Integrating Clinical Practice and Public Health Surveillance Using Electronic Medical Record Systems

Authors:
  • JMJason McVetta
    Jason McVetta
  • EEEmma Eggleston
    Emma Eggleston
  • GHGillian Haney
    Gillian Haney
  • BKBenjamin A. Kruskal
    Benjamin A. Kruskal
  • WYW. Katherine Yih
    W. Katherine Yih
  • PDPatricia Daly
    Patricia Daly
  • POPaul Oppedisano
    Paul Oppedisano
  • BBBrianne Beagan
    Brianne Beagan
  • MLMichael Lee
    Michael Lee
  • CKChaim Kirby
    Chaim Kirby

Abstract
Electronic medical record (EMR) systems have rich potential to improve integration between primary care and the public health system at the point of care. EMRs make it possible for clinicians to contribute timely, clinically detailed surveillance data to public health practitioners without changing their existing workflows or incurring extra work. New surveillance systems can extract raw data from providers’ EMRs, analyze them for conditions of public health interest, and automatically communicate results to health departments. We describe a model EMR-based public health surveillance platform called Electronic Medical Record Support for Public Health (ESP). The ESP platform provides live, automated surveillance for notifiable diseases, influenza-like illness, and diabetes prevalence, care, and complications. Results are automatically transmitted to state health departments.

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