ENHANCING PUBLIC HEALTH THROUGH ELECTRONIC MEDICAL & PERSONAL HEALTH RECORDS II

描述(由申请人提供)：这是一项建议，以现有疾控中心公共卫生信息学卓越中心的活动为基础，支持公共卫生实践，以预防慢性病及其后遗症。糖尿病是中国五大慢性病之一，将作为建立先进的疾病监测、分析和报告能力的用例。学术健康中心、为不同人群和服务不足的人群提供服务的城乡服务系统以及州公共卫生部之间的这一合作伙伴关系将以其在传染病监测方面的经验为基础，开发一个以通用、开源、网格启用的信息系统为中心的慢性病监测平台，以常规地从1)各种医疗实践的电子病历系统和2)与社交网络系统链接的个人控制的健康记录中提取和分析人群级别的糖尿病摘要信息。我们将以最能满足其需求的方式向不同类别的公共卫生用户、提供者和个人提供这些信息。我们的两个核心项目都致力于该项目的五个目标：1)创建新的基于电子数据的糖尿病流行病学、护理和结果测量方法；2)开发支持双向健康信息交流的网格化方法；3)创建RiskScape，这是一个可定制的用户界面，用于指导公共卫生实践；4)评估能够支持公共卫生实践的数据的质量、完整性和及时性的改进；5)通过出版物、开源发布、文档和结果宣传来传播我们的研究结果和产品。

DESCRIPTION (provided by applicant): This is a proposal to build upon the activities of an existing CDC Public Health Informatics Center of Excellence to support public health practice to prevent chronic diseases and their sequelae. Diabetes, one of the country's five major chronic diseases, will serve as the use case for establishing advanced disease surveillance, analysis, and reporting capability. This partnership between academic health centers, urban and rural delivery systems caring for diverse and underserved populations, and a state department of public health will build upon its experience in infectious disease surveillance to develop a chronic disease surveillance platform centered on a generalizable, open-source, grid-enabled information system to routinely extract and analyze population-level diabetes summary information from 1) the electronic medical record systems of a diverse set of medical practices and 2) personally controlled health records linked to social network systems. We will present this information to different classes of public health users, providers, and individuals in ways that best support their needs. Each of our two core projects addresses this program project's five aims: 1) Create new electronic data based, measures of diabetes epidemiology, care, and outcomes; 2) develop grid-enabled methods to support bi-directional communication of health information; 3) create the RiskScape, a customizable user interface to guide public health practice; 4) evaluate improvement in the quality, completeness, and timeliness of data that can support public health practice; 5) disseminate our findings and products through publications, open source release, documentation and promotion of results.