Population Health and EHRs: Seeing the Forest for the Trees

Slide Presentation from the AHRQ 2009 Annual Conference

On September 15, 2009, Aneel Advani made this presentation at the 2009 Annual Conference.

Slides

Slide 1

Slide 1. Population Health and EHRs: Seeing the Forest for the Trees

Population Health and EHRs:
Seeing the Forest for the Trees
Dr. Aneel Advani
Nat'l Center for Public Health Informatics/Centers for Disease Control and Prevention
Tuesday, September 15, 2009
 

Slide 2

Slide 2. EHRs and Public Health: Sentinel vs. Large-Scale Surveillance

EHRs and Public Health:
Sentinel vs. Large-Scale Surveillance

  • Status quo: Manual sentinel providers; long-standing relationships
  • EHRs: "Large-scale surveillance"—high fractions of total healthcare transactions available
  • Issues: indicators vs. raw data, (cross)-validation, signal-to-noise; analytics capacity; semantic heterogeneity; causal chains; visualization; multi-scale perspectives; state and local vs. federal needs

Source: CDC Influenza Division
Dr. Aneel Advani

 

Slide 3

Slide 3. EHRs and Public Health: Registry-based information networks

EHRs and Public Health:
Registry-based information networks

  • Current EHR concept: EHR to population health—messaging or CDA from raw transactional systems
  • Where we need to go: condition-specific or event-based registries
  • Issues: counts vs. rates; de-duplication and aggregation; query protocols; last-mile connectivity; interoperability;

Source: CDC Div. Cancer Control
Dr. Aneel Advani

 

Slide 4

Slide 4. EHRs and Public Health: Health-information orgs (HIOs)

EHRs and Public Health:
Health-information orgs (HIOs)

  • Current EHR concept: EHRs have horizontal whole-patient perspective
  • Alternate model for information exchange: vertical information flows specific to PH
  • Issues: interoperability; legacy systems and standards; business models / mandates for specific HIOs/information flows; integration with full-service EHRs; participation on NHIN

Source: APHL
Dr. Aneel Advani

Current as of February 2009
Internet Citation: Population Health and EHRs: Seeing the Forest for the Trees: Slide Presentation from the AHRQ 2009 Annual Conference. February 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2009/advani/index.html