Stephanie Bailey talks about the distinction between healthcare, public health, and population health. Population heath is usually Tos Escort Invest Results with public health. Public Health, in our circles, is the health of the public — the derivation to population health was brought up to move it away from private individual health and more of the population as a whole. The Institute of Medicine put out a dynamic publication around which began the conversation about explaining public health and it evolved into the essential services performed by public health. In a nutshell, it was about public health in America: preventing epidemics like Ebola and TB and the spread of disease, protecting against environmental hazards, prevention of injuries, promoting and encouraging health behaviors the health promotion partresponding to disasters, assisting communities in recovery and ensuring the quality and accessibility of health services which brings in healthcare. If we look at how the money comes down to service patients or public health clients say, at a local health departmentit is very complex. If you were to put all federal agencies on the top level, state agencies on the middle level, and local agencies and patients on bottom level, and then draw lines from Federal agencies CMS, CDC, etc. The money crisscrosses so that there may be up to 21 discrete funding lines to treat the one individual. Each individual agency adds on their particular service to service the whole individual, rather than looking across the aisle for a collaboration of expertise to partner with, to coordinate with other health agencies. So it gets very complicated and we need to simplify all those mechanisms. I think Electronic Health Records are great! It will make the infrastructure stronger, and make it less cumbersome. It will allow for more access to records and less redundancy, and I think it will decrease costs. I think there are some downsides like privacy, but the Tos Escort Invest Results far outweigh what some of the downsides may be. Software in all industries make complex tasks Tos Escort Invest Results, reduce errors and increase efficiency. Done right, EHR can help public health departments by taking complexity of dealing with numerous funding sources and associated reporting and compliance. Public Health focused EHR can streamline operations by providing local health departments: 1. Single Patient View: Provide a single view of patient in the health department. Due to the silo nature of funding, a patient record at a local health department is in different binder e. Eliminate systems and dual data entry: Numerous funding agencies require recipients to log into various systems to either enter data or provide reports. An EHR can eliminate this burden. Data only needs to be entered once and the EHR can send it to wherever it needs to go, automatically. Given the complexity of funding, this can be a huge saving for public health departments. Achieve Compliance: We all wish our staff to follow best practices. These rules can be built into the EHR, with appropriate alerts, to ensure that the whole organization is compliant to funding agency defined best practices. Additionally, federal government has mandated the use of meaningful use compliant EHRs. Patient Involvement: People need to be more involved and feel more empowered about their own health. Electronics play a role to allow me to monitor, measure and view progress. So, yes, we need to move to EHR and I think it can only enhance the infrastructure for health delivery. With that data you can give a better health status of community and know which interventions need to be implemented as the quality of life and health status changes over time. Because of my long career in public health and dealing with assessments and processes that help bring communities together, in order to look at their health; and create and manage a strategy to seek better results for themselves. I see them come into the realization that this is ours. During my tenure as director of health, we were looking at disparity issues in Davidson County. It was our responsibility and it had nothing to do with whether we received money from the state or federal government, it was the community which had the dynamic processes and the assets; had the will and wherewithal to create healthy environments for themselves. I champion this! It can be forced; better when it is not. The IRS has required nonprofit hospitals to do community health assessment for tax exemption status. So you see hospitals doing community assessments and other organizations doing them and you see funding coming down requiring partnerships with public health for the health of the public.
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