A Community Health Record: Improving Health Through Multisector Collaboration, Information Sharing, and Technology

We present a framework for developing a community health record to bring stakeholders, information, and technology together to collectively improve the health of a community. It is both social and technical in nature and presents an iterative and participatory process for achieving multisector collaboration and information sharing. It proposes a methodology and infrastructure for bringing multisector stakeholders and their information together to inform, target, monitor, and evaluate community health initiatives. The community health record is defined as both the proposed framework and a tool or system for integrating and transforming multisector data into actionable information. It is informed by the electronic health record, personal health record, and County Health Ranking systems but differs in its social complexity, communal ownership, and provision of information to multisector partners at scales ranging from address to zip code.

[1]  Blaine Reeder,et al.  Scenarios, personas and user stories: User-centered evidence-based design representations of communicable disease investigations , 2013, J. Biomed. Informatics.

[2]  David W Bates,et al.  Personal health records and health care utilization. , 2012, JAMA.

[3]  S. Teutsch,et al.  An opportunity map for societal investment in health. , 2011, JAMA.

[4]  Theresa A. Pardo,et al.  Sustainable Cross-Boundary Information Sharing , 2008, Digital Government.

[5]  W. Dijk,et al.  Building a Culture of Health, County by County , 2014 .

[6]  V. Gilchrist.  The Practical Playbook: Public Health and Primary Care Together. , 2017, Family medicine.

[7]  Shoshannah A. Pearlman.  The Patient Protection and Affordable Care Act , 2013, Journal of the American Psychiatric Nurses Association.

[8]  P. Briss,et al.  Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA , 2014, The Lancet.

[9]  C. Redhead.  The Health Information Technology for Economic and Clinical Health (HITECH) Act , 2009 .

[10]  P. Stange,et al.  A Sustainable Financial Model for Community Health Systems , 2014 .

[11]  L. Curry.  The Future of the Public's Health in the 21st Century , 2005 .

[12]  T. Cutts,et al.  Methods for managing and analyzing electronic medical records: a formative examination of a hospital-congregation-based intervention. , 2014, Population health management.

[13]  David W. Bates,et al.  Viewpoint Paper: A Research Agenda for Personal Health Records (PHRs) , 2008, J. Am. Medical Informatics Assoc..

[14]  David Landsbergen,et al.  Realizing the Promise: Government Information Systems and the Fourth Generation of Information Technology , 2001 .

[15]  Tung-Mou Yang,et al.  Information-sharing in public organizations: A literature review of interpersonal, intra-organizational and inter-organizational success factors , 2011, Gov. Inf. Q..