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Informatics in Public Health

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Annual Conference on Public Health Informatics and Distance Learning ... Bringing together medical informatics and public health communities ... – PowerPoint PPT presentation

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Title: Informatics in Public Health


1
Informatics in Public Health
  • William A. Yasnoff, MD, PhD
  • Public Health Practice Program Office
  • Centers for Disease Control and Prevention

2
Public Health in 2010
DEMONSTRATION
3
Barriers to IT in Public Health
  • Information
  • Infrastructure
  • Informatics

4
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

5
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

6
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)

7
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

8
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.

9
Map
HAN Local Centers for Public Health
Preparedness Funded Sites - FY 2000
10
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

11
Map
12
Map
13
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

14
Map
15
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.

16
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

17
Website Development
  • Completed
  • CDC BT Preparedness and Response Website
    (www.bt.cdc.gov)
  • Health Alert Network Website (www.phppo.cdc.gov/ha
    n)
  • Under Development
  • BT Emergency Response Restricted Website
  • HAN Today Website

18
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

19
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

20
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

21
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

22
Informatics Training - 1
  • Development of consensus competencies
  • Meeting prior to Spring AMIA (Richards
    OCarroll)
  • 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

23
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

24
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

25
Informatics in Public Health The Future
  • Information Access
  • Databases
  • Knowledge management
  • Information Systems
  • Effective management
  • Improved productivity
  • Surveillance integrated with EMR
  • Feedback to providers

26
For Further Information
  • William A. Yasnoff, MD, PhD 770/488-2503
    WYasnoff_at_cdc.gov
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