Addressing the health risks of adults with mental illness and existing healthcare disparities between different populations, requires an organizational infrastructure for collecting and monitoring health data. Decision support tools such as health registries and electronic health records enable providers to monitor and address and individual's health risks and to conduct population management for subsets of people with shared profiles (e.g., diabetes, obesity, high cholesterol).
The Health Indicators Warehouse is an effort of the Department of Health and Human Services (HHS) agencies and offfices to:
- Provide a single, user-friendly source for national, state, and community health indicators
- Meet needs of multiple population health initiatives
- Facilitate harmonization of indicators across initiatives
- Link indicators with evidence-based interventions
- Serve as the data hub for the HHS Community Health Data Initiative, a flagship HHS initiative to share data publicly, encourage innovative application development, and encourage change to improve community health
The Ohio Creating Healthy Communities Checklist serves as both an assessment and evaluation tool for communities addressing chronic disease risk factors in the populations they serve. The site provides many useful community health checklists.
In populations with chronic illness, outcomes improve with the use of care models that integrate clinical information, evidence-based treatments, and proactive management of care. Health IT is believed to be critical for effective management of chronic diseases. Healthcare organizations have implemented information technologies such as electronic health records and disease registries. Health Registries can be simple spreadsheets, like this sample, below or more sophisticated databases or electronic health records.
SAMHSA Primary and Behavioral Health Care grantees collect, monitor, and use specific health indicators to improve health outcomes.
PBHCI Candidate Measures demonstrates how measuring health data can help promote organizational self-monitoring and improvement, accountability to SAMHSA or other interested agencies, success of your program against national or other standards, and for meeting program accreditation requirements.
The health indicator ranges available from various sources were provided to SAMHSA primary care behavioral health integration (PBHCI) grantees as a quick handy resource for staff and peers working with consumers.
PBHCI Sample Registries:
- Sample Clinical Registry Form 1
- Sample Clinical Registry Form 2
- Sample Clinical Registry and Tracking Form