Building Public Health / Clinical Health Information Exchanges:
The Minnesota Experience
Marty LaVenture, MPH, PhDDirector, Center for Health InformaticsMinnesota Department of Health
Minnesota e-Health and MN-PHIN
MN Public Health Information Network
(MN-PHIN)Improving state-local
effectiveness & efficiency
Interoperability and Health Information Exchange
Initiating Key Projects
04 05 06 07 1009 1108 12Years
Advisory Committee
Privacy & Security
MN Public Health Information Network
New Projects
Mn Health Care Connection
EHR Grants
Changing Environment
Yesterday Today
Little Awareness Lots of Awareness
Hype Realization of Complexities
IT First Quality/Value FirstLittle Public or Private Sector Activity
Broad Public & Private Activity
SW Applications Work/business Process & Informatics
The Purpose of MN-PHIN
To create … the infrastructure, the policies and the
skilled workforce To improve … the collection, management, uses, and
exchange of timely and accurate data; and the design, functions and interoperability
of public health information systems.
Current MN-PHIN Priorities
Support information system projects of state and local importance
Promote adoption of standards for interoperability and exchange
Communicate knowledge, information and best practices; assess and build informatics capacity
Engage key partners in advancing the strategic application and management of public health information systems.
Necessary to AchieveResource Capacity
An informatics-savvy organization has …
Staff Competencies
Senior Informaticians
Directors & Managers
Standards/Interoperability
Inventory of Systems, Processes and DatasetsFront line staff
Data Management/Reporting Tools
Applications/Systems
Leverages data standards
Functional CapacityAn informatics-savvy organization …
Creates strategic direction for informatics within the agency
Assures knowledge, data and information needs are met
Assures effective management of information systems
Assures effective management of IT operations.
Communicates with policy makers, staff and the public
Evaluates and improves information systems/Processes
Assures interoperability with other information systems.
Assures confidentiality, security and integrity of data
Provides training in public health informatics
MN-PHIN Informatics ProfilesMeasuring and Building Public Health Informatics Capacity in Minnesota
The Profiles measure …
Statewide Assessment
Assessment
Self AssessmentTools
Informatics Education
Print MaterialsPeer-to-peer Knowledge Sharing
Webinars Regional Workshops
Community of PracticeCreated to Build Functional and Resource Capacities
Minnesota Public Health Information NetworkMDH Center for Health Informatics
Informatics Tools
Project ToolsPlanning Methodologies
The Community of Practice supports…
INFORMATICS implies a disciplined approach to information systems design and use that drives improvements in public health practice
Using Informatics to Change Practice
Source: Adapted from Bellinger, G. Knowledge Management and the Minnesota Department of Health
Healthier Communities
An INFORMATICS SAVVY ORGNIZATION
is one which has an informatics-skilled workforce,
a disciplined approach to information system design and use,
and reliably managed IT operations.
Example Tool for Agencies
Source: Public Health Informatics Institute (www.phii.org)
Examples of supporting the Community of Practice
“Public Health Data Standards 101”
1. Value Proposition• “What are the achieved or anticipated benefits of HIE” Empower citizens as health/care consumersEnsure all relevant medical information on an individual is securely available to their current physician or to an emergency roomReduce costly inefficiencies within and across health care settingsUse health care and public health data to better protect communities against health risks or threats. Improve the safety and quality of health care
2. Securing “Buy-In” From Stakeholders• “How did you secure buy-in from stakeholders?”Be inclusive of private and public healthcare and public health settings, including LTCBuild on a “culture of collaboration”Create broad statewide visionFocus action on visible steps Guide by broad public – private advisory CommitteeUse a neutral convening body
4. Key Lessons Learned• “ What would you recommend others do?”Be consumer focused Establish communities of practiceUse endorsing LegislationGov/t role: neutral convening body, facilitation, assist in measurement, assessment and communicationsYou don’t need “all” the answers todayLeading from the “backseat” is OKPlan Broadly, Implement IncrementallyInclude Public Health from the beginning
3. Key Barriers and Challenges• “What are some of the key challenges and barriers?Data (e-mail) overload / knowledge deficit Assuring rural / underserved needs are metAddressing population health issuesUse opportunities for federal/private fundingModel for sustainable funding for projectsUtilizing expertise state wide
Thank You
Web ResourcesReports and
policy Directory of
projectsShared tools
and templates
Minnesota e-Health Initiativewww.health.state.mn.us/[email protected]