Moderator: Kenneth L Stewart – Angelo State UniversityPanelists – Annette Sobel – Texas Tech University Health Sciences Center
Billy U. Philips, Jr. – Texas Tech University Health Sciences Center
Data Integration Needs for a West Texas Health Security Initiative
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
Specific definitions for syndromic surveillance are lacking, and the name itself is imprecise.
Diverse names used to describe public health surveillance systems for early outbreak detection include: • early warning systems (8,9); • prodrome surveillance (10); • outbreak detection systems (11); • information system-based sentinel surveillance (12); • biosurveillance systems (13--15); • health indicator surveillance (16); and • symptom-based surveillance (17). However, syndromic surveillance is the term that has persisted.
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
Syndromic surveillance has been used for early detection of outbreaks, to follow the size, spread, and tempo of outbreaks, to monitor disease trends, and to provide reassurance that an outbreak has not occurred. Syndromic surveillance systems seek to use existing health data in real time to provide immediate analysis and feedback to those charged with investigation and follow-up of potential outbreaks.
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
Texas Regional Extension Centers
West Texas Regional Extension Center
Texas Tech University HSC$7.1 Million
1,133 providersNorth Texas Regional Extension Center
DFW Hospital Council$8.4 Million
1,498 providers
CentrEast Regional Extension CenterTexas A&M HSC
$5.2 Million1,000 providers
Gulf Coast Regional Extension CenterUT HSC Houston
$15.2 Million2,928 providersWest Texas TTUHSC
Service Area108 Counties
12% PopulationFuel, Fiber, Food
Comprehensive Support throughout the Entire EHR Implementation Process
Partnering with state and local HIEsEHR system selection
Readiness assessment Practice workflow redesign
HIT education & training
Achieving meaningful useEHR implementation
Prepare for future pay for performance
Plan Transition Implement Operate & Maintain1 2 3 4
WT-HITREC Strategy:Align with ONC to create standard
WT-HITREC Strategy:Partner with Vendors & Implementation partners
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
Goal: Enable improvements in the quality and efficiency of the Texas health care sector by establishing an electronic HIE infrastructure for the state.
Texas Approach to Statewide HIE
General State-Level
Operations
Local HIE Grants
Program
White Space
Re-Alignme
nt
Implementation of the Texas HIE Plan is being coordinated between the Texas Health and Human Services Commission and
THSA
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
Texas HIE Connectivity
Reference: healthit.gov
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
Meaningful Use Policy Goals• Improving quality, safety, efficiency, and reducing health disparities• Engaging patients and families in their health care• Improving care coordination• Improving population and public health• Ensuring adequate privacy and security protections for personal
health information
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
CQM Selection and HHS PrioritiesAll providers must select CQMs from at least 3 of the 6 HHS National Quality Strategy domains:
• Patient and Family Engagement• Patient Safety• Care Coordination• Population and Public Health• Efficient Use of Healthcare Resources• Clinical Processes/Effectiveness
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
West Texas Health Information Technology Regional Extension Center - Making Electronic Health Records a Reality -
ChallengesPublic Health Data Systems - Complete, Comprehensive, CorrectIntraoperability – Standards & Vendor Rules of EngagementHealth Information Exchange –Workforce (HIT, GIS, Informatics)Signal Detection – Use Cases & AnalyticsProtocols – Response PlanningSafety, Privacy, Security – Perspective