[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ parallax=”on” background_enable_video_mp4=”off” custom_margin=”-23px|||||” custom_padding=”0px||0px||true|false” hover_enabled=”0″ border_radii=”off|||15px|15px” box_shadow_style=”preset3″ global_colors_info=”{}” title_text=”man consulting a doctor online using his computer, telemedicine and online doctor concept illustration.” background_image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/GettyImages-1295167513-1-scaled.jpg” sticky_enabled=”0″][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” width=”100%” max_width=”100%” custom_margin=”0px|auto||auto|false|false” custom_padding=”144px||20px||false|false” hover_enabled=”0″ custom_css_main_element=”align-items:flex-end;” global_colors_info=”{}” background_color=”rgba(0,10,35,0.64)” sticky_enabled=”0″][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”Enhancing Public Health Practice Using EHI ” 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” custom_padding=”||13px|||” 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_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=”#EFF2F4″ body_font_size=”18px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”60px||227px|0px|false|false” custom_padding=”|320px||320px|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
Electronic Health Information (EHI)\u00a0contains\u00a0essential clinical data that, when accessed appropriately, can significantly improve the timeliness, accuracy, and effectiveness of public health practice\u2014including surveillance and response efforts.<\/span>\u00a0<\/span><\/p>\n By integrating structured and\u00a0timely\u00a0EHI data elements\u2014such as laboratory results, diagnoses, treatments, vaccination status, and demographic details\u2014public health professionals can enhance a wide range of activities.<\/span>\u00a0<\/span><\/p>\n Below are several common use cases\u00a0demonstrating\u00a0how EHI can be\u00a0leveraged\u00a0to strengthen public health\u00a0practice.<\/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=”4.16″ _module_preset=”default” positioning=”none” z_index=”2″ custom_margin=”|22px|136px|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=”129px||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 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=”51%” 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=”Use Cases for Incorporating EHI ” 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=”on”]<\/p>\n EHI can provide information critical for public health investigation of cases of reportable conditions and outbreaks, including but not limited to, history of present illness, past medical history, social and travel history, medications and vaccinations, laboratory and radiologic results, and clinical impressions and assessments<\/span><\/span>.<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Use Cases for Incorporating EHI ” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n EHI can provide information critical for public health investigation of cases of reportable conditions and outbreaks, including but not limited to, history of present illness, past medical history, social and travel history, medications and vaccinations, laboratory and radiologic results, and clinical impressions and assessments<\/span><\/span>.<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Case Verification and Classification Use Case ” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n Case verification and classification\u00a0is\u00a0used to confirm whether reported cases meet standardized public health case definitions, enabling consistent classification and counting across\u00a0jurisdictions. Relevant EHI data elements could include laboratory results, diagnosis codes, clinical notes, patient demographics, and encounter details. Because EHI provides real-time access to lab and diagnostic data, the PHA avoids delays and reduces the need to re-contact providers for verification.\u00a0It can also allow public health to gather\u00a0important\u00a0detailed\u00a0information on risk factors for illness, which can be used to\u00a0<\/span>help public health professionals\u00a0determine\u00a0who is most at risk and how\u00a0to\u00a0protect them.<\/span>\u00a0<\/span><\/p>\n For example, a state public health agency receives\u00a0an automated\u00a0feed of potential\u00a0hepatitis A cases\u00a0from multiple healthcare organizations. To verify and classify these cases epidemiologists:<\/span>\u00a0<\/span><\/p>\n <\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Public Health Emergency Response Use Case ” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n EHI can provide PHAs with immediate access to data contained in EHRs during mass exposure events (i.e., contaminated food, bioterrorism, etc.). This can allow the PHA to gain a better understanding of how an event or\u00a0response\u00a0activities are progressing, along with detailed clinical and sometimes exposure or risk information. Access to EHI during a public health emergency\u00a0facilitates\u00a0rapid contact tracing or prioritized testing of\u00a0suspected\u00a0 cases. Surveillance work and case ascertainment during public health emergency\u00a0response\u00a0can be done in remote or off-site settings, which improves staff\u00a0efficiencies\u00a0and improves\u00a0timely\u00a0public health response where needed.\u00a0<\/span>\u00a0<\/span><\/p>\n For example, a freight train derails near a suburban neighborhood, releasing hazardous chemicals into the air and water supply. Initial reports to the PHA include emergency calls and environmental monitoring\u00a0data but\u00a0lack detailed clinical information about affected individuals.<\/span>\u00a0<\/span><\/p>\n Access to EHI can\u00a0assist\u00a0the PHA and first responders by:<\/span>\u00a0<\/span><\/p>\n Supplementing limited reports: Public health\u00a0professionals\u00a0access EHI to review emergency department\u00a0(ED)\u00a0visits and EMS records from nearby hospitals. These records reveal symptoms consistent with chemical\u00a0exposure\u2014such as respiratory distress, dizziness, and skin irritation\u2014that were not captured in\u00a0initial\u00a0reports\u00a0to the PHA.<\/span>\u00a0<\/span><\/p>\n Identifying\u00a0Additional Cases: By querying EHRs for patients\u00a0presenting with\u00a0relevant symptoms and ICD-10 codes, PHAs\u00a0identify\u00a0additional\u00a0individuals who sought care but were not initially linked to the\u00a0event.<\/span>\u00a0<\/span><\/p>\n Understanding Exposure and Outcomes: EHI provides timestamps, geographic data, and clinical details that help epidemiologists:<\/span>\u00a0<\/span><\/p>\n Reducing Delays: Immediate access to EHI\u00a0eliminates\u00a0the need to re-contact healthcare organizations for verification, allowing PHAs to act quickly to issue public advisories, deploy mobile response units, and coordinate environmental remediation.