[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ background_image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/GettyImages-1511226415-scaled.jpg” parallax=”on” background_enable_video_mp4=”off” custom_margin=”-23px|||||” custom_padding=”0px||0px||true|false” border_radii=”off|||15px|15px” box_shadow_style=”preset3″ global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” background_color=”rgba(0,10,35,0.64)” width=”100%” max_width=”100%” custom_margin=”0px|auto||auto|false|false” custom_padding=”144px||306px||false|false” custom_css_main_element=”align-items:flex-end;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”Benefits and Rationale” heading_tag=”h1″ heading_display=”column” sh_style=”background” sh_background_style=”clipped” second_heading_color=”#7ED3FC” second_heading_color_gradient_direction=”30deg” sh_margin=”-15px|0px|0px|20px|false|false” sh_padding_tablet=”” sh_padding_phone=”0px|3px|0px|0px|false|false” sh_padding_last_edited=”on|phone” sh_margin_tablet=”-15px|0px|0px|20px|false|false” sh_margin_phone=”0px|0px|0px|0px|false|false” sh_margin_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” first_heading_font=”Poppins||||||||” first_heading_text_align=”center” first_heading_text_color=”#FFFFFF” first_heading_font_size=”65px” first_heading_letter_spacing=”-4px” first_heading_line_height=”1em” second_heading_font=”Poppins||||||||” second_heading_text_color=”#071018″ second_heading_font_size=”110px” second_heading_letter_spacing=”-10px” second_heading_line_height=”1em” transform_scale=”88%|88%” custom_margin=”109px||10px||false|false” first_heading_font_size_tablet=”150px” first_heading_font_size_phone=”70px” first_heading_font_size_last_edited=”on|phone” first_heading_letter_spacing_tablet=”-10px” first_heading_letter_spacing_phone=”-5px” first_heading_letter_spacing_last_edited=”on|phone” second_heading_font_size_tablet=”150px” second_heading_font_size_phone=”70px” second_heading_font_size_last_edited=”on|phone” second_heading_letter_spacing_tablet=”-10px” second_heading_letter_spacing_phone=”-5px” second_heading_letter_spacing_last_edited=”on|phone” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_dual_heading][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” positioning=”none” z_index=”2″ custom_margin=”|22px||22px|false|true” custom_margin_tablet=”|20px||20px|false|true” custom_margin_phone=”|10px||10px|false|true” custom_margin_last_edited=”on|phone” custom_padding=”||7px|||” border_radii=”off||||” border_radii_tablet=”on|20px|20px|20px|20px” border_radii_phone=”on|15px|15px|15px|15px” border_radii_last_edited=”on|phone” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”-18px|auto||auto||” custom_padding=”33px||7px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_blurb image_icon_width=”40px” icon_alignment=”left” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_text_color=”#071018″ header_font_size=”22px” header_letter_spacing=”-0.2px” header_line_height=”1.2em” body_font=”Poppins||||||||” body_text_color=”#333333″ body_font_size=”18px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”9px||25px|0px|false|false” custom_padding=”|71px||71px|false|true” header_font_size_tablet=”22px” header_font_size_phone=”18px” header_font_size_last_edited=”on|phone” body_font_size_tablet=”” body_font_size_phone=”12px” body_font_size_last_edited=”on|phone” custom_css_blurb_title=”text-transform: none;” locked=”off” global_colors_info=”{}”]<\/p>\n
Before embarking on an effort to gain access to EHI\u00a0<\/span><\/span><\/span>(electronic health information)\u00a0<\/span><\/span><\/span><\/span>through\u00a0<\/span><\/span><\/span>healthcare organizations (<\/span><\/span><\/span>HCOs<\/span><\/span>)<\/span><\/span><\/span>\u00a0<\/span>and\u00a0<\/span><\/span><\/span>healthcare providers (<\/span><\/span><\/span>HCPs<\/span><\/span>)<\/span><\/span><\/span>,\u00a0<\/span><\/span>it\u2019s<\/span>\u00a0<\/span>important for\u00a0<\/span><\/span><\/span>public health authorities (<\/span><\/span><\/span>PHAs<\/span><\/span>)\u00a0<\/span><\/span><\/span>\u00a0<\/span><\/span><\/span><\/span>to understand what benefits this access can deliver, and what the rationale is for undertaking this effort.