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Linking Informatics and Cross-Programmatic Strategic Objectives. International Society for Disease Surveillance Annual Conference December 8, 2011. Purpose. Rapidly expanding health information technology and health information exchange development offer new opportunities and challenges
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Linking Informatics and Cross-Programmatic Strategic Objectives International Society for Disease Surveillance Annual Conference December 8, 2011
Purpose • Rapidly expanding health information technology and health information exchange development offer new opportunities and challenges • Promote and support bi-directional communication among public health and healthcare communities • Expand the number of public health data exchange partners • Improve completeness and timeliness of data currently collected by public health • Collaborate with public health, healthcare, and technology partners to modify existing or create new public health surveillance, investigation, and response business processes • Identify, assess, and address impact on public health workforce and infrastructure
National and State Perspective • National and state strategic planning • Health information technology, including clinical informatics • Public Health Informatics • Spending and Government Efficiency (SAGE) Commission • Agency and program • Public Health Accreditation • Protect and improve Americans’ health by advancing the quality and performance of all of the nation’s public health departments • CDC National Public Health Improvement Initiative • Performance management / Quality Improvement • Systematically increase capacity and improve their ability in meeting national public health standards
NYSDOH Initiative • NYSDOH Public Health Information Management (PHIM)Planning Committee • Office of Public Health Program Centers/Offices • Clinical, Program and Bureau Management, Epidemiology, Planning and Policy, Information Technology, Project Management, Performance Management • Consensus Driven • Draft strategic plan and governance process
Information Management Frank Davis. Data Management White Paper: Enterprise Information Management Strategy, Best Practice, and Technologies on Your Path to Success. http://baseline-consulting.com.
Strategic Planning • Need to develop strategic objectives to optimize the collection, integration, and use of information • Across public health programs and internal and external partners • Improve the overall health and safety of people and their communities
“Top Level Strategy Map” Based on PHAB Domains to Align More Detailed Strategies STRATEGIC OBJECTIVES (“Generic Categories” for Issue-specific Strategic Objectives) Perspectives Community Health Status Health Outcomes, Disparities, Determinants, Risks. H1. Improve Health Outcomes & Eliminate Disparities H2. Minimize Risks Community Implementation Projects, services, & actions to improve health or the conditions for health. # 7 Promote Strategies to Improve Access to Services # 3 Inform, Educate About PH Issues (Promote Health) # 2 Investigate, Contain PH Problems & Hazards # 6 Enforce Public Health Laws Community Process & Learning All policy, planning, & decision processes that can affect health. Also, gathering & using information. # 9 Evaluate & Improve Processes, Programs, & Interventions # 1 Assess, Disse-minate Population Health Status & PH Issues # 10 Contribute to & Apply the Evidence Base of PH # 5 Develop PH Policies & Plans Community Assets Financial & non-financial resources (e.g., people, organizations, partnerships, facilities, equipment) and how they function to support health strategies. #11 Maintain Administrative & Management Capacity # 4 Engage the Community to ID & Address Health Problems #12 Maintain Capacity to Engage the PH Governing Entity # 8 Maintain a Competent PH Workforce
The Process • From-to gaps • As-is and future states • Ideas, consistent with PHAB domains, to close gaps • Sort Ideas by Top Level Strategy Map Strategic Objective • “Rename” the objectives to be more specific to the strategy • Identify owners and current/new activities • Determine performance measures
Public Health Information Management Strategic Plan Vision: Information Improving the Health and Safety of People and Communities in New York State Perspective H1 and H2 - Improve Outcomes, Eliminate Disparities, and Mitigate Risks Community Health Status #7 – Enhance Programs #2 – Use Technology #3 - Share and Use Public Health Information Community Implementation #6 – Enforce Standards # 9 - Evaluate and Improve Quality Community Process and Learning #10 – Promote Informatics #1 – Advance Monitoring and Analysis Capability #5 – Develop Standards #12 – Establish Public Health Goal-Oriented Technology Development #11 – Provide Adequate Technical Infrastructure Community Assets #4 - Collaborate with Information Sharing Partners #8 – Engage Public Health Workforce
Key Inputs (Foundation) • Public health goals and strategic priorities are the primary driver for IT/informatics development • Objectives mapped to and support public health essential services • Community-driven process • Engage and empower public health workforce, information sharing partners • Communities of Practice (CoPs), reusability • Ongoing evaluation and quality improvement
Key Outputs • Assets and Learning are the foundation for Implementation and improvements in Community Health Status • Maximize existing capabilities while building to the future • Develop and enforce standards • Identify owners/activities to “move the dial” • Need metrics to measure performance
Experience • Included cross-program and cross-functional representatives • Established a forum for open communication • Understand and respect each other’s perspective • Identified common strategic objectives and destinations • Needed to move beyond the operational • Don’t worry about the how, yet… • Needed common and consistent language
Step by Step, Inch by Inch Data to Public Health Practice* • Distinguished between data and information • Data are the building blocks for information *Original Source: Marty LaVenture, Bill Brand, Minnesota Department of Health. Karen Zeleznak, Bloomington Division of Public Health. Modified by NYSDOH PHIM
Working Definitions • Established working definitions of informatics, information technology, information science, information management • Informatics • Multi-disciplinary framework where public health program and research SMEs, analytics, and technology converge and interact
Definition and Context • Public Health • Profession • Agency • Office • Program • Practitioner • “The Enterprise” • End User • Hands on • Management • Public health community & partners • Surveillance, prevention, investigation, control, and response partners • Internal and external to a public health organization • Healthcare • Technology • Other public/private sector partner • General public
Current Status • Operational • Strategy map • Gap analysis for current projects • Framework for new initiatives • Engage external partners • Identify objectives necessary to address immediate needs • Planning • Strategic objective detail • Owners, activities, measures • Align and integrate with other strategic planning efforts
Acknowledgements PHIM Planning Group John Bintz, CEH Hwa-Gan Chang, Division of Epi Heather Dacus, BCDIP Sarah Goff, PHIPMO Rebecca Hathaway, OHEP Geraldine Johnson, PHIPMO Marilyn Kacica, DFH Quei-Len Lee, Wadsworth Center JohanneMorne, AIDS Institute Lora Santilli, Bureau of Imm. Mark Smrstik, PHIPMO Nancy Schultz, Facilitator Performance Management Group Drew Hanchett Office of Public Health Guthrie Birkhead Hope Plavin RTM Team Paul Epstein ASTHO