HomeMy WebLinkAbout951037.tiffRESOLUTION
RE: APPROVE COMMUNITY HEALTH INFORMATION SYSTEM PROPOSAL FROM HEALTH
DEPARTMENT TO DATA ALLIANCE COMMITTEE, NATIONAL ASSOCIATION OF
COUNTY AND CITY HEALTH OFFICIALS, AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Community Health Information System
Proposal from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Health Department to the Data
Alliance Committee, National Association of County and City Health Officials, with terms and
conditions being as stated in said proposal, and
WHEREAS, after review, the Board deems it advisable to approve said proposal, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Community Health Information System Proposal from the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Weld County Health Department to the Data Alliance Committee, National Association
of County and City Health Officials, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized
to sign said proposal.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 17th day of May, A.D., 1995.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY,QOLORADO
Deputy Glenthe Board
APPROVED AS TO FORM:
unt9,Attomey
Dale K. Hall, Chairma
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Aim fc,�
BarbaryJ. Kirkmeyer, -Tem
George E1. Baxter
Fxri iSFn
Constance L. Harbert
951037
HL0021
Data Alliance Project
National Association of County and City Health Officials (NACCHO)
440 First Street, NW
Washington, DC 20001
Applicant's Name: Weld County Health Department
Address:
Contact Person:
Telephone:
Amount Requested:
1517 16th Avenue Court
Greeley, CO 80631
John S. Pickle, M.S.E.H.
(970) 353-0586
$70,000
Project Period: July 1, 1995 through June 30, 1996 (First Year)
WELD COUNTY BOARD OF COMMISSIONERS
a 1
Chairman
05//7/615
Weld ounty Cl rk t the Board
rector
WELD COUNTY HEALTH DEPARTMENT
ickle M.S.E.H.
951037
RFP Summary
Community Health Information System Demonstration Project
Sponsor: NACCHO / CDC
Application Deadline: May 20, 1995
Project to be Awarded: July 1995
Period: 3 years - $ 210,000
Purpose of Project:
1. Establish a leadership role for a local health department (LHD) in the establishment of an
integrated Public / Private Community Health Information System (CHIS).
2. Identify and develop public / private partnerships that will help increase resources for the
project. The public / private alliances are to represent organizations and disciplines involved in
creating healthy communities.
3. Design integrated, comprehensive health data systems including the use of electronic
communications (Internet & Bulliten Boards) to improve health related processes and decision
making.
4. Test a scaled down model of the system.
5. Develop an implementation plan for the over all system.
Scope of Work: The scope of the work for the project period is summarizied as follows.
Task 1. The state health department will identify a liaison to ensure the needs and operations of
information systems at the local level are are considered at the state level in establishing health
policy and health information needs.
Task 2. The local health department will establish a committee representing major health
organizations and other organizations and disciplines involved in creating healthy communities.
Task 3. The local health department will coordinate the development of an inventory of all data
systems from the local area. The description should include a listing of the variables collected,
how the data are analyzed, how the results are distributed, how frequently the the reults are
updated, and who uses the information and for what purposes.
Task 4. The local health department and the partners on the project will collaborate to identify
the data priorities and gaps in data.
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Task 5. The local health department and the partners will comprehensively design a community
health information sysytem that integrates the existing data from the health community and
devises additional data collection methods to fill identified data gaps.
Task 6. The local health department will receive committments from the participating partners as
to what and how the information will be shared.
Task 7. The local health department and partners will develop and implement a scaled down
version of of the community health information system.
Task 8. The local health department and partners will develop an implementation plan for the
overall integrated, comprehensive community health data system.
Tasks involving the establishment of the committee and inventory of data systems would most
likely occur during the first two years of the project. System design, testing and implementation
would most likely occur during the third year.
Project funding provides for system hardware and software.
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Community Health Information System Proposal
Submitted by:
Weld County Health Department
1517 16th Avenue Court
Greeley, CO 80631
Submitted to:
Data Alliance Committee
National Association of County and City Health Officials
440 First Street, NW
Washington, DC 20001
951037
PROPOSAL NARATIVE
Problem or Need to be Adressed
The anticipation of the coming of the new mellinium presents a major opportunity for change nad
has motivated as never before the bringing together of coalitions at the community level to reflect
on their desire for the future and what constitutes a healthy community in its broadest context.
This has had the effect of increasing citizen awareness and expectations from government
agencies and local institutions at all levels and in all sectors relative to providing guidance through
community assessment and planning. This phenomenom coincides with the "information
explosion" and development of the "information super -highway" , providing important tools to
assist in the decision making as we plan for our future. This motivation for change is clearly
evident in the health care field including preventive medicine and public health.
The land mark documents The Future of Public Health and Healthy People Year 2000 setforth
the year 2000 challenges for public health and preventive medicine and asseessment and
surveillance, including community health information systems, were given the hihgest of priority.
Weld County Health Department and Northeast District Health Department have responded by
centralizing the health data collection, surveillance and analysis functions with in their respective
departments and have designated staffing accordingly to focus their efforts in that rergard. Both
departments are in the process of upgrading their computer hardware and software to state of the
art client server systems which will include data collection, surveillance and analysis capabilities.
The project desrcribed herein proposes to enhance our already ongoing data collection,
surveillance and analysis system by building the foundation for a comprehensive partnership
between public health and the private sector through the application of electronic on-line
communications technology. The resulting integrated community health information system
would provide for the timely dissemination of health related data.
Qualifications of Applicant Agencies
Applicant Agencies and Project Participants
Weld County Health Department and Northeast Colorado Health Department are local public
health jurisdictions organized under authority of Colorado State Statutes and are accountable to
their respective County Boards of Commissioners. The respective local health departments serve
the seven northeasternmost counties in Colorado, commonly referred to as the "High Plains". The
counties serve a population in excess of 200,000 people and encompass over 11,000 square miles.
