Healthy Hearts: Transforming Communities through the Integration of Public Health and Primary Care

Sandy Anton & Julia HowlandFebruary 20, 2014Healthy Hearts: Transforming Communities through the Integration of Public Health and Primary CareHealthy Hearts Project OverviewData-driven, community integrated primary care improvement for cardiovascular carePart of the CDC funded We Choose Health ProjectFive year project: ending date 9/30/2016Engage Rural Health Clinics, FQHCs and Health Departments in non-metropolitan Illinois

Primary care: How will this work?Receive EHR data from participant clinicsTranslate data into a dashboard of clinical indicators Use the dashboard to identify provider and clinic opportunities for improvement

Two primary audiences: primary care and public/community health. Data is important to both.Community: How will this workCollaborate with Health Departments and community partners to implement interventions to improve cardiac healthFacilitate cooperation between community agencies, public health, and primary care: data sharing, develop population approach to health

popHealthOpen sourceClinical quality measure reporting toolSupports stage 1 and stage 2 Meaningful Use measuresDevelopment: other measures, including PCMHOpen source software supported by the Office of the National CoordinatorVibrant national user community

Free for clinic use. Developments shared with national group through a facilitated user community Mention other states using popHealth popHealthInterfaces with electronic health reports to receive health data using nationally recognized data standardsCCD preferred, CSV possibleProduces dashboard reports in a provider-friendly format for quality improvementReports available on patient, provider, clinic levelIn development: reports for clinic networks and geographic areasThe Public Health NodeFramework for integration between data aggregators and providersTransforms and maps data, classifies casesUsed for surveillance, immunization data, electronic lab reportingCertified for Meaningful Use and HIPPA

Key component of Illinois public health data infrastructure

Technology

Discuss data extraction from NextGenTransmission process to public health nodeData use agreements in place with each clinicIndividual measure screenshot

Insert slide of patient list

Implementation StrategiesImplementation of data dashboards for quality of care

Community collaboration for population health improvementsData is driving the project: data dashboards for primary care / CV improvementsshared clinic data and population data used for population health improvements

11Contact informationJulia Howland, Epidemiologist, Healthy Hearts312-814-1344Julia.Howland@illinois.gov

Sandy Anton, Project Lead, Healthy Hearts309-231-6123Sandy.Anton@illinois.gov