The 130th Annual Meeting of APHA

Abstract #46241

Yvonne Claudio, MS, University of Maryland University College, 15151 Deer Valley Terrace, Silver Spring, MD 20906, 301-438-8681, yvclaudio@aol.com

Health care officials continue to seek opportunities to improve the services provided in the public health sector. In 1978 core public health functions were established as assessment, policy development, and assurance. These functions moved public health away from direct care to a more support function within the health care system. With that change, one would have expected to see a subsequent change at the local level, not only with regard to organizational structure, but also with respect to development of the information systems required to support activities. Nonetheless, both components have been neglected over time, such that in both cases, one finds fragmented operations that preclude effectiveness and efficiencies of public health initiatives.

This paper identifies the rationale for a focus on organizational structure and information systems within the public health industry. Discussion covers the key considerations in establishing organizational structure and adopting information technology, and identifies the various issues currently faced in local public health departments relative to these factors. It becomes clear that the two factors individually and jointly can preclude or facilitate the effective management of public health departments. The premise is that both information technology and organizational structure must be carefully developed and structured so public health staff can undertake activities to identify, monitor and meet the public's need for services. The conclusion focuses on strategies for addressing the barriers impeding the establishment of integrated public health organizations.

Learning Objectives:

• Identify the rationale for the focus on integration of public health information systems.
• List key IT issues and barriers to integration of information systems.
• List key organizational issues and barriers to integration of information systems.
• Recognize the interrelationship between IT and organizational structure.
• Develop strategies for addressing barriers to effecting an integrated information system in public health departments.

Keywords: Information System Integration, Public Health Infrastructure

Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Serve as a consultant to various health departments that may be referenced.