The area is characterized by its rural nature and agrarian economy but, within the past several
years, has experienced substantial growth.
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Weld County Health Department, the lead agency for this proposal , was organized in 1937 ( the
second oldest health department in Colorado) and has a population of approximately 135,000
people and 35 incoporated towns and villages.
The broad based support for this project is evidenced by the diversity of agencies and
organizations submitting letters of willingness (Attachment 1) to participate in in the
demonstration project. Undoubtedly, participants in the project will increase significantly during
the inventory phase of the proposed project.
2. Capacity to Covene Key Community Players and Effect Change Through Coalition Building.
Past and ongoing collaborative efforts within the local health jurisdictions can be readily
demonstrated at a variety of local levels as well as on a regional basis.
Both agencies were instrumental in the formation of the High Plains Consortium, a coalition
which brought together public health agencies and academia serving Northeastern Colorado.
Members of the consortium included representatives from the University of Northern Colorado
Master of Public Health Program, Colorado University Scool of Health Sciences Master of
Science in Public Health Program and, Colorado State University Environmental Epidemiology
Program as well as the eight locla health departments in Northeast Colorado. The Consortium
has been successful in securing Funding from the Kellog Foundation which supports numerous
projects including community health assessments and the support of graduate interns in public
health agencies.
Weld County Health Department's ability to effective convene community coalitions are
summarized throughout the the attached document Weld County Health Objectives fro the Year
2000: 1994 Review . More specifically, the the Community Based Education and Health
Promotion Section of the document reviews the department's ongoing efforts to build and
maintain community based coalitions and advisory committees many of which were initiated based
on the concerns of interested citizens in response to identified health problems.
Weld County Health Department was also insrumental for convening the Weld County
Community Health Coalition, a committee of providers of community health and social service
agencies in Weld County. Representation includes Northern Colorado Medical Center, Sunrise
and SaLud which are federally funded uban health clinics, United Way, the Area Agency on Aging
ans well as several social service providers.
Northeastern Health Department's collaborative abilities are perhaps, best exemplified by the
regional approach to the delivery of public health services. The small population base in each of
the local health jurisdiction's counties combined with the large geographic area covered
necessitate partnerships at all levels of preventive health care including numerous multi -county
coalitions as well as community based coalitions.
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3. Communities Willingness to use Health Information Within the Context of Health Planning.
Without doubt, both local health jurisdictions, Weld County Health Department and Northeast
Colorado Health Department, serve as the central and primary source of community health
information to their citizens, allied health agencies, county and city governments as well as the
numerous school based and community based coalitions desribed above. Likewise, allied health
agencies, agencies of local government, community health providers and institutions share with
the departments data relative to utilization and outcomes specific to their activities. The goal of
the demonstration project is, in part, to formalize and increase the effiency and effectiveness of
this process.
4. State Health Department Support
The Colorado Department of Public Health and Environment, Health Statisitics Section, supports
the proposed demonstration project as evidenced by the letter of committment included in
Attachment 1. The State Health Department has been most suppotive in all of our assessment and
evaluation efforts and is an important resource and ally in our preventive health care and health
promotion effotrs.
5. Experience in Evaluating Public Health Programs and Information Systems
The departments' experience in evaluating public health progams and information systems and
analyzing surveillance systems is demonstrated, in part, by the experience and professional and
educational background of its key project staff included in Attachment 2. The document Weld
County Health Objectives for the Year 2000: 1994 Review demonstrates product from that
experience.
6. Electronic On-line Communication Cababilty
Weld County Health Department recently gained access to Internet through through contract with
Colorado Supernet. The department is also logged onto CDC Wonder and is experienced in
using a variety of additional on-line services and databases available through state and federal
agencies. Northeast Colorado Health Department is planning on installing the reqiured hardware
Scope of Work
Task 1.
The Colorado Department of Public Health and Environment supports the proposed project and
has indicated a willingness to identify a liaison with the project and to ensure that needs and
operations of information systems at the local level are considered at the state level in establishing
health policy and health information needs. (completion date: year I)
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Task 2.
Project staff representing Weld County Health Department and Norteast Colorado Health
Department will establish a committee representing major health organizations and other
ogranizations and disciplines involved in creating healthy communities. (completion date: year 2)
Task 3.
Project staff will coordinate the development of an inventory of all data systems from the local
area including data from the respective health departments, the private sector, community
hospitals, social and human service organizations, schools, and community based health
organizations. The inventory will include a listing of variables collected, how the data are
analyzed, how the results are distributed, how frequently the systems are updated, how the results
are distributed, and who uses the information and for what purposes. (completion date : year 1)
Task 4.
The project staff and partners in the project will collaborate to identify data prioities and the gaps
in data. (completion date: year 1)
Task 5.
The project staff and partners on the project will comprehensively design a community health
information system that integrates the existing data from the health community and devises
addition data collection methods to fill identified data gaps. This system will include information
on what and how data are to be collected, hardware and software needs, and how these data are
to be used. (completion date: year 2)
Task 6.
As part of the of the overall project and as a preparatory step to implementing the comprhensive,
integrated data system, Weld County Health Department and Northeast Colorado Health
Department will receive committments from participating partners as to what and how the data
will be shared. These committments will be outlined in memoranda of agreement and will address
such issues as confidentiality and suppression of data. (completion date: year 3)
Task 7.
Project staff and and the partners will test a scaled down model of the comprehensive, integrated
community health data system and will produce two to three examples of reports. (completion
date: year 3)
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Task 8.
Project staff and the partners will develop an implementation plan for the overall intgrated,
comprehensive community health data system. (completion date: year 3)
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