Transcript Slide 1

Key findings on State
Health Agency
Information Systems and
Technology from the
2010 Profile of State
Public Health

Key findings

Health Information and Data Exchange

Surveillance
Most state health agencies are
using health information
technology to exchange electronic
data, engage in syndromic
surveillance and map health
services.
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


Over 80% of state health agencies (SHAs)
exchange data with providers
Over 80% of SHAs engage in electronic
syndromic surveillance
Over 90% of SHAs have an electronic
communicable disease reporting system
Most SHAs use GIS to map data by ZIP code
State health agencies often
exchange data with health care
entities such as hospitals, hospital
systems, health care providers and
provider groups.
50%
40%
47
37
35
29
30%
20
20%
14
8
10%
10
0%
CIO for S/THA
CIO for multiple
Informatics Director
Other
agencies
Primary Responsibility
Overall Decision-making Authority
100%
92
90
86
82
80%
69
60%
40%
53
41
41
67
Receive Data %
51
53
45
35
37
41
22
20%
0%
Send Data %
20
12
0
4
Method
%*
Direct Data Entry
96%
Batch File Exchange Using HL7
87%
Batch File Exchange Using Format other Than HL7
82%
Real-time Exchange Using HL7
64%
All of the Above
47%
Other
9%
*Percent includes agencies who reported yes to using a particular method and those
that reported all of the above
Send Data to
Federal
Agencies
Receive Data
from Federal
Agencies
Send Data to
Local Health
Agencies
Receive Data
from Local
Health
Agencies
Adult Immunization
45%
12%
55%
69%
Case Management
41%
8%
43%
51%
Childhood Immunization
53%
18%
59%
78%
Electronic Health Record
(Personal Health Services)
4%
2%
14%
14%
Food Service Inspections
16%
10%
29%
45%
Geographic Coded Data for
Mapping Analysis
33%
12%
33%
29%
Health Care Systems Data
(e.g., bed availability)
33%
12%
20%
20%
Laboratory Results
73%
27%
63%
53%
State Health Agency Program
Areas
Send Data to
Federal
Agencies
Receive Data
from Federal
Agencies
Send Data to
Local Health
Agencies
Receive Data
from Local
Health
Agencies
Maternal and Child Health
Reporting
61%
14%
41%
51%
Medicaid Billing
24%
14%
20%
29%
On-site Waste Water
Treatment Systems
12%
4%
16%
24%
Outbreak Management
55%
27%
53%
63%
Reportable Diseases
94%
39%
69%
78%
Vital Records
84%
53%
51%
47%
Water Wells (Licensing and/or
Testing)
24%
4%
20%
22%
WIC
84%
33%
59%
73%
State Health Agency Program
Areas
Method
%
Batch File Exchange Using Format other Than HL7
85%
Direct Data Entry
83%
Batch File Exchange Using HL7
72%
Real-time Exchange Using HL7
46%
Other
13%
60%
56
50%
40%
31
30%
20%
10%
0%
27
15
15
10
8
10
Ninety percent of state health
agencies have an electronic
communicable disease reporting
system. Of those systems, 91%
exchange data through a Webbased interface and about 60% use
system-to-system messaging.
Other, 2%
Centralized office
with one staff
member 4%
Centralized GIS
department but
some divisions
No centralized
also use GIS, 29%
GIS effort
48%
Centralized GIS
department
deploysan
enterprise GIS
system, 17%
Level
Geocoded
Displayed
ZIP Code
78%
71%
Street Address
71%
40%
Census Tract
64%
47%
Latitude and Longitude
62%
31%
Other
18%
31%
State health agencies are
exchanging data with entities
across the public health enterprise
for a variety of functions including
syndromic surveillance, disease
reporting and mapping
environmental health hazards.