Online Program

333563
Health Information Systems Design to Integrate Primary Care and Public Health


Monday, November 2, 2015

Lawrence Hanrahan, PhD MS, Department of Family Medicine, University of Wisconsin School of Medicine & Public Health, Madison, WI
Robin Lankton, MPH CHES, Department of Family Medicine, University of Wisconsin School of Medicine & Public Health, Madison, WI
Kirsten Rindfleisch, MD, Department of Family Medicine, University of Wisconsin School of Medicine & Public Health, Madison, WI
John Frey, MD, Department of Family Medicine, University of Wisconsin School of Medicine & Public Health, Madison, WI
Valerie Gilchrist, MD, Department of Family Medicine, University of Wisconsin School of Medicine & Public Health, Madison, WI
Background:To improve population health, the Institute of Medicine called for greater integration between primary care and public health through the collaborative analysis of health data. This integration is a strategic priority for public health and it can improve patient care through better understanding of social determinants, health disparities, and by guiding data informed clinical and community interventions.

Purpose:We describe a Community Health web portal pilot to teach family medicine residents population and community health competencies and our subsequent steps to design a health information system supporting these data integration goals.

Methods:During July 2014, the Portal was tested with learners and faculty from four Madison family medicine residency clinics. Users were asked to complete a series of three tasks using the Portal. Their mouse movements were documented for accuracy and efficiency and to identify problem areas. Participants answered a series of open-ended qualitative questions.

Results:Portal user testing revealed appreciation of interactive map capabilities. However data displays were challenging and the need to improve statistical and geographic literacy was shown.

Discussion: Findings have been used to direct an EHR databased approach that 1) surfaces live, interactive population health statistics for teaching and practice through the point of care EHR platform, 2) provides ‘big data’ business intelligence for administrative, clinical practice, and population health improvement, 3) improves data literacy, 4) develops population health competencies throughout the entire residency curriculum, and 5) provides de-identified, outward facing population health views for public health and community stakeholder engagement and to direct and evaluate clinical and community interventions.

Learning Areas:

Assessment of individual and community needs for health education
Communication and informatics
Epidemiology
Other professions or practice related to public health
Public health or related education
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the main goals of primary care-public health data integration List the strengths and limitations of the pilot web portal design Define the three analytic phases of business intelligence for clinical practice and population health improvement List the three fundamental objectives of population health statistical analysis Describe the process for improving statistical and health geography literacy Articulate the key elements of a health information system that integrates primary care and public health

Keyword(s): Geographic Information Systems (GIS)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Robin Lankton, MPH CHES is the Leadership Project Manager at the University of Wisconsin Department of Family Medicine. She completed her Masters of Public Health in Community Health Sciences at UCLA in 2006 and became a Certified Health Education Specialist that same year. Ms. Lankton has worked with diverse communities to promote health equity and reduce health disparities for 10 years in Wisconsin and California.
Any relevant financial relationships? No

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.