<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ _module_preset=”default” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_padding=”||7px|||” 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first_heading_font_size=”55px” first_heading_letter_spacing=”-5px” first_heading_line_height=”1.1em” second_heading_font=”Poppins||||||||” second_heading_text_align=”left” second_heading_text_color=”#071018″ second_heading_font_size=”80px” second_heading_letter_spacing=”-9px” second_heading_line_height=”1em” text_orientation=”left” custom_margin=”2px||10px||false|false” first_heading_font_size_tablet=”100px” first_heading_font_size_phone=”60px” first_heading_font_size_last_edited=”on|tablet” first_heading_letter_spacing_tablet=”-7px” first_heading_letter_spacing_phone=”-4px” first_heading_letter_spacing_last_edited=”on|tablet” second_heading_font_size_tablet=”100px” second_heading_font_size_phone=”60px” second_heading_font_size_last_edited=”on|tablet” second_heading_letter_spacing_tablet=”-7px” second_heading_letter_spacing_phone=”-4px” second_heading_letter_spacing_last_edited=”on|tablet” locked=”off” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_dual_heading][et_pb_blurb image_icon_width=”40px” icon_alignment=”left” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_text_color=”#071018″ header_font_size=”22px” header_letter_spacing=”-0.2px” header_line_height=”1.2em” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”20px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”1px||107px|0px|false|false” custom_padding=”|19px||19px|false|true” header_font_size_tablet=”22px” header_font_size_phone=”18px” header_font_size_last_edited=”on|phone” body_font_size_tablet=”” body_font_size_phone=”12px” body_font_size_last_edited=”on|phone” custom_css_blurb_title=”text-transform: none;” locked=”off” global_colors_info=”{}”]<\/p>\n Direct access to EHI can\u00a0<\/span><\/span>benefit<\/span>\u00a0<\/span>PHAs, HCOs, and clients\/patients by removing barriers to\u00a0<\/span><\/span>timely<\/span>\u00a0<\/span>and secure access to patient and clinical information and supports reporting to PHAs.\u00a0<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ width=”68%” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”|auto|92px|auto||” custom_padding=”20px|45px|47px|45px|false|true” custom_padding_tablet=”20px|20px|20px|20px|true|true” custom_padding_phone=”10px|10px|10px|10px|true|true” border_radii=”on|15px|15px|15px|15px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.5)” border_width_bottom=”0px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_accordion open_toggle_text_color=”#0c6dff” open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” _builder_version=”4.27.4″ _module_preset=”default” toggle_font=”Poppins||||||||” toggle_text_align=”left” toggle_font_size=”22px” body_font=”Poppins|300|||||||” body_text_align=”left” body_text_color=”#FFFFFF” body_font_size=”19px” border_radii=”off|20px|20px||” border_width_all=”0px” global_colors_info=”{}”][et_pb_accordion_item title=”Public Health Benefits ” open=”on” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF”]<\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Healthcare Organization Benefits ” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF” open=”off”]<\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Client and Patient Benefits ” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF” open=”off”]<\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Barriers Addressed by Access ” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF” open=”off”]<\/p>\n Barriers are often present when conducting response activities for public health events and when investigating anomalies found through the analysis of routine surveillance data. Typical barriers that EHI access can address include:<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n When PHAs\u00a0are able\u00a0<\/span>to\u00a0have direct access to<\/span>\u00a0EHI from HCOs in their communities, they work more efficiently and with better, more\u00a0complete\u00a0<\/span>and\u00a0accurate<\/span>\u00a0patient clinical information\u00a0<\/span>enabling<\/span>\u00a0more\u00a0timely\u00a0public health actions\u00a0<\/span>that<\/span>\u00a0ultimately prevent\u00a0further disease, death, and disability.