Title
Redesigning electronic health record systems to support public health.
Abstract
Current electronic health record systems are primarily clinical in focus, designed to provide patient-level data and provider-level decision support. Adapting EHR systems to serve public health needs provides the possibility of enormous advances for public health practice and policy. In this review, we evaluate EHR functionality and map it to the three core functions of public health: assessment, policy development, and assurance. In doing so, we identify and discuss important design, implementation, and methodological issues with current systems. For example, in order to support public health's traditional focus on preventive health and socio-behavioral factors, EHR data models would need to be expanded to incorporate environmental, psychosocial, and other non-medical data elements, and workflow would have to be examined to determine the optimal way of collecting these data. We also argue that redesigning EHR systems to support public health offers benefits not only to the public health system but also to consumers, health-care institutions, and individual providers.
Year
DOI
Venue
2007
10.1016/j.jbi.2007.07.001
Journal of Biomedical Informatics
Keywords
Field
DocType
adapting ehr system,decision support,ehr data model,patient-centered health records,public health,public health need,public health system,surveillance,policy development,assurance,public health practice,current electronic health record,ehr functionality,assessment,electronic health record system,preventive health,non-medical data element,data model,health care
Public health,HRHIS,Health law,Information retrieval,Computer science,Knowledge management,Public health informatics,Environmental health,Clinical decision support system,International health,Health informatics,Health policy
Journal
Volume
Issue
ISSN
40
4
1532-0480
Citations 
PageRank 
References 
25
1.81
5
Authors
9
Name
Order
Citations
PageRank
Rita Kukafka114142.13
Jessica S. Ancker211821.14
Connie Chan3865.15
John Chelico4251.81
Sharib A. Khan5498.34
Selasie Mortoti6251.81
Karthik Natarajan740731.52
Kempton Presley8251.81
Kayann Stephens9251.81