NYCDHNew York City Department of Health
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What Singer and his colleagues at the NYCDH are doing emerged organically out of the creation of the Primary Care Information Project (PCIP), which began operation in 2005.
But helping physicians implement EHRs (and in fact, the NYCDH has been designated as a regional extension center for nearly three years) has been just the first phase in participation in the broader population health management effort.
The potential here is broad: for example, recently, the NYCDH pushed out a message to its connected providers regarding a nationwide medication recall, providing them with a link to more information, and using the Primary Care Connect system to query in order to determine how many of the doctors' patients were affected.
To assess the effectiveness of inpatient commitment, NYCDH evaluated all patients who were committed from January 1, 1988, through April 30, 1991.
The NYCDH reviewed the status of the 10 patients with successful outcomes 1-25 months after initial commitment; two patients were cured, four were still under care, and the remaining four had unsuccessful outcomes (i.e., one died, one was rehospitalized for TB, and two were lost to follow-up).
To control the outbreak, NYCDH officials have recommended an additional dose of measles vaccine for 6- to 11-month-old children, have made walk-in immunization services available, are vaccinating eligible children in emergency rooms, and have mounted a citywide multimedia "stop measles" education and information campaign.
CDC is assisting the NYCDH in determining the extent of the current measles outbreak.