Technology to Advance Public Health Article no 2

Technology to Advance Public Health Article no 2

Unit funding And Collaboration With Patients

As far as maintaining it we are relying on beable to achieve the incentives and also the costs for running the parish health units have been born typically by the Office of Public Health, by a branch of that. We do try to self-fund as much as we can obviously through Medicaid reimbursements and other private insurance and a great deal of what we do is federally funded which I think was how begot to the array of services we offer in the first place. So it’s primarily public health being responsible for the parish health unit funding but there are some collaborations because it’s Medicaid patients.

Thank you. Operator, I’m assuming you don’t have any calls in the queue and if that’s the case I’ll pose another question that was submitted previously. There are no audio questions. Again, that’s star one to ask a question though but there are no audio questions at this time. Thank you. So here’s a question for both of you that’s kind of far-ranging. It reads, “Given all the health data breaches and heightened-sensitivity around privacy do you foresee any sort of consumer backlash to sharing of-health information technology or ‘big data-type analyses’?” I think there certainly could be. I think a lot of the kinds of information that we’re talking about are already in-laws and regulation-sat the state level.

So I’m not sure what the result of that would be but I think that that-is always certainly potential. I guess when I was trying to think of a response to this one I thought, too – knock on wood – we’ve always been very concerned about privatization. So we have a very heightened sense I think. I was also thinking that when brewer talking about some HIV specific kinds of questions HIV data has been of the highest security for years and years. What I think has happened over the years is that the restore public health data has come up to its standard rather than us relaxing about HIV which I think is a good thing. So what I also think is as we partner with other outside entities-we have to remain subject matter experts on privacy and security and make sure that allow our partners are just as up to speed as we are and compliant and following all the same rules. That’s a really terrific observation. Thank-you. We do have a question from the line of Embarrassment. Bryant, your line is open. Hi. Joseph, this is Bryant of Washington State. I’m curious. The organization you described, the forming an Office of Population Health, the center, it sounds like you tried to pull in expertise from throughout the agency interns of the data sets and the contributions.

Folks stay in place

Did you pull in actual staff, epidemiological those units, and bring them under this umbrella of the Office of Population Health-or did those folks stay in place and you act more like a virtual organization? I guess I’ll be really honest and say the-folks that we brought in were kind of all orphans. So we didn’t rob any existing programmers. They were all – some of them came from the Office of the Secretary of SHH. Some oft-hem came from IT and there was nowhere else to put them. But by the same token, they did things that were core to all of OP and not any specific program. So those folks are actuators, literally ours. What we also do is have periodic epic gatherings-where we pull together pis that do belong to specific programs and are particularly-aware of the data in there. We share our tools and we share the kinds of data we have transfigure out ways to collaborate that nobody knew we could do before.

So we have a little bit of both. We have contact with epees who are all over the place and we try to coordinate-them and we try to share what we see as opportunities to expand what we all know and then we aftershave our own little group. Thank you. Thank you Joe and thank you Bryant for that-question which is very much a reality-based question. I understand that epidemiologist-sin large organizations are not entirely fund-able. That’s not the right word but that it’s very difficult to build a cadre across and organization. So kudos to you Joe for pulling that together. Other questions? Operator? There are no more audio questions. Okay. Well, I don’t see any more questions in the chatbox. There’s one more question that I’d like to pose to both of you that has to do – I think you both mentioned the evolving scope of the practitioners, the clinicians-that are either working towards meaningful use or actively engaging with health information-exchanges. As we look more and more – you can see I’m not reading this question. I’m embellishing it a bit.

Chronic disorders

But with the advent of accountable care organizations, for instance for those with chronic disorders, integrating both primary care as well as specialties-as well as behavioral health as well as even oral health and dental care to improve outcome-sis more and more becoming piloted at least in terms of delivery. So can you both knockabout the prospects that you see in the future for bringing in other types of providers particular guess behavioral health are the ones that are of most interest at this point? This is Jim. I think that’s a policy issue that is actually slightly above my pay grade. We tend to focus just on the things with TechRepublic.

I know that we’re working on from a ONCE perspective just how to work with other providers who aren’t currently incentivized but bringing them into the incentive reprogramming is really a CUMS issue more than an ON issue. But from standards and development-strategy ON is definitely reaching out to those types of providers and trying to figure the best ways to work with them. Great. Gee, I’m also kind of like not sure what toad other than here in our state we are starting to move forward with behavioral health. Weave understanding that to understand a population health picture you have to take in all of the health conditions including behavioral. Also in our community health assessments behave conducted one round so far through the state in April and May and mental health issues-came to the top of everyone’s list of most important health conditions. So we’re struggling-with, again, the same thing everybody else is. How do we draw them in? They are a completely separate program and they have been very, very soiled in their data as everywhere. So how do we collaborate because we all know that each other’s world of experience affects these other programs? Physical health affects mental health as much as the other way around. So we are notwithstanding that, too. There aren’t incentives right now. There aren’t exterior funds right nowt-hat we know of.

Sharing state experiences a good thing to do

So I guess just keeping them talking about it and sharing state experiences a good thing to do. Sure. Great. Thank you very much. I would just like to add a point that was made by one of our participants, not really a question but I think it applies as we’re wrapping up the conversation. It was made earlier by Veronica Graham who noted, “I’m a public health profession and student. I know about HIT and EH but having this tour was amazing. Thank you for your insight.” So I think that applies certainly to both of our presenters. So with that, I’m not seeing any other questions. I would like to remind everyone that the slides for today’s webinar will be posted in the next week too – oh you see it on the slide there on your screen – on to Asthma website. So go ahead and take a look at those. Please, we’re going to ask you as you can see to takes few minutes as we finalize our discussion today take a few minutes to complete the survey- the link you’ll see there – which really does provide us with useful information for future projects. I want to take this minute and to heartily thank our two presenters who have gone through an amazing amount of information here, shared with us. Also, I want to thank CDC, the Centers for Disease Control and Prevention for sponsoring this webinar.

This is the last as I mentioned of a four-part technical assistance series. Throughout it, all our speakers have been absolutely informative and their presentations have been extremely valuable for all the participants. A recording of today’s webinar will be available on ASTHO’s website along with the slides in the next few days. So we hope that yourselves this webinar as a resource and share the link with others once it becomes available. So with that, again, I would like to thank our presenters very, very much for your terrific work in making HIT accessible and exciting to us. Thank you all for participating. Enjoy the rest of your day.

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