<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_blurb title=”Success Story : Marisa Hopper, Tennessee Department of Health ” use_icon=”on” font_icon=”||fa||900″ icon_placement=”left” content_max_width=”840px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins||||||||” body_font=”Poppins||||||||” custom_margin=”|95px||95px|false|true” custom_padding=”34px|3px|34px|3px|true|true” border_radii=”on|15px|15px|15px|15px” border_width_all=”1px” global_colors_info=”{}”]<\/p>\n The Tennessee Department of Health\u2019s journey to operationalizing electronic health information access\u00a0<\/span><\/span>dem<\/span>onstrates<\/span>\u00a0<\/span>ho<\/span>w persistence, partnership, and strategy can transform disease surveillance statewide. Under the leadership of Marisa Hopper, the department expanded EHR access from a handful of hospitals to\u00a0<\/span><\/span>nea<\/span>rly 90%<\/span>\u00a0<\/span>of<\/span>\u00a0<\/span>major health systems, significantly reducing the need for manual record requests and faxes. Hopper\u2019s\u00a0<\/span><\/span>tea<\/span>m built<\/span>\u00a0<\/span>tr<\/span>ust by emphasizing the\u00a0<\/span><\/span>bur<\/span>den<\/span>\u00a0<\/span>re<\/span>lief for healthcare providers and backing the access requests with legislative references and letters from state leadership. Once access was secured, investigations became faster and more efficient, enabling staff to quickly answer critical questions, such as pregnancy status for hepatitis B cases, directly from the record. \u201cIt just makes everybody\u2019s life so much easier,\u201d Hopper explained, noting that EHR access has strengthened relationships with infection prevention teams, improved timeliness, and enhanced completeness of case investigations across all infectious disease programs.<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ custom_margin=”10px|||||” custom_padding=”5px||9px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_margin=”14px|auto||auto||” custom_padding=”17px||4px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column 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custom_margin_phone=”|10px||10px|false|true” custom_margin_last_edited=”on|phone” custom_padding=”36px||4px|||” border_radii=”off|20px|20px||” border_radii_tablet=”off|20px|20px||” border_radii_phone=”off|15px|15px||” border_radii_last_edited=”on|phone” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_padding=”||7px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”References ” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” fh_padding_phone=”0px|20px|20px|20px|false|true” fh_padding_last_edited=”on|desktop” sh_padding_tablet=”0px|20px|20px|20px|false|true” sh_padding_phone=”0px|20px|20px|20px|false|true” sh_padding_last_edited=”on|desktop” sh_margin_tablet=”-30px|0px|0px|20px|false|false” sh_margin_phone=”-20px|0px|0px|0px|false|false” sh_margin_last_edited=”on|phone” module_id=”section1″ _builder_version=”4.27.4″ _module_preset=”default” first_heading_font=”Poppins||||||||” first_heading_text_align=”left” first_heading_text_color=”#000a23″ first_heading_font_size=”55px” first_heading_letter_spacing=”-5px” first_heading_line_height=”1.1em” second_heading_font=”Poppins||||||||” second_heading_text_align=”left” second_heading_text_color=”#071018″ second_heading_font_size=”80px” second_heading_letter_spacing=”-9px” second_heading_line_height=”1em” text_orientation=”left” custom_margin=”9px||10px||false|false” first_heading_font_size_tablet=”100px” first_heading_font_size_phone=”60px” first_heading_font_size_last_edited=”on|tablet” first_heading_letter_spacing_tablet=”-7px” first_heading_letter_spacing_phone=”-4px” first_heading_letter_spacing_last_edited=”on|tablet” second_heading_font_size_tablet=”100px” second_heading_font_size_phone=”60px” second_heading_font_size_last_edited=”on|tablet” second_heading_letter_spacing_tablet=”-7px” second_heading_letter_spacing_phone=”-4px” second_heading_letter_spacing_last_edited=”on|tablet” locked=”off” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_dual_heading][et_pb_blurb image_icon_width=”40px” icon_alignment=”left” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_text_color=”#071018″ header_font_size=”22px” header_letter_spacing=”-0.2px” header_line_height=”1.2em” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”20px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”1px||108px|0px|false|false” custom_padding=”|19px||19px|false|true” header_font_size_tablet=”22px” header_font_size_phone=”18px” header_font_size_last_edited=”on|phone” body_font_size_tablet=”” body_font_size_phone=”12px” body_font_size_last_edited=”on|phone” custom_css_blurb_title=”text-transform: none;” locked=”off” global_colors_info=”{}”]<\/p>\n Creswell, Paul D. PhD; Mader, Sara RN, MPH;\u00a0<\/span><\/span>Modji<\/span>, Komi K.S. MD, MS, CPH; McCoy, Katherine E. PhD. A Breath of Fresh Air: Pilot Testing Electronic Case Reporting for Public Health Surveillance of Occupational Lung Diseases in Wisconsin. Journal of Public Health Management & Practice 31(4<\/span>):p<\/span>\u00a0<\/span>558-565, July\/August 2025. DOI: 10.1097\/PHH.0000000000002147\u00a0<\/span><\/span><\/span>\n
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