Electronic Health Record (EHR)-Based Community Health Measures: An Exploratory Assessment of Perceived Usefulness by Local Health Departments

Given the widespread adoption of electronic health record (EHR) systems in health care organizations, public health agencies are interested in accessing EHR data to improve health assessment and surveillance. Yet there exist few examples in the U.S. of governmental health agencies using EHR data rou...

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Published in:BMC public health 2018-05, Vol.18 (1), p.647-647, Article 647
Main Authors: Comer, Karen F, Gibson, P Joseph, Zou, Jian, Rosenman, Marc, Dixon, Brian E
Format: Article
Language:English
Subjects:
Analysis
Community health assessment
Community health measure
Community health services
Departments
Electronic health record
Electronic health records
Electronic medical records
Health care
Health informatics
Health information exchange
Information science
Information systems
Management
Medical personnel
Medical records
Mortality
Outcome and process assessment (Medical care)
Polls & surveys
Population
Population health
Population statistics
Public health
Questionnaires
R&D
Research & development
Studies
Technology Acceptance Model
Variance analysis
Workers
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description Given the widespread adoption of electronic health record (EHR) systems in health care organizations, public health agencies are interested in accessing EHR data to improve health assessment and surveillance. Yet there exist few examples in the U.S. of governmental health agencies using EHR data routinely to examine disease prevalence and other measures of community health. The objective of this study was to explore local health department (LHD) professionals' perceptions of the usefulness of EHR-based community health measures, and to examine these perceptions in the context of LHDs' current access and use of sub-county data, data aggregated at geographic levels smaller than county. To explore perceived usefulness, we conducted an online survey of LHD professionals in Indiana. One hundred and thirty-three (133) individuals from thirty-one (31) LHDs participated. The survey asked about usefulness of specific community health measures as well as current access to and uses of sub-county population health data. Descriptive statistics were calculated to examine respondents' perceptions, access, and use. A one-way ANOVA (with pairwise comparisons) test was used to compare average scores by LHD size. Respondents overall indicated moderate agreement on which community health measures might be useful. Perceived usefulness of specific EHR-based community health measures varied by size of respondent's LHD [F(3, 88) = 3.56, p = 0.017]. Over 70% of survey respondents reported using community health data, but of those
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subjects Analysis
Community health assessment
Community health measure
Community health services
Departments
Electronic health record
Electronic health records
Electronic medical records
Health care
Health informatics
Health information exchange
Information science
Information systems
Management
Medical personnel
Medical records
Mortality
Outcome and process assessment (Medical care)
Polls & surveys
Population
Population health
Population statistics
Public health
Questionnaires
R&D
Research & development
Studies
Technology Acceptance Model
Variance analysis
Workers
title Electronic Health Record (EHR)-Based Community Health Measures: An Exploratory Assessment of Perceived Usefulness by Local Health Departments
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