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Children's Hospital Boston is part of a national grant to form a CDC Center of Excellence in Public Health Informatics. The $4.5 million grant, one of two awarded by the CDC, will allow researchers from the Children's Hospital Informatics Program at the Harvard-MIT Division of Health Sciences Technology, the Department of Ambulatory Care and Prevention (of Harvard Medical School and Harvard Pilgrim Health Care), the Massachusetts Department of Public Health, and Harvard Vanguard Medical Associates and other Massachusetts health care organizations to build a private, secure, electronic medical records search system that gives public health officials real-time illness data.
This information will allow health officials to develop highly effective health strategies and more accurately pinpoint responses and resources.
"The idea is to build a model system that can be adopted by health systems across the country," says grant principal investigator Richard Platt, professor and chair of the Harvard Medical School and Harvard Pilgrim Health Care Department of Ambulatory Care and Prevention. "It's vital that we find ways to improve communication between the public, clinicians, and public health personnel to more quickly recognize actual and potential problems that require coordinated action. "
Co-principal investigator Kenneth Mandl, attending physician in the Department of Emergency Medicine at Children's Hospital Boston, assistant professor of pediatrics at Harvard Medical School, and affiliated faculty at the Harvard-MIT Division of Health Sciences Technology, says "the software solutions and systems that we create will be something that can be widely disseminated, readily adopted, and open to all."
"The consortium will build a confidential and secure system that will initially focus on asthma, influenza immunization in at-risk populations, and sexually transmitted diseases," says James Daniel, director of informatics for the Bureau of Communicable Disease Control at the Massachusetts Department of Public Health. "These are significant health concerns in Massachusetts that require dynamic and coordinated public health efforts."
"Harvard Vanguard Medical Associates (HVMA) is proud of its state-of-the-art electronic medical records system, and that it provides a distinctive foundation for this work," says Richard Marshall, MD, chief medical officer, HVMA. "We look forward to working with these teams to advance the care of our patients and the care of individuals throughout Massachusetts."
For the past few years, many of the investigators on this new grant have also worked to build model syndromic surveillance systems of medical records so health officials can more rapidly identify a possible biological terrorist attack. These systems are already in practice, but also in a continual state of refinement. The CDC grant will allow these investigators to extend their work to new conditions, and to focus on longstanding problems that can now be addressed by using electronic medical records, which will become more widely used during the next few years.
The center will initially focus on two projects, one dealing with clinician-public health interactions, which will be led by Platt. Platt and his team will create medical record software to allow secure communication between doctors and public health officials. Initially, they will focus on asthma and sexually transmitted diseases, but will eventually address other conditions of interest to public health officials.
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