<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Syndromic Surveillance\/Early Signal \ufffc Detection Use Case ” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n PHAs use EHI to obtain information about patterns of disease and risk within the community through early signal detection activities such as syndromic surveillance. Syndromic surveillance can be based on many types of\u00a0data\u00a0including ICD codes, defined syndromes, laboratory test results, and even risk factors. Increases in reports of specific\u00a0data, such as chief complaints provided as part of\u00a0ED\u00a0visits, can provide PHAs with an early signal that there is a problem within a community.<\/span>\u00a0<\/span><\/p>\n For example, a heat-related illness spike occurs during an\u00a0extended summer\u00a0heatwave.\u00a0In mid-July\u00a0a\u00a0PHA in a large metropolitan area begins\u00a0monitoring\u00a0ED\u00a0data\u00a0related to the\u00a0heatwave. Syndromic surveillance systems flag a sudden increase in emergency department visits with chief complaints such as \u201cdizziness,\u201d \u201cheat exhaustion,\u201d \u201cdehydration,\u201d and \u201cfainting.\u201d<\/span>\u00a0<\/span><\/p>\n How EHI enhances early detection in this example:<\/span>\u00a0<\/span><\/p>\n Early detection allows the PHA to prioritize new cooling stations in neighborhoods that\u00a0indicate\u00a0an increase\u00a0in heat related illness and\u00a0lack\u00a0access to air conditioning.\u00a0<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Outbreak Investigation and Exposure Follow Up Use Case ” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n Public health professionals investigating outbreaks and following up on exposures can use EHI to supplement limited information contained in\u00a0initial\u00a0reports to better understand the nature of the outbreak or exposure and the risk to the public. Access to EHI can also lead to the identification of\u00a0additional\u00a0cases who might have been previously undetected. Immediate access to EHR data can provide PHAs with critical information about both exposures and clinical outcomes during large scale events.<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n For example: EHI can be used during\u00a0<\/span>an\u00a0outbreak investigation of<\/span>\u00a0a surge in\u00a0respiratory disease\u00a0cases in a long-term care facility by supporting:<\/span>\u00a0<\/span><\/p>\n <\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Conceptual Workflow for Electronic Health Record Data Use in Surveillance ” open=”off” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n The diagram below shows a conceptual workflow of the process for using\u00a0<\/span>electronic health record (<\/span>EHR)\u00a0data in public health surveillance\u00a0<\/span>through a direct login to the HCO EHR<\/span>. This process may differ\u00a0<\/span>if the PHA is accessing this data through a\u00a0health information exchange\u00a0(HIE)<\/span>.<\/span>\u00a0<\/span><\/p>\n The process may begin with a report of a notifiable condition occurring in several\u00a0possible ways\u00a0(see blue shapes). Regardless of how the PHA learns of the\u00a0case\u00a0the following\u00a0steps are typically consistent.<\/span>\u00a0<\/span><\/p>\n <\/span><\/p>\n <\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/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_padding=”5px||9px|||” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_margin=”14px|auto||auto||” custom_padding=”17px||4px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”Toolkit Navigation” 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” 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image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section2-What-is-EHI.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” header_font_size=”20px” header_letter_spacing=”1px” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”16px” body_line_height=”1.6em” image_icon_custom_margin=”||100px||false|false” max_width=”290px” custom_margin=”auto||-108px||false|false” custom_padding=”||0px||false|false” link_option_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4021″ locked=”off” global_colors_info=”{}”][\/et_pb_blurb][et_pb_blurb title=”Training and Capacity Building” image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section8-Training-and-Capacity-Building-1.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” 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Rationale” url=”https:\/\/ehitoolkit.cste.org\/?page_id=4033″ image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section3-Benefits-and-Rationale.png” icon_placement=”left” image_icon_width=”75px” _builder_version=”4.27.4″ _module_preset=”default” header_font=”Poppins|||on|||||” header_text_color=”#FFFFFF” header_font_size=”20px” header_letter_spacing=”1px” body_font=”Poppins||||||||” body_text_color=”#64748B” body_font_size=”16px” body_line_height=”1.6em” image_icon_custom_margin=”||100px||false|false” max_width=”290px” custom_margin=”auto||-108px||false|false” custom_padding=”||0px||false|false” link_option_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4033″ locked=”off” global_colors_info=”{}”][\/et_pb_blurb][et_pb_blurb title=”Accessing Electronic Health Information” url=”https:\/\/ehitoolkit.cste.org\/?page_id=4064″ image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/Section6-Accessing-Electronic-Health-Info.png” icon_placement=”left” 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border_radii_tablet=”off|20px|20px||” border_radii_phone=”off|15px|15px||” border_radii_last_edited=”on|phone” global_colors_info=”{}”][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"\n
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\n \n \n \n Enhancing Public Health Practice Using EHI \n <\/span>\n <\/span>\n <\/span>\n \n \n \n \n <\/span>\n <\/span>\n <\/span>\n <\/h1>\n <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>Electronic Health […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"dipi_cpt_category":[],"class_list":["post-4074","page","type-page","status-publish","hentry"],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/4074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4074"}],"version-history":[{"count":0,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/4074\/revisions"}],"wp:attachment":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4074"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fdipi_cpt_category&post=4074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}