Colorado Health Observation Regional Data Service (CHORDS)
Colorado Health Observation Regional Data Service (CHORDS) is a collaborative regional pilot project that uses electronic health record (EHR) data to monitor public health trends, as well as to measure the efficacy of public health interventions.
Each registry collects and presents health information specific to its topic area. For example, to monitor tobacco use, CHORDS collects demographic characteristics and geographic information on the patient and their visit, in addition to whether or not the patient uses or is exposed to tobacco. This information is extracted and used to populate the tobacco registry. No identifying information about the patient is presented in the registry's reports.
Each participating health care provider chooses which registry they want to participate in and contribute data to. For instance, a children's hospital would not provide data on adult indicators.
Learn more about CHORDS from a CDC Webinar and the Colorado Culture of Data Conference.
Obesity, tobacco use, mental health conditions, cardiovascular disease, and other chronic conditions contribute to increased illness, healthcare costs, and preventable, premature deaths. CHORDS provides an efficient, easy-to-use way to track population trends (across healthcare providers) and show the outcomes of policies and clinical- and community-based interventions.
With CHORDS, public health officials can:
- Monitor health indicators (e.g., community Body Mass Index [BMI], community diagnosis and control of cholesterol and/or hypertension) across populations.
- Identify demographic characteristics and geographic areas at higher risk of poor health behaviors and outcomes.
- Support policy, clinical and community health-based initiatives to prevent or intervene around specific behaviors or diseases by tracking clinical measures over time.
CHORDS Areas of Focus
CHORDS currently provides information and data to monitor the following health topics.
|Registry Topic Areas||Example Health Questions that CHORDS Can Track||Example of Relevant Data Fields|
|Tobacco Use and Exposure (Future)||
The following healthcare providers currently contribute data to CHORDS.
- Children's Hospital Colorado
- Clinica Campesina
- Clinica Tepeyac
- Colorado Alliance for Health Equity and Practice
- Denver Health and Hospital Authority
- High Plains Health Center
- Kaiser Permanente of Colorado
- Metro Community Providers Network
- Salud Family Health Center
- Stout Street Clinic
The following technology partners support the CHORDS effort:
- Denver Public Health Department
- Colorado Associated Community Health Information Enterprise
- Colorado Clinical Translational Sciences Institute
- University of Colorado Cancer Center
Several national initiatives have successfully developed networks and are monitoring health issues including FDA-funded Mini Sentinel, the CDC-funded Vaccine Safety Datalink and PCORI-funded PCORnet. Efforts to adapt these national models have been implemented locally through New York City’s Primary Care Information Project and the MDHNet in Massachusetts.
Denver Public Health is currently organizing a specialized registry for population health monitoring from eligible hospitals and providers, in Denver County, seeking Meaningful Use Stage 2 (MU2) incentive payments. In addition to the electronic data submission for syndromic surveillance, one public health objective is contributing to specialized registries for eligible Denver hospitals and providers under MU2. This notice deals only with specialized registry data submission to the Colorado Health Observation Regional Data Service (CHORDS).
Denver Public Health is proactively reaching out to Denver hospitals and providers to participate in electronic health record data submission to a distributed data network maintained at each health facility in coordination with a federated query tool (For more information, read Frequently Asked Questions about CHORDS). Denver Public Health will facilitate testing and validating data warehousing and transmission specifications and provide acknowledgments to Denver hospitals and providers that achieve ongoing specialized registry participation. Instructions on how hospitals and providers participate will be sent once intent has been registered.
For hospitals or providers in Adams, Arapahoe, Boulder, Broomfield, Douglas or Jefferson counties wishing to participate in specialized registry efforts, please visit your local health department website for more information. Hospitals or providers outside those counties are not currently required to submit specialized registry data but may make inquiry at Denver Public Health. For more information or to request and exemption letter, please contact Greg Budney at email@example.com or (303) 602-5758