The Southeastern Minnesota XXXX Project for Community-driven Health Information Technology: Origins, Achievements, and Legacy.

@entity1 @entity283 @entity6 @entity565 @entity36740 @entity683
INTRODUCTION: The Southeastern (SE) Minnesota @entity36740 organized all the health care providers, county public health organizations, and school districts in the deployment and integration of health information exchange (HIE) and targeted health communication around childhood @entity565 and @entity6 . The community cooperated to establish a clinical data repository for all residents in the 11-county region. Through this community of practice approach that involved traditional and nontraditional providers, the SE Minnesota @entity36740 was able to realize unique applications of this technology. This manuscript overviews the associated organization and infrastructure of this community collaboration. BACKGROUND: The Office of the National Coordinator for Health Information Technology (ONC), as part of the American Recovery and Reinvestment Act of 2009 (ARRA) stimulus, established 17 projects throughout the United States targeting the introduction and meaningful use of @entity283 ( @entity283 ). These 17 communities were intended to serve as an example of what could be accomplished. The SE Minnesota @entity36740 is one of these communities. METHODS: The community ultimately opted for peer-to-peer HIE, using Nationwide Health Information Network (NwHIN) Connect software. The clinical data repository was established using the infrastructure developed by the Regenstrief Institute, which operated as a trusted third party. As an extension to HIE, the consortium of county public health departments created a @entity1 data portal for use by school nurses and parents. Childhood @entity565 was addressed by creating, exchanging, and maintaining an " @entity565 action plan" for each affected @entity1 , shared throughout the community, including through the @entity1 portal. @entity6 management introduced @entity1 treatment decision tools and @entity1 quality of life measures, facilitating care. @entity683 vaccination was enhanced by large-scale community reporting in partnership with the state vaccination registry. The methodology and principles for arriving at these solutions included community engagement, sustainability, scalability, standards, and best practices that fit a variety of organizations-from large, robust providers to small organizations. FINDINGS: The SE Minnesota @entity36740 demonstrated that all providers for a geographically defined population can cooperate in the development and shared governance of a low-cost, sustainable HIE, and the operation of a community-managed clinical data repository. Furthermore, these infrastructures can be leveraged to collaboratively improve the care of @entity1 , as demonstrated for childhood @entity565 and adult @entity6 . CONCLUSION: The shared governance of @entity283 by a community can palpably change the scope and success of collaborations targeted to improve @entity1 and community health care.
