Year: 2015
Funding: PHSSR PHS4 Award
Status: Completed
Overview
This study sought to accelerate the diffusion of standardized Electronic Health Record (EHR) - based surveillance capabilities so that useful, timely and geographically pertinent EHR data can be used to: 1) monitor trends in health outcomes over time; 2) facilitate heightened engagement and performance by health and public health system stakeholders; and 3) inform decisions regarding different population-based policies and interventions to improve health outcomes. Led by the NYC Department of Health and Mental Hygiene in partnership with the City University of New York School of Public Health and the New York University School of Medicine, this study was nested in larger studies of EHR population health measures included in the NYC Macroscope. Indicators were evaluated for: prevalence, treatment and control of hypertension, high cholesterol and diabetes; prevalence of obesity, smoking and depression; and receipt of influenza vaccination. Reliability was assessed by comparing EHR data with abstracts of 190 chart reviews; EHR health status classifications were compared to classifications based on data collected for the NYC HANES 2013 and were used to assess validity. Dissemination products include 10 indicator fact sheets designed for practitioners working to build health status monitoring systems based on EHR derived data.
Publications
- Innovations in Population Health Surveillance: Using Electronic Health Records for Chronic Disease Surveillance (Commentary, American Journal of Public Health, published ahead of print, April 20, 2017)
- Design of the New York City Macroscope: Innovations in Population Health Surveillance Using Electronic Health Records, (eGEMs, December 2016)
- Can Electronic Health Records Be Used for Population Health Surveillance? Validating Population Health Metrics Against Established Survey Data (eGEMs, December 2016)
- Monitoring Prevalence, Treatment, and Control Of Metabolic Conditions In New York City Adults Using 2013 Primary Care Electronic Health Records: A Surveillance Validation Study (eGEMs, December 2016)
- Characterizing Adults Receiving Primary Medical Care in New York City: Implications for Using Electronic Health Records for Chronic Disease Surveillance (Preventing Chronic Disease, April 2016
Presentations
- Implementing the New York City Macroscope Electronic Health Record Surveillance System (Systems for Action Research in Progress Webinar, May 2017 recording)
- Can Electronic Health Records be Used for Population Health Surveillance? Findings from the NYC Macroscope (AcademyHealth Innovations in Monitoring Population Health Meeting, December 2016)
- Documentation of Behavioral Risk Factor Counseling in Electronic Health Records: Results from a review of Medical Charts in New York City (Poster presentation, AcademyHealth Annual Research Meeting, June 2016)
- Implementation and Diffusion of the New York City Macroscope Electronic Health Record Surveillance System (PHSSR Research in Progress Webinar, February 2016 recording)
- Testing for equivalence: Establishing benchmarks to validate the use of primary care electronic health records as a chronic disease surveillance tool (American Public Health Association, November 2015 recording)
- Chart Review in the Digital Age: When will research methods catch up? (Poster Presentation, Drexel University School of Public Health, Urban Health Research Seminar, September 2015)
Tools
- The New York City Macroscope: Using Data from Electronic Health Records for Population Health Surveillance Fact Sheets: (December 2017)
Background (PDF)
Smoking (PDF)
Obesity (PDF)
Diabetes (PDF)
Augmented Diabetes (PDF)
Hypertension (PDF)
Augmented Hypertension (PDF)
Hyperlipidemia (PDF)
Augmented Hyperlipidemia (PDF)
Influenza Vaccination (PDF)
Bibliography (PDF)
Research Areas
Contacts
Katharine McVeigh, Ph.D., M.P.H.
New York City Department of Health and Mental Hygiene