title: The Hub Population Health System: distributed ad hoc queries and alerts.
abstract: The Hub Population Health System enables the creation and distribution of queries for aggregate count information, clinical decision support alerts at the point-of-care for patients who meet specified conditions, and secure messages sent directly to provider electronic health record (EHR) inboxes. Using a metronidazole medication recall, the New York City Department of Health was able to determine the number of affected patients and message providers, and distribute an alert to participating practices. As of September 2011, the system is live in 400 practices and within a year will have over 532 practices with 2500 providers, representing over 2.5 million New Yorkers. The Hub can help public health experts to evaluate population health and quality improvement activities throughout the ambulatory care network. Multiple EHR vendors are building these features in partnership with the department's regional extension center in anticipation of new meaningful use requirements.
authors.affiliation: Bureau of Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York 11101-4132, USA. mbuck@health.nyc.gov
authors.forename: Michael D
authors.initials: MD
authors.lastname: Buck
authors.forename: Sheila
authors.initials: S
authors.lastname: Anane
authors.forename: John
authors.initials: J
authors.lastname: Taverna
authors.forename: Sam
authors.initials: S
authors.lastname: Amirfar
authors.forename: Remle
authors.initials: R
authors.lastname: Stubbs-Dame
authors.forename: Jesse
authors.initials: J
authors.lastname: Singer
mesh_terms: D003199:Computer Systems; D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D006801:Humans; D009519:New York City; D011159:Population Surveillance / Q000379:methods*; D040442:Public Health Informatics
references.citation: J Am Med Inform Assoc. 2010 Jul-Aug;17(4):367-9
references.pmid: 20595300
references.citation: Prev Chronic Dis. 2011 May;8(3):A56
references.pmid: 21477496
references.citation: J Public Health Manag Pract. 2006 Mar-Apr;12(2):196-200
references.pmid: 16479235
references.citation: Milbank Q. 2009 Sep;87(3):547-70
references.pmid: 19751279
references.citation: Ann Intern Med. 2009 Sep 1;151(5):341-4
references.pmid: 19638403
references.citation: J Am Med Inform Assoc. 2010 Mar-Apr;17(2):217-9
references.pmid: 20190067
references.citation: J Am Med Inform Assoc. 2010 Jan-Feb;17(1):34-41
references.pmid: 20064799
references.citation: Public Health Rep. 2004 Sep-Oct;119(5):464-71
references.pmid: 15313109
references.citation: J Am Med Inform Assoc. 2010 Jul-Aug;17(4):359-66
references.pmid: 20595299
references.citation: Prev Chronic Dis. 2006 Jul;3(3):A94
references.pmid: 16776895
references.citation: Arch Intern Med. 2003 Nov 24;163(21):2625-31
references.pmid: 14638563
references.citation: Vital Health Stat 2. 2006 Jan;(143):1-83
references.pmid: 17552126
references.citation: MMWR Suppl. 2004 Sep 24;53:53-5
references.pmid: 15714629
references.citation: Health Aff (Millwood). 2009 Mar-Apr;28(2):454-66
references.pmid: 19276005
references.citation: BMC Public Health. 2006 Sep 19;6:235
references.pmid: 16984658
references.citation: MMWR Suppl. 2004 Sep 24;53:23-7
references.pmid: 15714622
references.citation: J Public Health Manag Pract. 2005 May-Jun;11(3):184-90
references.pmid: 15829830