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Community-wide Information Systems Design: Concepts and an Illustration
Patricia Flatley Brennan,RN PhDPatricia Flatley Brennan,RN PhD
Natalie Norcross, MLSNatalie Norcross, MLS
David Grindrod, MADavid Grindrod, MA
Marti Sopher, PhDMarti Sopher, PhDUniversity of Wisconsin-MadisonUniversity of Wisconsin-Madison
Support for this project was provided by the IADL Intiative, National Library of Medicine
HHSSLLEALTHYSTEMSAB
Design strategies that facilitate institutional and enterprise
information systems
are insufficient
for developing the information infrastructure
needed to meet health and health care
information management challenges
of the 21st century.
Options for Community-wide Information Systems Design
Outreach modelsOutreach models Single entity establishes connections to selected Single entity establishes connections to selected
collaboratorscollaborators UWUWHealthHealth
Enterprise-wide modelEnterprise-wide model Multi-entity alliances create interconnectionsMulti-entity alliances create interconnections
CaregroupCaregroup PeaceHealthPeaceHealth
Regional Health Information SystemsRegional Health Information Systems Business-to-business interactionBusiness-to-business interaction
IndianapolisIndianapolis
Community-wide Information Systems PlanningCommunity-wide Information Systems Planning
Challenges in the creation of local and national health information
infrastructures:governance
models Effective governance is needed to
balance stakeholder claims and maximize available resources.
Performance and economic models are needed to guide investment decisions and evaluation strategies.
Creating effective
governance structures: Start with what is already
there!
An example: An example:
The Dodge Jefferson The Dodge Jefferson Healthier Communities PartnershipHealthier Communities Partnership
Creating djhelp.infoCreating djhelp.info
1. Confirmation of community need;
2. Assessment of existing health and social service information providing and resource referral
3. Technical Planning
4. Business Planning and Sustainability
Lessons LearnedLessons Learned
1. Community-wide information planning requires involvement of stakeholders
2. Assessing local needs and resources identifies opportunities for improving access to health information.
3.Brokering provides an efficient alternative to creation of entirely new initiatives.
4. Building community partnerships increases the capacity of the community
Remaining challengesRemaining challenges
Insuring financial sustainability of the Insuring financial sustainability of the resourceresource
Promotion its use to the communityPromotion its use to the community Engaging new participantsEngaging new participants
Key--- creating a systematic way to appraise Key--- creating a systematic way to appraise investment and impact investment and impact