Assessing the Status and Prospects of State and Local Health Department Information Technology Infrastructure. Assessing the Status and Prospects of State and Local Health Department Information Technology Infrastructure : Table 13


: Table 13

SystemData Sources, Uses, & ManagementInterfaces and Data Capture
Epic Electronic Health RecordPrimary care clinics that are part of the FQHC run by Multnomah County Health Department have used Epic software for practice management and electronic health records (EHRs) for several years. Multnomah County also uses Epic for some home visiting program encounters. However, Multnomah County has not been able to employ Epic in public health clinics.Epic used in FQHC setting has interfaces to Oregon’s immunization registry and clinical laboratories. Some LHD clinics (e.g., STD clinic) have “read only” access to Epic records for their patients.
MS Access DatabasesMultnomah County noted that they have over 30 Access databases used to manage data and client interactions related to different programs. One of these systems known as “TOURS” is used to document care delivered by HIV/AIDS providers under Ryan White Care Act Programs.These are mostly stand-alone systems that provide reports formatted to meet funder requirements, but are not interoperable with other applications.
Netsmart InsightPublic health clinics in Washington County are moving to the Insight public health EHR and practice management system. Originally, Washington County used Insight only for practice management functions such as scheduling and billing. Recently, they have rolled out modules to support client encounters in TB, STD, immunization and family planning clinics.Currently Washington County is able to upload immunization records from Insight into the state’s immunization registry. They have not purchased modules necessary for “real-time” interfacing with labs or state systems.
ALERT IIS (Immunization Information System)ALERT IIS is Oregon’s Immunization Information System that captures immunization information from all health-care providers performing immunizations in the state. ALERT IIS also gives those providers access to information on immunization status of patients, tools to track their immunization inventory and other functionality.The state supports different ways to interface with ALERT IIS for some EHRs (including Epic) interfaces support direct transmission of immunization data from within the EHR system. They also accept flat-files for batch uploads.
Oregon Child Health Information Data System (ORCHIDS)State system used by LHDs and providers to report information on home visit encounters and other maternal and child health programs.Stand-alone system that requires manual data entry. Separate from systems used by LHDs to manage client and encounter information to support care delivery.
TWISTState system used by LHDs to report information on benefits provided through the women, infant and children’s (WIC) program.Stand-alone system used by LHDs for reporting to state.
Oregon Public Health Epidemiologists’ User System (ORPHEUS)State-run communicable disease surveillance system. Used for submitted state-required reports on notifiable diseases and for tracking and case investigation involving those cases. One system integrates all reportable conditions including STDs, HIV/AIDS, TB and other infectious diseases.System is ELR enabled. Otherwise, LHDs and hospital providers enter data into the system and are able to access information on cases in their area.
Vital Events Registration SystemA web-based Netsmart application used by the state to capture and manage vital events data including births, deaths, abortions, marriages and divorces.Have developed electronic reporting systems that allow providers (hospitals) to submit data on births and deaths. All births and many deaths are now reported electronically. Also, links to state’s birth defects registry and cancer registry.