Quantifying benefits of using health information exchange to support public health STI reporting and treatment in Western New York

Abstract

Objective:

To calculate average savings of using health information exchange (HIE) for demographic and treatment requests for chlamydia and gonorrhoea in Western New York, specifically the Erie County Department of Health and its catchment area.

Method:

We conducted a mixed-method case study. Qualitative methods included interviews, document review, and workflow mapping, which were used as the inputs to identify time savings. Case rates, time savings, and salary averages were used to calculate average savings.

Results:

The avoided demographic information requests resulted in time and money savings (range of USD$2312–USD$4624 for chlamydia and USD$809–USD$1512 for gonorrhoea) as did avoided treatment requests (range of USD$671–USD$2803 for chlamydia and USD$981–USD$1635 for gonorrhoea).

Discussion:

HIE supported sexually transmitted infection (STI) treatment by making it easier for public health staff to identify and act upon STI diagnoses. Availability of information online resulted in less reliance on provider offices for demographic and treatment information.

Conclusion:

Results indicated that using HIE to support treatment and management of STIs can save public health staff time spent on obtaining demographic and treatment information. Other public health departments could use HIE for this and other types of disease surveillance activities. Considering public health needs in HIE development and use can improve efficiency of public health services and enhance effectiveness of activities.

Keywords

health information exchange public health sexually transmitted diseases costs and cost analysis

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References

(2013) Bureau of Labor Statistics (BLS). 2013b. Available at: www.bls.gov/ncs/ect (accessed 2 December 2015).

(05 2012) Bureau of Labor Statistics (BLS). 2013a. Available at: www.bls.gov/oes/current/naics4_999300.htm (accessed 2 December 2015).

Beacon

WNY

(2014) The Western New York Beacon Community report . Available at: www.wnybeacon.com (accessed 7 January 2016).

C R (2002) Wage Rates for Economic Analysis of the Toxics Release Inventory Program. Washington, DC: EPA, Office of Pollution Prevention and Toxics, Economic and Policy Analysis Branch.

CDC (2014) Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2013. In: Services UDohaH (ed). Atlanta: U.S. Department of Health and Human Services. Available at: http://www.cdc.gov/std/stats

Gamache

Stevens

Merriwether

. (2010) Development and Assessment of a Public Health Alert Delivered through a Community Health Information Exchange. Online Journal of Public Health Informatics [S.l.], 2(2). Available at: http://journals.uic.edu/ojs/index.php/ojphi/article/view/3214/4673 (accessed 5 December 2012). doi:http://dx.doi.org/10.5210/ojphi.v2i2.3214

Haque

Bailey

Massoudi

(2016) Using health information exchange to support public health activities in Western New York: a case study. In: Dixon

(ed) Health Information Exchange: Navigating and Managing a Network of Health Information Systems. New York, NY: Elsevier, pp. 281–285.

Jajosky

Groseclose

(2004) Evaluation of reporting timeliness of public health surveillance systems for infectious diseases. BMC Public Health 4: 29–29.

Kass-Hout

Gray

Massoudi

. (2007) NHIN, RHIOs, and Public Health. Journal of Public Health Management and Practice 13: 31–34.

10.

Maenpaa

Asikainen

Gissler

. (2011) Outcomes assessment of the regional health information exchange: a five-year follow-up study. Methods of Information in Medicine 50: 308–318.

11.

Massoudi

Marcial

Haque

. (2014) Beacon communities’ public health initiatives: a case study analysis. EGEMS (Wash DC) 2: 1093.

12.

Shapiro

(2007) Evaluating public health uses of health information exchange. Journal of Biomedical Informatics 40: S46–49.

13.

Shapiro

Mostashari

Hripcsak

. (2011) Using health information exchange to improve public health. American journal of Public Health 101: 616–623.