iPHIS

iPHIS(Integrated Public Health Information System): 

iPHIS (Integrated Public Health Information System) Alison, Christa, Elaine, Elaine, Laura, Sherri

Overview: 

Overview What is iPHIS? History of iPHIS Why use iPHIS? Who uses iPHIS? How does iPHIS work? Future Directions/Considerations

What is iPHIS?: 

What is iPHIS? Integrated Public Health Information System Web-based One database Health professionals, health managers, health researchers, epidemiologists Client level tools and health surveillance data

Components of iPHIS: 

Components of iPHIS Client demographics Public health services Communicable diseases Tuberculosis STD Outbreaks Mass services Laboratory results

Key Aspects: 

Key Aspects Single data collection, storage, access, and management Single client record Historical information Scheduling Real time alerts Outbreak monitoring Security functions Integrated system Assessment tools Assistance in forecasting, research, analysis

History of iPHIS: 

History of iPHIS All reportable diseases in Ontario were reported to: Local Public Health Units Reported electronically using the Reportable Disease Information System (RDIS) to the MOHLTC Health Canada Eventually…. World Health Organization (WHO)

RDIS: 

RDIS Reportable Disease Information System Intended to meet case management and public health surveillance needs An aging system that is severely limited Developed by a private company in the US in the mid 80’s Based on a proprietary architecture that is no longer widely used or supported Based on DOS and is therefore not “Windows-driven” or user friendly

RDIS: 

RDIS No standard training Is a stand-alone system that cannot be integrated into other systems Technically unsustainable Resulted in a lack of timely data capture and reporting RDIS was the only MOHLTC system that could not meet the Y2K deadline

RDIS: 

RDIS The continued use of RDIS was considered a liability for the MOHLTC To address these and other public health information system deficiencies, the MOHLTC established the Public Health Information System Advisory Committee (PHISAC) in 2000 In 2002 a subsequent group, the Ontario Advisory Board, was established Health Canada had to negotiate with P/T’s to share information for national surveillance Resulted in a national surveillance program

Why use iPHIS?: 

Why use iPHIS? Data collection Data sharing Increased functionality Decreased reliance

Data Collection: 

Data Collection Data stored in central database Reduces duplication Easy access to patient information Easy statistical analysis Easy to see reports Near real time access

Data Sharing: 

Data Sharing Ability to transfer client information between PHUs Report outbreaks between PHUs Improved ability to handle outbreaks Safety

Slide13: 

Green cells: Situaltions in which the old information systems would detect Red cells: Indicate when only the new enhanced information system (iPHIS) is able to detect the problem Anderson, M. & Walker, H. (2003), p.48.

Increased Functionality: 

Increased Functionality Online help Call centre support Detailed glossary and dictionary Web-based (can be updated)

Decreased Reliance: 

Decreased Reliance No need to rely on programs such as SPSS or PowerPoint Able to use statistical analysis within the program

Jurisdiction: 

Jurisdiction iPHIS is the property of the Public Health Agency of Canada (PHAC) Originally developed for use as an application by the BC Centre for Disease Control Further enhanced through collaboration between PHAC to all public health jurisdictions across Canada When implemented in a jurisdiction, the pilot is funded by each jurisdiction, with technical and implementation support from the PHAC

Smart Systems for Health Agency (SSHA): 

Smart Systems for Health Agency (SSHA) Ontario government initiative SSHA computer technologies provide healthcare professionals with secure electronic access to patient information Provides public health with secure network connections and hosts iPHIS programming All of Ontario’s 37 PHUs are connected to SSHA network Future endeavors include secure e-mail and expanded health connections across the health sector

Pilot Implementations of iPHIS: 

Pilot Implementations of iPHIS These jurisdictions have already completed pilot implementations of iPHIS: British Columbia Manitoba Saskatchewan Alberta North West Territories Newfoundland and Labrador Ontario Bahamas The Yukon is currently piloting implementation First Nations and Inuit Health Branch have requested pilot implementation

iPHIS Pilots: 

iPHIS Pilots

Requests for iPHIS Pilots: 

