week 6 (exam 1) Flashcards
What is the BACKBONE of Public health infrastructure?
Government
What is the MISSION of DHHS?
Department of Health & Human Services
MISSION: Protect the health of all Americans & provide essential services
What are the things/functions of DHHS?
Policy-making (privacy, informed consent, standards)
Financing (Medicare, Medicaid, Federal employees)
Public health protection (FDA assuring food safety)
Information collection/dissemination (NCHS)
Direct service (Indian Health Services, Military, Veterans )
What are the duties of Office of the National Coordinator (ONC) for HIT
Coordinates all aspects of health IT
National Coordinator: Karen DeSalvo
Created in 2004 through an Executive Order by Bush. Also called for interoperable EHRs in the next decade.
Legislatively mandated in the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009
The Nationwide Health Information Network (NHIN) was set up to do what KEY idea?
it was set up to be a network of networks
define PUSH
Send information out, e.g. lab reports
Define PULL
Bring information in
More difficult
Query the system>Database/Master Patient Index searched>Information pulled out
Public Health Information Network (PHIN) …what is it ? what’s the purpose? How is it funded?
CDC initiative to improve the capacity of public health to exchange information electronically
Promotes use of vocabulary and messaging standards
Interoperability with EHRs/HIOs is critical
Funded by:
HITECH Act of ARRA
Prevention and Public Health Fund as part of the Affordable Care Act
Who oversees all the electronic health systems? (MUST KNOW)
The Office of the National Coordinator
NEDSS (Nat’l Electronic Disease Surveillance System)
WHAT is it? WHAT does it do?
Internet-based infrastructure:
Facilitates transfer of information for NNDSS using PHIN standards
NNDSS data are compiled from case notifications sent to CDC from reporting jurisdictions each week.
Connects health departments with healthcare providers and CDC
50 states, DC, NYC currently use NEDSS-compatible systems
What is the purpose of the Health Alert Network (HAN)
Provides information about urgent health events to state and local public health practitioners, clinicians, and public health laboratories, interested public
Recent alerts
(access to all )
What is Epi-X?
(selective access)
Web-based rapid communication for public health professionals moderated by CDC
Primary goals: Provide a secure channel to:
Facilitate information exchange, e.g. describe new health event
Inform public health officials about important public health events
Help them respond in an emergency
What is BioSense?
National web based program to improve early disease detection, monitoring and situational awareness
Allows identification, tracking and management of naturally occurring events as well as bioterrorism
Gathers data from:
Emergency department visits/hospitalizations from sources like VA, DOD
State or local health departments that have agreed to share data from their own emergency department monitoring systems to collect data from civilian hospitals
list some phin (public health information network)
Early Event Detection
BioSense
Disease Surveillance
NEDSS
Secure Communications
Epi-X
Information Dissemination
HAN
PH Response
Lab, vaccine administration, etc.
What are State Health Dept. responsible for and who are they led by?
The agency responsible for public health in a state
Led by physicians, nurses, managers
advanced degrees in public health or medicine are not a prerequisite in most states
