We have a cure for that!

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1 We have a cure for that!

2 Treatment Plan LPHA Membership Meeting August 19, 2010

3 Informatosis Care Coordination Team - established Oct Wendy Bauman, C0-Chair Renee Frauendienst Sue Hedlund, Co-Chair Rina McManus Julie Myhre Julie Ring, Staff Diane Thorson Mary Wellik Karen Zeleznak

4 Informatosis Care Coordination Team s Purpose Monitor state and national policy, practice and funding related to local public health informatics. Seek out opportunities to increase informatics expertise and capacity of Minnesota s LHDs. Recommend policy and action to the LPHA Executive Committee that will lead to the achievement of its vision for local public health informatics. $5,000 designated LPHA funds.

5 Health History Current Symptoms Desired Health Status Strategic Health Goals Health Outcome Measures & Care Plan Health Improvements as of 8/19/10

6 What caused it?

7 Health History 2004 Legislation MDH to prepare a plan for a statewide public health data management system in cooperation with LHDs. MN-PHIN created in 2004 and ended in (?) 2008 Legislation Mandate for health care providers and local public health agencies to adopt an Interoperable Electronic Medical Record system by January 1, 2015; e-prescribing system by January 1, 2011.

8 Health History Problems Identified by MN-PHIN LHDs use different silo information systems. Limited informatics skills among LHD staff. Current systems are not compliant with national vocabulary/technical standards. High fiscal and organizational risk of failure with the deployment of complex LPH information systems. Older, limited function applications and dozens of separate independent data sets.

9 Current Symptoms No centralized point of LPHA leadership on informatics issues. Fragmented information systems continue to exist. Disparity exists among what EMR systems are available to LHDs and what is available to the private sector. LHDs do not have standardized vocabulary to document and describe our work. Inadequate financial and staff resources available in the public sector to modernize information systems. No widespread public health informatics expertise at the local level.

10 If this condition isn t treated. Our information systems will be obsolete. We will not be able to address local health issues and respond to emergencies effectively. We will not be able to demonstrate our value to our communities and policy makers. Our business processes will become rampantly inefficient. We will not be able to compete for skilled health care workers in the future. Health outcomes will be affected.

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12 Our desired health status All local health departments in Minnesota will have the ability to collect, analyze, and exchange electronic information with our stakeholders.

13 Strategic Health Goals #1 Education LHD leaders, managers, and staff will understand the concepts, applications, and meaningful use of public health informatics. #2 Leadership The LPHA will demonstrate effective statewide leadership in influencing the development, funding, and policies related to state-local public health information systems.

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15 Health Outcome Measures Goal #1: Education All LHDs will have at least one staff person knowledgeable in informatics-related Core Competencies of Public Health Professionals. All job descriptions for LHD directors and managers will include knowledge & skills in public health informatics as a key position requirement. 50% LHDs will have at least one staff person attend a LPHA sponsored informatics training; 90% of them will learn something. Informatics best practices are used to improve performance at the local level and incorporated into current initiatives, e.g. SHIP, PPMRS, home visiting.

16 Care Plan Goal #1: Education Subcommittee members take NACCHO Informatics Intro Webinar. Capacity and needs assessment of LHDs. Create more opportunities for LDH staff to learn more about Public Health Informatics. Capture funding opportunities for informatics training programs. Adopt PHII s foundational principles for educating local staff and creating/revising electronic information systems. Explore how PPMRS can be used to collect data needed to measure these outcomes.

17 2010 Health Improvements Goal #1: Education Subcommittee completed NACCHO webinar. Reviewed results of NACCHO s informatics survey of LHDs. Members attended and presented at 2010 e-health Summit. Promotion of UP-HI collaborative for workforce education and development. Presentation of Strategic Plan to LPHA Executive Committee and entire Membership. Informatics sessions at the Community Health Conference.

18 Health Outcome Measures Goal #2: Leadership MDH staff will know when & how to get input form LHDs on information systems operations, development, and policy issues. 25% of LHDs will have a staff person participate in local, regional, or state workgroups related to public health informatics issues. All LHDs will have agreed to a set of standardized vocabulary, key data elements, and system communication standards that allow data exchange. A LPH Informatics Consortium will provide leadership and influence policy, practice, and funding at the local, state, and national levels. Decision on one statewide LPH information systems or a network of multiple systems will be made.

19 Care Plan Goal #2: Leadership Assign Subcommittee members to serve on committees. Engage key MDH staff in dialogue about public health informatics and building state-local communication process. Develop a list of key messages for LHD staff to use whenever working with a group. Seek opportunities to apply principles to existing initiatives. Define business processes and standards. Explore funding opportunities. Establish a LPH Informatics Consortium.

20 2010 Health Improvements Goal #2: Leadership Developed Strategic Plan. Connections with MDH Subcommittee Information Sheet. Raised issues with the Family Home Visiting Evaluation Data as it relates to information systems. SCHSAC Workgroup Health Information Exchange Capacity. Official LPHA feedback to the e-health Advisory Committee on Meaningful Use Criteria and the MN HIT Strategic and Operations Plans. LPHA members appointed to e-health Advisory Committee and Workgroups.

21 Commitment Tools and resources Lifestyle changes Environmental supports Support from colleagues

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