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Informatics in Public Health William A. Yasnoff, MD, PhD Public Health Practice Program Office Centers for Disease Control and Prevention Public Health in 2010 DEMONSTRATION Information Infrastructure Informatics Barriers to IT in Public Health Surveillance data

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informatics in public health

Informatics in Public Health

William A. Yasnoff, MD, PhD

Public Health Practice Program Office

Centers for Disease Control and Prevention

a information
Surveillance data

Only 15-20% of reportable cases reported

Delays of days to weeks

Not typically in electronic form

Other relevant data not electronically available

Environmental, injury, etc.

Guidelines

Contacts

Training materials

A. Information
information work in progress
NEDSS = National Electronic Disease Surveillance System

Architectural elements

Public health conceptual data model

Knowledge management

Preventioneffects.net

Encoding of clinical guidelines

Disseminate through EMRs

Point-of-care reminders

Information: Work in Progress
b infrastructure
Information technology

Only 48.9% of local health departments have high-speed continuous internet connections (NACCHO, 1999)

Workforce

83% of local health departments indicate that computer training is a key need (NACCHO, 1996)

B. Infrastructure
infrastructure work in progress
INPHO = Information Network for Public Health Officials (state)

Ending in FY2001

HAN = Health Alert Network (local)

Frist-Kennedy authorization

Infrastructure standards/ assessment

Preparedness of public health system

Infrastructure: Work in Progress
health alert network goals
Health Alert Network Goals

Ensure communications capacity at all local and state health departments (full Internet connectivity, training)

Ensure capacity to broadcast and receive health alerts at every level

Ensure capacity to receive distance learning offerings for CDC, et al.

slide9
Map

WA

NH

VT

ME

MT

ND

OR

MN

ID

Monroe Co.

NY

WI

SD

MA

MI

WY

RI

CT

IA

PA

NY City

NV

NE

CA

Chicago

NJ

OH

UT

IN

CO

IL

DE

WV

VA

Denver Co.

MO

MD

KS

KY

Los Angeles

NC

TN

AZ

OK

HAN Cities (N=3)

NM

AR

SC

Local CPHP counties (N=3)

DeKalb Co.

AL

MS

HAN States (N=37)

GA

TX

Not funded

LA

AK

HI

FL

HAN & Local Centers for Public Health Preparedness

Funded Sites - FY 2000

communications capacity
Communications Capacity

Equip all full-function local PH systems with:

  • Improved Internet access
    • 55% now have continuous high-speed Internet capacity
  • Health alert broadcast capacity
    • 56% now have a system for sending urgent health alerts
  • Provide informatics training
  • Develop critical information content
distance learning training
Distance Learning/Training
  • Distance learning capacity at state/local public health agencies
    • 82% of LHDs now have access to satellite downlink within 30 minutes drive-time from work
distance learning training15
Distance Learning/Training

Transition to web-based distance learning

  • Increased capacity at CDC
  • Web-based informatics course

Training in bioterrorism preparedness

  • USAMRIID/CDC course, BT Grand Rounds, Role of Clinical Lab, et al.
distance learning training16
Distance Learning/Training

Provide informatics training

  • Annual Conference on Public Health Informatics and Distance Learning
  • Public Health Informatics course given to 120 people, including most HAN project managers
website development
Website Development

Completed

CDC BT Preparedness and Response Website (www.bt.cdc.gov)

Health Alert Network Website (www.phppo.cdc.gov/han)

Under Development

BT Emergency Response Restricted Website

HAN Today Website

han emergency notification system
HAN Emergency Notification System

Functions

Rapidly alert key State Public Health officials of bioterrorist events or other emergent health threats via email and fax

Provide official CDC communications to key State Public Health officials during a bioterrorist event via email and fax

han plans for fy 2001
Expand web-based learner support system

Partner with HRSA to develop and disseminate national standards for information and communication systems needed in a BT emergency

75% of full functioning LHDs have Internet connectivity, 50% have broadcast alert capability, and 80% have satellite-based distance learning capacity

Disseminate a communications plan regarding rapid relay of information

HAN Plans for FY 2001
c informatics
Definition: the systematic application of computer & information science and technology to public health practice, research, and learning

Management skills

IT projects expensive and high risk

Interdisciplinary teams required

New skills needed by public health managers

C. Informatics
public health informatics developing a national agenda
Spring AMIA Meeting May 15-17, 2001 in Atlanta (www.amia.org)

Bringing together medical informatics and public health communities

Areas of focus: funding; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; training/workforce

Primary sponsor: RWJ Foundation

Public Health Informatics: Developing a National Agenda
informatics training 1
Development of consensus competencies

Meeting prior to Spring AMIA (Richards & O’Carroll)

Multiple tracks expected: basic/managers/senior managers

Goal is sample curriculum for SPH

Book: Public Health Informatics and Information Systems (Aspen Press, 2002)

Suitable for teaching PHI

Includes case studies

Informatics Training - 1
public health informatics competency categories
Information Access

IT infrastructure view

Information system development

Networking & database design

Standards

Privacy, Confidentiality & Security

IT planning and procurement

IT leadership; managing change

Public Health Informatics Competency Categories
informatics training 2
CDC short (3 day) course for public health managers

Developed in ’96-’97

Interactive web version later this year

CDC Fellowship

Two year program started in ’96

Still evolving

Schools of Public Health

Courses (at least 11 now; more planned)

Degree programs in early stages

Informatics Training - 2
informatics in public health the future
Information Access

Databases

Knowledge management

Information Systems

Effective management

Improved productivity

Surveillance integrated with EMR

Feedback to providers

Informatics in Public Health: The Future