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.
Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE, Atlanta, GA 30333. Email: rjking@cdc.gov. At the time this study was initiated Dr King was a Public Health Informatics Fellow at the Centers for Disease Control and Prevention, Atlanta, Georgia.
Raymond J
RJ
King
Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia.
Nedra
N
Garrett
State of Tennessee, Nashville, Tennessee.
Jeffrey
J
Kriseman
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Melvin
M
Crum
BayCare Health System, Clearwater, Florida. At the time this study was initiated Dr Rafalski was at Methodist Le Bonheur Healthcare, Memphis, Tennessee.
Edward M
EM
Rafalski
Shelby County Health Department, Memphis, Tennessee.
David
D
Sweat
Common Table Health Alliance, Memphis, Tennessee.
Renee
R
Frazier
Methodist Le Bonheur Healthcare, Memphis, Tennessee.
Sue
S
Schearer
Wake Forest School of Medicine, Winston-Salem, North Carolina. At the time this study was initiated Dr Cutts was at Methodist Le Bonheur Healthcare, Memphis, Tennessee.
Teresa
T
Cutts
D018672:Community Health Planning / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards*; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D000070516:Intersectoral Collaboration; D014481:United States