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Transcript of Public Health Informatics Edward L. Baker MD, MPH Public Health Training Center Annual Meeting...
Public Health Informatics
Edward L. Baker MD, MPHPublic Health Training Center
Annual MeetingAugust 2012
Why Care About Informatics?
• Informatics is central to support and accelerate the transformation of public health practice in the e-health era
• Information systems are the key link between public health practice and healthcare
• Informatics supports the business of public health
1. Interconnected health system2. Community-centered health3. Accreditation and Quality
Improvement in Public Health
Strategic Drivers
:: 4 ::
Informatics Involves…
Public Health Information Systems
DiseaseReporting
OutbreakManagement
CancerRegistries
Risk FactorSurveillance
New BornScreening
Conceptualization
Design
Development
Implementation
Evaluation
Maintenance
Goal of Informatics
Getting the right information, to the right person, at the right time to support them doing something constructive to advance health
Paper Kills
Paper conceals information
LeadershipCoordination Assessment
Planning and Priority SettingVision Strategic Implementation Secure Planning Plan & Budget Funding
Census
Vitals
Pop’l Surveys
Individual Records
ProgramRecords
Surveillance Data
Extract
Validate
Integrate Integration Engine
Dashboards
Queries
Reports
Alerts
Events
Policies, Resources, Processes
Integrated County/Region/State Health Information System
Informatics is not IT
Informatics:• Describes the information requirements• Understands the users• Designs the information solutions to:• Link program performance measures to
information tools used to support the program
Technology Content Processes Workforce
Information Systems
PH Systems Require More Than IT
What Public Health Informatics Needs to Do
Put simply, we should help by:1. making data sharable interoperability2. being clear about what systems must do to
be worth their cost requirements analysis3. sharing what we know with those who need
to know it knowledge management
Practice of Public Health Informatics
• Structuring data in ways that correctly convey their meaning
• Translate program needs into technology guidance and/or designs that lead to systems that work
• Aid in the sharing and dissemination of health knowledge
Data Life Cycle andWorkforce Needs
DataDefinition
DataCapture
DataTransport
Data Storage &
Mngt
Data Analysis &
Use
Workforce Competencies
Defining Information Needs Understanding the IT life cycle Understanding critical success factors Achieving interoperability Stakeholder communications
Existing Training Programs and Resources
• UIC• UW• Emory• UNC• PHII• Other?
Training Resources
• Public Health Informatics Institute– Informatics for Public Health Managers– Informatics for Surveillance Epidemiologists
Public Health Informatics Academy(Under development)
–Overview of Public Health Informatics–Information Technology Lifecycle–Defining Information Needs–Achieving Interoperability–Stakeholder Communications
The IT Lifecycle
Defining Your Information Needs
• Collaborative Requirements Development Methodology
• Business Process Analysis• Business Process Redesign• Information Requirements Definition
Collaborative Requirements Development Methodology
• http://www.phiicrdm.org/methodology
© 2012 Public Health Informatics Institute
Enterprise Performance Lifecycle
Why Do This System• Justify• Business case• Value analysis• Lifecycle cost
analysis What must it achieve?• Business
Process Analysis
• Process Redesign
• Measurable outcomes and objectives
How is it designed?• Functional
Requirements• Requirement
Specifications• Logical Design• Physical Design
© 2012 Public Health Informatics Institute
Enterprise Performance Lifecycle
Build or Buy?• Market of
products – does anyone make what you need?
• Market analysis• Build options?• Decision
Testing & Training• Component,
system & integration testing
• Stakeholder Analysis – communications plan & training plan
• Train as determined in the plans
Productive Use• Go-live
conversion planning
• Go-live schedule• Productive Use• Evaluation of
system impact
© 2012 Public Health Informatics Institute
Informatics Involves…
Public Health Information Systems
DiseaseReporting
OutbreakManagement
CancerRegistries
Risk FactorSurveillance
New BornScreening
Conceptualization
Design
Development
Implementation
Evaluation
Maintenance
Open Discussion
Future DirectionsPHTC Collaboration?