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首页> 美国卫生研究院文献>Online Journal of Public Health Informatics >A State-wide Health IT Infrastructure for Population Health: Buildinga Community-wide Electronic Platform for Maryland’s All-Payer GlobalBudget
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A State-wide Health IT Infrastructure for Population Health: Buildinga Community-wide Electronic Platform for Maryland’s All-Payer GlobalBudget

机译：用于人口健康的全州健康IT基础架构：建设马里兰州全支付全球平台的社区范围电子平台预算

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Maryland Department of Health (MDH) has been preparing for alignment of its population health initiatives with Maryland’s unique All-Payer hospital global budget program. In order to operationalize population health initiatives, it is required to identify a starter set of measures addressing community level health interventions and to collect interoperable data for those measures. The broad adoption of electronic health records (EHRs) with ongoing data collection on almost all patients in the state, combined with hospital participation in health information exchange (HIE) initiatives, provides an unprecedented opportunity for near real-time assessment of the health of the communities. MDH’s EHR-based monitoring complements, and perhaps replaces, ad-hoc assessments based on limited surveys, billing, and other administrative data. This article explores the potential expansion of health IT capacity as a method to improve population health across Maryland.First, we propose a progression plan for four selected community-wide population health measures: body mass index, blood pressure, smoking status, and falls-related injuries. We then present an assessment of the current and near real-time availability of digital data in Maryland including the geographic granularity on which each measure can be assessed statewide. Finally, we providegeneral recommendations to improve interoperable data collection for selectedmeasures over time via the Maryland HIE. This paper is intended to serve as ahigh level guiding framework for communities across the US that are undergoinghealthcare transformation toward integrated models of care using universalinteroperable EHRs.
机译：马里兰州卫生部（MDH）一直在准备将其人口健康计划与马里兰州独特的全付费医院全球预算计划相结合。为了实施人口健康计划，需要确定一套针对社区水平的健康干预措施的入门措施，并为这些措施收集可互操作的数据。电子健康记录（EHR）的广泛采用以及该州几乎所有患者的持续数据收集，再加上医院参与健康信息交换（HIE）计划，为前所未有的机会提供了近乎实时的评估患者健康的机会社区。 MDH基于EHR的监控功能可以补充（或取代）基于有限调查，计费和其他管理数据的临时评估。本文探讨了医疗信息技术能力的潜在扩展，作为改善整个马里兰州人口健康的一种方法。首先，我们针对四种选定的全社区人口健康措施提出了一项进展计划：体重指数，血压，吸烟状况和跌倒相关伤害。然后，我们对马里兰州数字数据的当前和近实时可用性进行了评估，其中包括可以在全州范围内评估每项措施的地理粒度。最后，我们提供一般建议，以改善所选对象的可互操作数据收集通过马里兰州HIE逐步采取措施。本文旨在作为针对美国各地正在经历的社区的高级指导框架医疗保健向使用通用的综合护理模式转变可互操作的EHR。

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