Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Sep;104(9):1592-600.
doi: 10.2105/AJPH.2014.301956. Epub 2014 Jul 17.

A ride in the time machine: information management capabilities health departments will need

Affiliations

A ride in the time machine: information management capabilities health departments will need

Seth Foldy et al. Am J Public Health. 2014 Sep.

Abstract

We have proposed needed information management capabilities for future US health departments predicated on trends in health care reform and health information technology. Regardless of whether health departments provide direct clinical services (and many will), they will manage unprecedented quantities of sensitive information for the public health core functions of assurance and assessment, including population-level health surveillance and metrics. Absent improved capabilities, health departments risk vestigial status, with consequences for vulnerable populations. Developments in electronic health records, interoperability and information exchange, public information sharing, decision support, and cloud technologies can support information management if health departments have appropriate capabilities. The need for national engagement in and consensus on these capabilities and their importance to health department sustainability make them appropriate for consideration in the context of accreditation.

PubMed Disclaimer

References

    1. W.A. Yasnoff, P.W. O’Carroll, D. Koo, R.W. Linkins, and E.M. Kilbourne, “Public Health Informatics: Improving and Transforming Public Health in the Information Age,” Journal of Public Health Management & Practice 6, no. 6 (2000): 67–75. - PubMed
    1. G.C. Benjamin, “Transforming the Public Health System: What Are We Learning?,” http://iom.edu/Global/Perspectives/2012/TransformingPublicHealth.aspx (accessed February 9, 2014); Institute of Medicine, For the Public’s Health: Investing in a Healthier Future (Washington, DC, 2012), 6. Although this report and its predecessors (The Future of Public Health [1988] and The Future of the Public’s Health in the 21st Century [2002]) are frequently cited as recommending cessation of health department clinical services, they are in fact quite qualified in their recommendations, e.g.: “The passage of health care reform, which makes coverage available to a broader cross-section of the population, raises the question of the role of some public health departments as clinical care providers. That responsibility has a complex history, and there are advantages and disadvantages to the public health role in direct provision of care. In large measure, however, public health agencies must be freed to focus more intensively on delivery of population-based services. Circumstances may make it more appropriate for public health agencies in some jurisdictions to provide specific kinds of clinical services directly. Examples might include specialized programs that have a population health component, such as tuberculosis or sexually transmitted disease control and specialized services delivered in community settings, such as nurse home visiting or community health worker health promotion activities, and in localities that do not have an infrastructure to serve at-risk (uninsured and underinsured) populations” (p6); National Association of County and City Health Officials, “Implementation of the Patient Protection and Affordable Care Act,” http://www.naccho.org/advocacy/healthreform/upload/report_healthreform-7... (accessed May 22, 2014). E.g., the report warns, “Local and state policymakers may erroneously assume that, because of the passage of the ACA, public health services are now unnecessary or can be cut back even further. Health care providers might attempt to duplicate LHD services as other entities assume greater roles in prevention and primary care, or they might not understand the unique roles, accountabilities, and authorities of government public health departments.”.
    1. C.C. Diamond, F. Mostashari, and C. Shirky, “Collecting and Sharing Data for Population Health: A New Paradigm,” Health Affairs (Millwood) 28, no. 2 (2009): 454–466. - PubMed
    1. K.D. Vickery, K. Sauser, and M.M. Davis, “Policy Responses to Demand for Health Care Access: From the Individual to the Population,” JAMA 309, no. 7(2013): 665–666; F. Sabernese and R. Gebeloff, “Millions of Poor Are Left Uncovered by Health Law,” New York Times (October 3, 2013), A1. - PubMed
    1. D.K. Ihrke and C.S. Faber, Geographical Mobility: 2005 to 2010 (Washington, DC: US Census Bureau, 2012), Current Population Reports P20–567.

Publication types

MeSH terms

LinkOut - more resources