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Raising Public Health Stake on the National Agenda on HIT Adoption in Healthcare Marcy Parykaza, MGA Chief, Information Management Services Bureau Delaware Division of Public Health State HIT Coordinator President, NAPHIT National Association for Public Health Information Technology

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Our Plan Over the next two days Effect of Silos Programs Funding Data Standards Meaningful Use Siloed agendas HIT adoption PH vs CMS Standards Who What What is the PH Vision for 2020? How can we get there?

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Why me? Why me! Why me. IT Director, PH CIO Public Health Administrator State HIT Coordinator

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Public Health public health Who do we serve? How is it Governed? Why are we doing it? HIE REC Beacon State Agencies Political Appointees ARRA/ACA/ELC/CMS Health Reform

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Do we need a Do- Over? What is the Plan? For us For our organizations For those we serve Is it technical, political, social? Is it doable? Is it transferable? What does interoperability and integration mean?

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Effect of Silos Creating more technically confusing data structures Creating non-sustainable data storage sites Creating countless communication portals Raising issues of privacy and security Pushing the limits of HIPAA Angering providers People are talking Data is being shared Standards are being developed Infrastructure grant money is becoming available

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silos without standards

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Can MU be a catalyst for: Funding Standards Interoperability Integration Expansion How can PH get on the MU hay wagon Where does PH fit within the objectives of CMS Meaningful Use the New Master?

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Public Health Eligibility What does it mean to Public Health? Stage 1 EPs MU of EMRs EP reporting: Immunizations Reportable lab results Syndromic surveillance E-prescribing Reduction of disparities Public Health in HIE Planning Funding Sustainability Governance State HIT Coordinator Who should it be? Whose agenda? HITECH ARRA ACA CMS HIT Adoption Dog chasing the tail? Deadline Money Implement Report redo

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What is the vision? Patient(client-centric) Standardized across organizations Shared locally, nationally, globally Affordable Sustainable Usable

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Health IT Shared Services Strategy 11 Why we need to adopt standards

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How Delaware Public Health (DPH) is getting there.

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CIO SOA view of DPH

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we went from this (no standards no vision)

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to this (a vision based on standards)

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..standards based interoperability.

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How we are getting our users on board

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What are the public health functions in DE?

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User tasks ..

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related to an IT process.

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Without a visionwhat are you leading? Repeatable and Institutionalized: We are part of a client centric, process driven, interoperable public health system. We are more similar than we are different.