As public health agencies enhance their human services records systems, often with linkages to external health information sources, they will benefit from incorporating EHR data (as appropriate) into health records that form a part of the case record. For example, child welfare agencies are currently engaged in developing more robust health records for children/youth in foster care pursuant to the Federal Fostering Connections to Success Act, among others. The 2015 Priority List could help them anticipate information providers need, to deliver effective care and to ensure it is captured in the agency’s case record, using standards that enable electronic exchange of that information between systems and technologies.
By facilitating the development of an EHR that follows a child through his/her experiences with various health and human services agencies (i.e., through foster care), these requirements will make it more likely that the health records available to pediatric providers for such children will be adequate to inform care and support appropriate health care decisionmaking during episodes of care, and afterward.
A significant level of coordination must occur to achieve the vision outlined in this use. To speed up the development process, health and human services agencies should be preparing now to use and leverage pediatric-specific information described in the 2015 Priority List. This will allow gap that currently exists to close more rapidly as pediatric EHRs move toward compliance with the requirements suggested.