Implementation and Diffusion of the New York City Macroscope Electronic Health Record Surveillance System

Year: 2015
Funding: PHSSR PHS4 Award
Status: Completed


This study sought to accelerate the diffusion of standardized Electronic Health Record (EHR) - based surveillance capabilities so that useful, timely and geographically pertinent EHR data can be used to: 1) monitor trends in health outcomes over time; 2) facilitate heightened engagement and performance by health and public health system stakeholders; and 3) inform decisions regarding different population-based policies and interventions to improve health outcomes. Led by the NYC Department of Health and Mental Hygiene in partnership with the City University of New York School of Public Health and the New York University School of Medicine, this study was nested in larger studies of EHR population health measures included in the NYC Macroscope. Indicators were evaluated for: prevalence, treatment and control of hypertension, high cholesterol and diabetes; prevalence of obesity, smoking and depression; and receipt of influenza vaccination. Reliability was assessed by comparing EHR data with abstracts of 190 chart reviews; EHR health status classifications were compared to classifications based on data collected for the NYC HANES 2013 and were used to assess validity. Dissemination products include 10 indicator fact sheets designed for practitioners working to build health status monitoring systems based on EHR derived data. 




Research Areas


Katharine McVeigh, Ph.D., M.P.H.
New York City Department of Health and Mental Hygiene