a long lead-in period to get various components to work together.

Mary Driscoll: Funds for Public Health for interoperability are small compared to HITECH, HIE and MU, but PH has applied for a grant for immunization and lab reporting. Public Health has a workforce reduction, what with cuts and increased mandatory furlough days. PH needs training and an increase in PH workers, not less.

Mike Jones: We need to coordinate with our two regional extension centers, along with U of I Urbana-Champaign, including the Sharp Grant (and another grant).

Mary Driscoll: We also need to connect with local health departments, the ASTHO testimony highlighted the difficulty PH will face with population data for MU.

Mark Flotow: Read from ASTHO testimony:

Population health as opposed to public health: Many organizations serve populations (for example, insurers, community health centers, hospitals, school-based clinics, employee health). But only local, state and federal public health agencies have a permanent mandate and explicit authority to serve and protect entire populations inside their jurisdiction. These agencies will be there long after private voluntary or grant-funded initiatives have been forgotten.

Implications and recommendations:

  • Meaningful use should encourage all providers to innovate and improve population health outcomes, but should continue to explicitly acknowledge and support the unique role of public health agencies. The significance of removing the term "public health agency" from the Stage 1 surveillance significant use standard is unclear, but it raises the question of whether private entities are envisioned as replacing the role of public health authorities, and whether that is a sustainable, reliable model for long-term public health improvement.

Mike Jones: HFS has a growing interest in populations they serve, including ALL KIDS and state workers, therefore, we should build partnerships between Public Health and HFS, and PH should foster a population approach.

Mike Jones: National Association of Health Data Organizations (NAHDO) is committed to health data in five areas:

  1. Data quality standards
  2. Healthcare informatics
  3. Major environmental health efforts
  4. Quality reporting
  5. Networking

Jointly HFS, PH and OHIT should sponsor a NAHDO meeting.

Home work:

1st Pass: Jessica and Krysta to go through the Foldy presentation, and pull out policy issues.

2nd Pass: Mary Driscoll, Mike Jones and Mark Flotow to review.

Next meeting: September 14, 2010, at 3 p.m.