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Improving Population Health Through Enhanced Targeted Regional Decision Support

This NWCPHP research study aims to identify, analyze and describe individual, organizational and data quality factors that affect the successful use of technology meant to improve notifiable condition reporting.

This study aims to identify, analyze and describe individual, organizational and data quality factors that affect the successful use of technology meant to improve notifiable condition reporting.

AHRQ HIE ProjectThis project, funded by Association for Healthcare Research and Quality, explores the use of an automatically populated notifiable condition reporting form within the Indiana Health Information Exchange (HIE). The goal of this form is to improve decision making, information sharing and data quality among health care providers and public health stakeholders. The staggered deployment of this new technology within the HIE presented the opportunity to conduct a "natural experiment" in which pre- and post-implementation impacts can be investigated.

The mixed methods will situate the assessment outcomes within their broader social context by identifying factors that influence the impact of the automated reporting on workflow, provider awareness, and end-user satisfaction, etc., as well as identifying factors that impact implementation success or present barriers to that success. This work will document whether the automated reporting system will streamline provider-based population health reporting workflows, lower barriers to reporting and case follow-up, increase data completeness, capture a greater portion of communicable disease burden in the community, and, ultimately, improve population health.

Findings from this project will inform future clinical and public health decision initiatives and contribute to the evidence base of both methods and outcomes that support more systematic and rigorous mixed methods evaluation.

This research project is a collaboration between Indiana University, Regenstrief Institute, and the University of Washington. Funding for this five-year project is provided by the Agency for Healthcare Research Quality.

Project period: September 2011 to September 2016

Research Team

Mark Oberle, MD, MPH
Principal Investigator

Debra Revere, MLIS, MA
Co-Principal Investigator

Rebecca Hills, PhD, MPH
Research Assistant

Publications & Products

Measuring the Impact of a Health Information Exchange Intervention on Provider-Based Notifiable Disease Reporting Using Mixed Methods: A Study Protocol.
Academic Article, BMC Medical Informatics and Decision Making