CDC project to test health alerts sent to docs via EHRs

By Molly Merrill
10:37 AM

The Centers for Disease Control and Prevention (CDC), GE Healthcare and the Alliance of Chicago Community Health Services are collaborating on a project that aims at testing the efficacy of actionable health alerts, delivered instantly to a physician's electronic medical record.

[See also: Project to assist hospital labs in submitting electronic data]

Officials made the announcement at HIMSS and said the project will begin with a six-month prospective study, seeking to determine if the alerts are triggered often enough or too often, and if doctors take the advice displayed within the alerts. As a foundation, the study will utilize GE Healthcare's densely populated Medical Quality Improvement Consortium (MQIC) database, which today holds more than 17 million de-identified patient records.

The Alliance of Chicago Community Health Services, with participation from the Chicago Department of Public Health, has collaborated to develop and implement a use case for the pilot program since 2009.

"There's a real opportunity here to more seamlessly contribute to – and benefit from – public health surveillance at the point of patient care," said Fred Rachman, CEO of the Alliance. "If this is successful, and we're able to deliver instant, actionable health alerts, we can intervene more rapidly at the individual patient level and more effectively contain communicable outbreaks. This type of rapid dissemination of relevant, up-to-the-minute information to clinicians at the point of care is a model. It demonstrates how public health oriented clinical decision support could enable us to manage disease more effectively at an earlier stage. It could impact lifespan and quality of life at a global level."

Mark Dente, the chief medical informatics officer for GE Healthcare IT, explained how the alerts will work.

"When a physician is seeing a patient, she just punches the data in as she normally would. The real work happens behind the scenes," he said.

Once the data is entered, it's de-identified and transmitted to an archive where it's measured against a disease profile and, when a suitable match is found, the relevant alert is issued and appears on the doctor's EMR display without so much as an extra keystroke, Dente said.

[See also: CDC: Physicians steadily increase EHR adoption]

"Our first use case explores foodborne illness – and CDC estimates there are 48 million cases of it in the U.S. alone each year," explained Dente. "As symptoms are captured by the computer, CDC matches them to patients reporting the same symptoms in a concentrated area – and a public health alert is issued. We could potentially reduce full days off the typical time needed to disseminate a public health alert, potentially saving lives. This is an incredibly exciting effort."

"The adoption rate for EMR systems is increasing and public health needs to leverage data from these systems," added Nedra Garrett, director of CDC Division of Informatics Practice, Policy and Coordination. "Providing public health information to providers at the point of care based on presenting symptoms of the patient is a big leap forward."

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