5163.0: Wednesday, October 24, 2001 - 2:45 PM

Abstract #31863

Challenges in system integration in public health

Deborah Walker, PhD1, Robert Brackbill, PhD2, Jessica Leighton, PhD2, Paul Schaeffer2, Noam Arzt, PhD3, and Amy Metroka4. (1) New York City Immunization Registry, New York City, Department of Health, 2 Lafayette, New York, NY 10013, 212 676 2331, dwalker@health.nyc.gov, (2) NYC DOH, (3) HLN Consulting, LLC, 105 Peabody Lane, Marlton, NJ 08053, (4) New York City Department of Health, New York, NY 10000

In August 2000, the NYC Department of Health embarked on a project to integrate its childhood lead test registry (Lead Quest) and its Citywide Immunization Registry (CIR) as a first step toward creating a comprehensive child health record to facilitate surveillance and information sharing among providers. A variety of challenges were encountered as this project unfolded along a number of dimensions, including: 1. Technical: Selecting appropriate component-based middleware to implement as open and flexible a system as possible given a heterogeneous computing environment. 2. Organizational: The challenge of integrating two program staffs and three different software vendors into an efficient team while recognizing differing work styles and philosophies. 3. Operational: The challenge of doing an integration while “business as usual” continues at a fairly large scale.

Members of the project team will discuss these challenges, their effect on the project, and strategies used to overcome these challenges.

Learning Objectives: At the conclusion of the session, participants will be able to 1. Identify a variety of challenges that were faced by New York City in its integration of childhood lead and immunization registries. 2. Discuss strategies for overcoming these common challenges.

Keywords: Health Information Systems, Information System Integration

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA