Bench Press

During the past month’s global swine flu emergency providing health care professionals around the world with accurate information was critical to understanding and potentially containing the outbreak. The time sensitive nature of dealing with an emerging disease highlighted the importance of developing an effective communication channel that is quick, accurate, and accessible by numerous individuals. Traditional paper distribution channels, mailing notifications to primary care physicians, can delay the receipt of time sensitive materials by 72-96 hours. Thus, the question becomes how do you design a system that can be accessed quickly and easily by a maximum number of health care professionals, while still providing quality information.

A new web application developed by the Indiana Health Information Exchange (IHIE) interfacing with a service called Docs4Docs®, provided by the Regenstrief Institute, appears to have answered that question. The IHIE’s web portal allows electronic communication of public health messages to any registered health care provider. Registered users can also send messages back through the portal to be disseminated across the network. The web portal’s simplicity allows it to bridge the gap between paper-based and electronic-based medical offices thereby ensuring that even doctors in rural areas without advanced IT infrastructure can receive and contribute critical information.

Docs4Docs® also leverages the Indiana Network for Patient Care (INPC) which is a secure community health records system, providing patient data whenever needed. Dr. Shaun Grannis, a Regenstrief researcher, explains “[b]y working with our public health partners to seamlessly deliver public health alerts in precisely the same manner that physicians receive time-sensitive clinical information for patient care, we ensure that physicians have the right information at the time they need to see it”. This was exemplified by the first electronic health alert sent out across the Docs4Docs® network with regards to the emerging H1N1 crisis on April 29, 2009.

Last year Regenstrief scientists received a $10 million, 5 year contract from the Centers for Disease Control in order to continue working on developing electronic records and notification systems like those that make up the backbone of the Docs4Docs® service in Indiana. I for one believe that money is going to good use and look forward to seeing other states follow Indiana’s lead with regards to developing new electronic records and notification systems.