229520 Local Public Health leadership and community efforts to obtain ARRA stimulus funding

Wednesday, November 10, 2010 : 12:50 PM - 1:10 PM

William Livingood, PhD , Institute for Public Health Informatics & Research, Duval County Health Department & Univ of Florida, Jacksonville, FL
Robert G. Harmon, MD, MPH , Director, Duval County Health Department, Jacksonville, FL
Radley Remo, MPH , Institute for Health, Policy and Evaluation Research, Duval County Health Department, Jacksonville, FL
Susan Coughlin, MPH , Institute for Health, Policy and Evaluation Research, Duval County Health Department, Jacksonville, FL
Anita Davis, BA , Institute for Health, Policy and Evaluation Research, Duval County Health Department, Jacksonville, FL
Thomas Bryant , Institute for Health, Policy, and Evaluation Research, Duval County Health Department, Jacksonville, FL
ARRA stimulus funding has dramatically accelerated national, state and local efforts to increase the adoption of electronic health record (EHR) systems and develop health information exchange (HIE). Requirements for “meaningful use” of these systems, initially supported by incentives for physicians and hospitals, will be followed by penalties for failure to adopt as early as 2015. Other initiatives such as funding to support HIT workforce training, Regional Extension Centers to support EHR adoption in Rural and Underserved areas, and cooperative agreements with state agencies to provide support for statewide health information exchange are intended to increase EHR adoption and the development of HIE. These electronic information systems could have profound implications for public health related to syndromic surveillance, chronic disease management, reductions in accidental death, and reductions in health disparities. However, these EHR and HIE systems frequently emerge at the local level, particularly in the larger more populous states, primarily involving local health care providers and insurers with very little representation of public health. This presentation covers a case history of a local health department providing primary leadership for a community's effort to enhance EHR adoption and HIE including major efforts to obtain ARRA stimulus funding for EHR and HIE. The Duval County Health Department had a primary role in mobilizing Jacksonville community efforts to partner with other regions of the state for a REC cooperative agreement and submitted a Beacon Community proposal. These efforts were preceded by successful efforts to: 1) develop grant proposals for health information exchange, 2) manage and facilitate a greater than 10 fold increase in utilization of a health information exchange for uninsured and the underinsured, and 3) use electronic health information systems to document health disparities and health issues.

Learning Areas:
Chronic disease management and prevention
Communication and informatics
Provision of health care to the public
Public health administration or related administration
Public health or related public policy

Learning Objectives:
Describe opportunities for public health involvement with Health Information Exchange Discuss reasons for public health involvement in developing Health Information Exchange

Keywords: Health Information Systems, Local Public Health Agencies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Coordinated many of the efforts to be described
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Duval County Health Department Public health systems Consultant and Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.