Requests for iPHIS Pilots

Who uses iPHIS: 

Who uses iPHIS Within the PHUs currently utilizing the iPHIS technology: PHNs and public health managers Epidemiologists Researchers Parents through PHNs

How iPHIS works: 

How iPHIS works http://www.ciphs.ca/pdfs/iPHIS_6.5.1_Outbreak_Orientation.pdf

How iPHIS works: 

How iPHIS works http://www.ciphs.ca/pdfs/iPHIS_6.5.1_Outbreak_Orientation.pdf

How iPHIS works: 

How iPHIS works http://www.ciphs.ca/pdfs/iPHIS_6.5.1_Outbreak_Orientation.pdf

Security: 

Security Smart Systems for Health Agency (SSHA) Secured network using virtual private network technology to protect client confidentiality when data is transmitted between health unit and the central base A secured and professionally managed data centre to ensure data is accessible to authorized users for legitimate purposes

Security: 

Security

Authorization: 

Authorization Registration Numerical password that is case sensitive Job-search correlation

Future Directions/Considerations: 

Future Directions/Considerations Canada wide access with all provincial PHUs using iPHIS Tracking of non-infectious data to help predict and prevent outbreaks Integration with 3-dimensional statistical analysis tools Better reporting communication between PHU and clinical practitioners

References: 

References Anderson, M. & Walker, H. (2003). Assessment of the benefits and costs of adoption of iPHIS: a study undertaken for the centre for surveillance coordination. Health Canada, p.48. Retrieved October 11, 2005 from www.phred-redsp.on.ca/Docs/PresentationOnIPHIS_April2005.pdf Canadian Integrated Public Health Surveillance. (2005). Canadian Integrated Public Health Surveillance: Specific Applications: iPHIS. Retrieved October 11, 2005, from http://www.ciphs.ca/ciphs_application.html Canadian Integrated Public Health Surveillance. (2005). Integration to Enable Public Heatlh. Retrieved October 11, 2005, from http://www.ciphs.ca/ciphs application.html Engwer, L., Public Health Information System: The Pan-Canadian Perspective, Presented by Amaranth Consulting Group, Public Health Information Management Presentation, Retrieved on 10/10/05 from www.bchimps.bc.ca/pptfiles/ Spring%2005%20Layton%20Engwer.ppt Finkelstein, M. (2005). Integrated Public Health Information System (i-PHIS): An update for public health research evaluation & development.  Retrieved October 22, 2005, from www.phred-redsp.on.ca/Docs/PresentationOnIPHIS_April2005.pdf Foldy, S.L. (2004). Linking better surveillance to better outcome. [Electronic Version]. Morbidity and Mortality Weekly Report: Syndromic Surveillance, 53, 12-17. Lougheed, T. (2005). Breaking the code: predicting where disease will strike. [Electronic Version]. Environmental Health Perspectives, 113(9), A610-A613.

References: 

References McGeehin, M.A., Qualters, J.R., & Niskar, A.S. (2004). National environmental public health tracking program: bridging the information gap. [Electronic Version]. Environmental Health Perspectives, 112(14), 1409-1413. Ministry of Ontario, eHealth Application Tools Workshop: Integrated Public Health Information System Retrieved on 10/10/05 from www.showcaseontario.com/2004/Presentations Public Health Agency of Canada. (2005). About the Public Health Agency of Canada. Retrieved October 2, 2005, from http://www.phac-aspc.gc.ca/about_apropos/index.html Public Health Agency of Canada. (2005). CIPHIS Program. Retrieved October 11, 2005, from http://www.phac-aspc.gc.ca/csc-css/ciphs_e.thyml#whatis Public Health Agency of Canada. (2005). Pan Canadian Outbreak Management Orientation. Retrieved October 11, 2005, from http://www.ciphs.ca/pdfs/iPHIS_6.5.1_Outbreak_Orientation.pdf Smart Systems for Health Agency. (2005). Our Clients – Public Health, Retrieved October 2, 2005 from http://www.ssha.on.ca/clients/phus.html.

Slide31: 

Thank you….. Happy Halloween!!!!