TY - JOUR AU - Barth, Olivia AU - Anderson, Beth AU - Jones, Kayla AU - Nickles, Adrienne AU - Dawkins, Kristina AU - Burnett, Akia AU - Quartermus, Krystal PY - 2024 TI - An Innovative Approach to Using Electronic Health Records Through Health Information Exchange to Build a Chronic Disease Registry in Michigan T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E41 VL - 21 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - Michigan's CHRONICLE, the Chronic Disease Registry Linking Electronic Health Record Data, is a near-real-time disease monitoring system designed to harness electronic health record (EHR) data and existing health information exchange (HIE) infrastructure for transformative public health surveillance. Strong evidence indicates that using EHR data in chronic disease monitoring will provide rapid insight over time on health care use, outcomes, and public health interventions. We examined the potential of EHR data for chronic disease surveillance through close collaboration with our statewide HIE network and 2 participating health systems. We describe the development of CHRONICLE, the promising findings from its implementation, the identified challenges, and how those challenges will inform the next steps in testing, refining, and expanding the system. By detailing our approach to developing CHRONICLE and the considerations and early steps required to build an innovative, EHR-based chronic disease registry, we aim to inform public health leaders and professionals on the value of EHR data for chronic disease surveillance. With systematic testing, evaluation, and enhancement, our goal for CHRONICLE, as a fully realized and comprehensive surveillance system, is to model how collaborative health information exchange can support evidence-based strategies, resource allocation, and precision in disease monitoring. SN - 1545-1151 UR - https://doi.org/10.5888/pcd21.230413 DO - 10.5888/pcd21.230413 ER -