142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

309388
Information Exchange between Providers, Payers and Public Health to Support Rapid Cycle Health Outcomes Improvements in Hypertensives: Experiences from the Million Hearts Learning Collaborative

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 8:30 AM - 8:50 AM

Paula Soper, MS, MPH, PMP , Informatics, Association of State and Territorial Health Officials, Arlington, VA
Elizabeth Walker Romero, MS , Health Improvement, Association of State and Territorial Health Officials, Arlington, VA
Tahra Johnson, MPH, CWWS , Health Promotion and Disease Prevention, ASTHO, Arlington, VA
Chronic diseases in the United States are on the rise, and care models to address chronic disease prevention and care require a systemic approach.  Underpinning this approach is the need for data from multiple sources, including clinicians, payers and public health to create a more complete understanding of individual and community-level risk factors and opportunities for prevention.  Increasingly, chronic disease prevention programs in public health are relying on clinical data sources to better ascertain the risk and burden of chronic disease in their communities.  Multi-directional data exchange among clinicians, state and local public health departments and payers, paired with sound interventions and quality improvement activities is proving to be a powerful model for chronic disease prevention.

 ASTHO’s ten state Million Hearts Learning Collaborative focused on operationalizing the sharing of data between public health and clinical systems utilizing health information technology. States worked closely with multiple clinical system partners including public and private payers, hospital systems, and accountable care organizations to leverage the real time data in both electronic health records and claims databases to control hypertension.  States worked to create bidirectional systems to link local and state data to clinical partners together to identify hot spots and trends and to also work to create a team based care system between public health and providers to provide resources in the community for patients identified with hypertension. 

 Multi-directional data exchange among providers, payers and public health departments to support the prevention of chronic disease should be paired with appropriate interventions and deliberate collaboration among the levels of partners.  The data can support quality of care improvements and community level interventions focused on reducing the burden of disease.

Learning Areas:

Chronic disease management and prevention
Communication and informatics
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Describe effective approaches for developing partnerships to support Identify resources available to support and promote collaboration, implementation of protocols and processes, and policy development at the state and local levels. Utilize data from clinical and payer informations systems to support population health improvements.

Keyword(s): Chronic Disease Prevention, Information Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Senior Director for Health Promotion at the Association of State and Territorial Health Officials. In that capacity, I manage our Million Hearts project and work closely with 10 state partnership grantees on measuring outcomes of community interventions to improve blood pressure control.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.