Vogel Joshua, Brown Jeffrey S, Land Thomas, Platt Richard, Klompas Michael
Joshua Vogel and Thomas Land are with the Office of Health Information Policy and Informatics, Massachusetts Department of Public Health, Boston. Jeffrey S. Brown, Richard Platt, and Michael Klompas are with the Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
Am J Public Health. 2014 Dec;104(12):2265-70. doi: 10.2105/AJPH.2014.302103. Epub 2014 Oct 16.
Electronic health record systems contain clinically detailed data from large populations of patients that could significantly enrich public health surveillance. Clinical practices' security, privacy, and proprietary concerns, however, have limited their willingness to share these data with public health agencies. We describe a novel distributed network for public health surveillance called MDPHnet. The system allows the Massachusetts Department of Public Health (MDPH) to initiate custom queries against participating practices' electronic health records while the data remain behind each practice's firewall. Practices can review proposed queries before execution and approve query results before releasing them to the health department. MDPH is using the system for routine surveillance for priority conditions and to evaluate the impact of public health interventions.
电子健康记录系统包含大量患者的临床详细数据，这些数据可显著丰富公共卫生监测。然而，临床机构对安全性、隐私性和所有权的担忧，限制了它们与公共卫生机构共享这些数据的意愿。我们描述了一种用于公共卫生监测的新型分布式网络，称为MDPHnet。该系统允许马萨诸塞州公共卫生部（MDPH）针对参与机构的电子健康记录发起定制查询，而数据仍保留在各机构的防火墙之后。各机构可以在执行查询前审查拟议的查询，并在将查询结果发布给卫生部门之前批准这些结果。MDPH正在使用该系统对重点疾病进行常规监测，并评估公共卫生干预措施的影响。
