Public Health Informatics Innovation and Dissemination through the Beacon Communities

Transcription

1 Public Health Informatics Innovation and Dissemination through the Beacon Communities Saira Haque, PhD, MHSA Diana Danoff, MA Barbara L. Massoudi, MPH, PhD Paula Soper, MS, MPH Adam Vincent, MPP RTI International October 31, 2012 RTI International is a trade name of Research Triangle Institute.

2 Presenter Disclosures Diana Smith Danoff (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose

3 Session Objectives Introduce Beacon Community Program Situate the Beacon Communities within an innovation framework Review public health efforts of Beacon Communities Describe communities selected for case studies and how communities are overcoming barriers to innovation and dissemination

4 Beacon Communities Designed to provide exemplars of health IT implementation in a community Improve quality and safety while reducing cost 17 Communities funded Public health goals are part of all Beacons; however, subset has made concerted effort to harmonize their work with public health departments

5 Innovation and Dissemination Rogers model (Rogers,2003) Five Step Process Awareness, Interest, Evaluation, Trial, Adoption Five types of adopters Innovators, early adopters, early majority, late majority, and laggards Beacons are innovators and early adopters

6 Beacon Communities for Public Health Project Objectives and Activities Project funded by Centers for Disease Control (CDC) Contract No F-40207

7 Beacon Communities for Public Health Project Objectives and Activities Review all Beacon Communities and inventory public health efforts Document review Review progress to date Conduct interviews with Beacon Communities Solicit input from ONC Select four case studies to document promising practices and lessons learned Dissemination of findings so other communities can learn from them Identify technical assistance needs

8 Beacon Communities and Objectives See ONC Web Site for details of all Beacon Communities and objectives Every Beacon is working to improve chronic care Most Beacons are focused on diabetes Nine Beacons highlighted that emphasize population and public health activity and engagement

9 Highlighted communities with public and population health focus Crescent City Beacon Community Greater Cincinnati Beacon Community North Carolina Beacon Community in Concord Rhode Island Beacon Community San Diego Beacon Community Southeast Michigan Beacon Community Southeastern Minnesota Beacon Community in Rochester Southern Piedmont Beacon Community Western New York Beacon Community

10 Case Study Selection Selection Criteria Collaboration between public health and community partners Innovation Responsiveness of intervention to community needs Timing of evaluation activities and project timeline Replicability of intervention

11 Selected Case Studies, continued San Diego Leveraging Cloud Technology to Support Immunization Registry Exchange New Orleans/Southeastern Michigan/Greater Cincinnati Text4Health for Diabetes istockphoto

12 Selected Case Studies, continued Southern Piedmont Project Red Using an Avatar for Women, Infants and Children (WIC) Intake Southeastern Minnesota Electronically exchanging asthma action plans among providers, schools and public health MS Office

13 Adoption Obstacles, Overcoming Challenges Istockphoto

14 Adoption Obstacles to Overcome Operational challenges: Infrastructure to promote and support the development and dissemination Lack of a multidisciplinary development approach Inability to transfer the innovations of public health institutions to the market

15 Themes Overcoming Challenges Themes found among Beacons overcoming these challenges Leadership and relationships Funding building blocks Infrastructure

16 Themes Relationships Previous public health involvement with the organization awarded the Beacon Community grant, including previous projects together Public health leadership in Beacon Community planning and execution, including involvement on boards and committees Track record of success and trust between public health and Beacon Community partners

17 Themes Funding building blocks over many years Beacon Community funding not first source of funding for collaborative activities between public health and clinical community Previous funding sources enabled readiness of the Beacon Community and/or public health for current activities Blending of multiple sources of funding with Beacon Community funds to support infrastructure and expansion of activities

18 Themes Infrastructure development Build infrastructure from topic-specific projects and pilots, then apply broadly Incorporate infrastructure development into multiple projects Leverage existing infrastructure to support new activities that emerge

19 Conclusion Health IT innovations are being used to support public health efforts To facilitate the exchange of health information To provide patient outreach and engagement Initial findings point to relationships, funding building blocks, and infrastructure development as key factors to overcoming challenges to innovation, dissemination, and adoption

20 Acknowledgements Centers for Disease Control Staff Taha Kass-Hout, Sherry Burrer, Gary Urquhart, Warren Williams, Jeanne Moorman, Paul Garbe, Ann Albright, Judith McDivitt ONC Staff Kerri Petrin, Amanda Misiti, Pierce Graham-Jones, Jason Kunzman, Heather Plochman, Christina Markle, Janhavi Kirtane, Bryant Karras Beacon Community Staff : Inland NW Jac Davies SE Minnesota Dan Jensen, Lacey Hart Crescent City (New Orleans) Nebeyou Abebe, David Kulick, Anjum Khurshid

21 Acknowledgements, continued Greater Cincinnati Mike Samet, Pattie Bondurant SE Michigan Scott Turske, Terrisca Des Jardins San Diego Anupam Goel, Jeff Johnson, Robert Wester Rhode Island Darby Buroker, Marie Sarrasin, Jeff Hill, Jonathan Leviss Western NY Dan Porreca, Drew McNichol, Laura Jacobs, Rachel Block, Shannon Kelley, Kristen Mulhern, Mary Walawander. Tony Billitier Southern Piedmont John Graham, Tracy Olson, Phred Pilkington, Kerry Kribbs

22 More Information Saira Haque, MHSA, PhD Deputy Project Director Barbara Massoudi, MPH, PhD Project Director Diana Danoff, MA Project Manager

23 References Office of the National Coordinator for Health Information Technology. (2008). The ONC-Coordinated Federal Health IT Strategic Plan: Retrieved February 7, 2012, from Office of the National Coordinator for Health Information Technology. (2012). Beacon Community Program. Retrieved February 7, 2012, from onc_beacon _community_program_improving_health_through_health_it/1805. Rogers, E. (2003). Diffusion of Innovation, fifth edition. Simon & Shuster (Free Press).

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