Bacon Emily, Budney Gregory, Bondy Jessica, Kahn Michael G, McCormick Emily V, Steiner John F, Tabano David, Waxmonsky Jeanette A, Zucker Rachel, Davidson Arthur J
Department of Sociology and Population Program, Institute of Behavioral Science, University of Colorado Boulder, Boulder, Colorado (Ms Bacon); Denver Public Health, Denver Health, Denver, Colorado (Mr Budney, Ms McCormick, and Dr Davidson); Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver Anschutz Medical Campus, Denver, Colorado (Ms Bondy); Department of Pediatrics, University of Colorado Denver Anschutz Medical Campus, Denver, Colorado (Dr Kahn); Kaiser Permanente Colorado Institute for Health Research, Denver, Colorado (Dr Steiner); Kaiser Permanente Colorado Institute for Health Research, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado (Mr Tabano); Jefferson Center for Mental Health, Department of Family Medicine, University of Colorado Medical Anschutz Campus, Aurora, Colorado (Dr Waxmonsky); and University of Colorado Anschutz Medical Campus, Aurora, Colorado (Ms Zucker).
J Public Health Manag Pract. 2019 Sep/Oct;25(5):498-507. doi: 10.1097/PHH.0000000000000810.
Electronic health records (EHRs) provide an alternative to traditional public health surveillance surveys and administrative data for measuring the prevalence and impact of chronic health conditions in populations. As the infrastructure for secondary use of EHR data improves, many stakeholders are poised to benefit from data partnerships for regional access to information. Electronic health records can be transformed into a common data model that facilitates data sharing across multiple organizations and allows data to be used for surveillance. The Colorado Health Observation Regional Data Service, a regional distributed data network, has assembled diverse data partnerships, flexible infrastructure, and transparent governance practices to better understand the health of communities through EHR-based, public health surveillance. This article describes attributes of regional distributed data networks using EHR data and the history and design of Colorado Health Observation Regional Data Service as an emerging public health surveillance tool for chronic health conditions. Colorado Health Observation Regional Data Service and our experience may serve as a model for other regions interested in similar surveillance efforts. While benefits from EHR-based surveillance are described, a number of technology, partnership, and value proposition challenges remain.
电子健康记录（EHRs）为传统公共卫生监测调查和行政数据提供了一种替代方案，用于衡量人群中慢性健康状况的患病率和影响。随着电子健康记录数据二次利用基础设施的改善，许多利益相关者有望从区域信息获取的数据伙伴关系中受益。电子健康记录可以转化为一种通用数据模型，便于跨多个组织共享数据，并允许将数据用于监测。科罗拉多健康观察区域数据服务中心是一个区域分布式数据网络，它组建了多样化的数据伙伴关系、灵活的基础设施和透明的治理实践，以通过基于电子健康记录的公共卫生监测更好地了解社区健康状况。本文描述了使用电子健康记录数据的区域分布式数据网络的属性，以及科罗拉多健康观察区域数据服务中心作为一种新兴的慢性健康状况公共卫生监测工具的历史和设计。科罗拉多健康观察区域数据服务中心及我们的经验可能为其他对类似监测工作感兴趣的地区提供一个范例。虽然描述了基于电子健康记录监测的益处，但仍存在一些技术、伙伴关系和价值主张方面的挑战。
