Health Information Exchange & Public Health Robert J. Campbell, Ph.D.

1. Health Information Exchange & Public Health Robert J. Campbell, Ph.D. Center for Public Health Statistics and Informatics Ohio Department of Health March 16, 2012

2. Center for Public Health Statistics and Informatics: Vision Ohio’s health professionals and residents will have timely access to the health information they need in the desired format and context to maximally protect and promote the health of all Ohioans.

3. Goal of HIT Implementation • Improved safety, quality and accessibility of healthcare with lower costs • Measurable improvements in health outcomes for the citizens of Ohio

4. EHR & HIE Benefits to Public Health: • Dramatic improvement in timeliness and quality of disease and other public health reporting and surveillance • Opportunities for expanded population health registries at lower costs (e.g. BMI) • Critically important to enhance Patient Centered Medical Homes—oneof ODH’s highest priorities

5. “Meaningful Use” objectives for public health: • Immunization reporting • Electronic lab reporting • Syndromic surveillance

6. Options in Ohio: • Eligible Hospitals: (choose 1 of 3) • Electronic lab reporting • Immunizations • Syndromic Surveillance • Eligible Providers: • Must do immunizations

7. “Meaningful Use” Provides Opportunities and Challenges • Immunization, e-lab reporting and syndromic have been all been receiving HL7 files for many years • Immunizations are highest priority—can benefit most from capturing unreported vaccinations • MU provides incentives for providers to submit test files— • must process 1000s of test files • but opportunity to enroll many new providers

8. Public Health Transition to HIEs • ODH systems currently receive disease and other health reports directly from providers • Transitioning to receiving all health information through HIEs

9. More Information on ELR: • Technical information for reportable conditions in Ohio and ELR: http://www.odh.ohio.gov/odhPrograms/dis/orbitdis/elr1.aspx • Contact information: ELR@odh.ohio.gov

10. More Information on Immunizations: • Technical info link https://odhgateway.odh.ohio.gov/Impact/Public/EmrEhr.aspx • Contact information: impactEMR@odh.ohio.gov • Or call us at 1-866-349-0002.

11. More Information on Syndromic Surveillance: • Technical Info link: • http://www.hmsinc.com/media/Community_Health_Surveillance_System-Technical_Specifications.pdf. • Contact Information: SMED@odh.ohio.gov

12. Ohio MU Acceleration Project • Ohio one of five leadership states selected to demonstrate feasibility and benefits of rapid EHR adoption • Ohio MU Partnership includes: • HealthBridge • Ohio Health Information Partnership • State of Ohio • Midwest Regional HIT Training Center • Coordinated by Cuyahoga Community College and also includes in Ohio: • Cincinnati State • Columbus State • Sinclair Community College

13. Ohio MU Acceleration Project • Goal of 10,000 providers in Ohio reaching Stage 1 MU by the end of 2012 !! • 9000 through Medicare • 1000 through Medicaid • Total 7166 Ohio providers have signed with RECS

14. MU Payment Status in Ohio: • Medicaid payments: (March 5, 2012) • Providers: 2197 • Hospitals: 62 • Total: $90.6 million (5th in U.S.) • Medicare payments: (January 31, 2012) • Providers: 1551 • Hospitals: 20 • Total: $77.7 million (4th in U.S.)

15. State of Ohio Enterprise Project • Person vs. Agency-Centric • Integrated and Standardized Eligibility • Statewide Data Sharing • Improved Decision Support and Population Analytics

16. Thank you!!Contact information: • Bob.Campbell@odh.ohio.gov • 614.466.0295 • ODH Website: www.odh.ohio.gov