Integration of Public Health Information and Guidance in CDS at the Point of Care

When: Tuesday, Sep 19, 2017, 1:00PM - 2:00PM


Public health agencies, including the Centers for Disease Control and Prevention (CDC), develop guidance for the diagnosis and management of persons with conditions of public health concern.  The guidance, often communicated on websites or in documents, is often not accessible within the patient care workflow which is particularly problematic during outbreaks when time-sensitive guidance is needed. Clinical decision support (CDS) tools may improve clinicians’ and patients’ access to public health information and guidance, however this requires that information be available in a structured, computable form that leverages CDS capabilities within electronic health record (EHR) systems. This project demonstrates the feasibility of using an ‘infobutton’ strategy to integrate public health guidance and informational materials within EHR and personal health record (PHR) systems. Our approach a) leverages OpenInfobutton, an open source suite compliant with the Health Level Seven (HL7) Infobutton Standard, to provide context-specific public health resources at the point of care, and b) can be implemented in any EHR that adheres to the Meaningful Use CDS certification criteria. We will demonstrate the approach using Zika guidance as a case study.


Guilherme Del Fiol, MD, PhD

Dr. Guilherme Del Fiol earned his PhD in Biomedical Informatics from the University of Utah. He earned his MD at the University of Sao Paulo, Brazil and his MS in Computer Science at Catholic University of Parana, Brazil. He is an Assistant Professor in the University of Utah’s Department of Biomedical Informatics since 2011. Prior to the University of Utah, Dr. Del Fiol held positions at the Clinical Knowledge Management team at Intermountain Healthcare and at the Duke Community and Family Medicine Department. Since 2008, he has served as one of the co-chairs of the Clinical Decision Support Work Group at HL7. He is the lead author for the HL7 Infobutton Standard and the project lead for OpenInfobutton, an open source suite of infobutton tools and Web services, which is in production use at several healthcare organizations throughout the United States, including Intermountain Healthcare, Duke University, and the Veterans Health Administration (VHA). 

Catherine Staes, BSN, MPH, PhD

Catherine Staes is faculty in the Department of Biomedical Informatics at the School of Medicine, University of Utah.  Dr. Staes received her PhD in Medical Informatics from the University of Utah in 2006, a Master’s in Public Health from Johns Hopkins University in 1987, and a Bachelor’s of Science in Nursing from Georgetown University in 1981.  Dr. Staes was an Epidemic Intelligence Service (EIS) officer with the CDC, worked as a public health epidemiologist for 15 years, and has numerous publications concerning epidemiology and biomedical informatics.  Currently, Dr. Staes’ research and teaching concerns the domain of public health informatics and the development of decision support tools and applications to support surveillance and public health goals, as well as to improve the quality of care delivered in a healthcare setting to meet population health goals.

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Last Updated: September 14, 2017