Public Health’s Role
in the Emerging Health
Information Marketplace
Dave Ross, Sc.D.
Director
Public Health Informatics Institute
Paper
Kills
© 2012 Public Health Informatics Institute
Topics for Discussion
Where Are We Today?
e-Health
e-Public Health
e-Citizen
What Might the Future Bring?
Call for Collective Action
© 2012 Public Health Informatics Institute
My Overriding Message
• Our collective challenge:
To support and accelerate the transformation
of public health practice in the e-health era by
building on public health’s unique
“infomediary” role.
• Our goal:
improve population health with information
outputs and outcomes that people care about.
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
National Health Challenge
Information Assault
New Partners
e-Health
e-Public Health
FORCES SHAPING PUBLIC HEALTH
© 2012 Public Health Informatics Institute
Life Expectancy at birth
Our National Health Challenge
© 2012 Public Health Informatics Institute
Total Expenditures on Health per capita (US $)
Smart Phone Culture
• 15-second rule
• 24-hour news
cycle
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
Modern Measurement Challenges
(Big) Data Issues – 5Vs
Variety
Sources
Formats
Types
Structures
Transmission
Velocity
Creation/generation
Transmission
Computation
Consumption
Source: Herman Tolentino, Sridhar Papagari, Kate Glynn
© 2012 Public Health Informatics Institute
Volume
Veracity
Storage
Retrieval
Computation
Consumption
Source (trust)
Content
Voids
Completeness
Comprehensiveness
Fragments
Representativeness
15
Community-Centered Health Information
MICA - (Missouri Information for Community Assessment)
:: 16
Information Model View of Public
Potential for Collaboration among
PHSSR, CQI, & Informatics
INFO-MEDIARY ROLE
© 2012 Public Health Informatics Institute
Information Model: The Why’s and What’s
Manage
administrative
operations of
the public
health
department
Support
public
health
actions and
programs
Improve
the
public’s
health
Protect the
public’s
health
Respond
to public
health
threats
© 2012 Public Health Informatics Institute
Public Health Goals and Their Associated Functions
PUBLIC HEALTH GOAL
Improve the public’s
health
Protect the public’s
health
Respond to public
health threats
FUNCTION: ASSESS
Assess community
health
Assess the
environment for
hazards
Assess potential public
health threats
FUNCTION: PLAN
Plan to improve
community health
Plan to protect the
public’s health
Plan and prepare for
public health threats
FUNCTION: ACT
Act to improve
community health
through targeting
individuals
Act to control and
mitigate public health
hazards
Act to respond to
public health
emergencies
Act to enforce public
health laws and
regulations
Act to respond to
outbreaks
Evaluate…actions for
protecting the public’s
health
Evaluate…responses to
public health threats
Act to improve
community health
through targeting
communities and
populations
FUNCTION: EVALUATE
© 2012 Public Health Informatics Institute
Evaluate…actions for
improving the public’s
health
Public Health Support and Administrative
Operations Functions
SET OF SUPPORTING
Support public health
actions and programs
FUNCTIONS
FUNCTIONS
Collect, maintain, and
analyze public health
data
Provide legal support to
the public health
department
Provide epidemiological,
statistical, and analytical
support
Provide support for
grants, contracts, and
cooperative agreements
Provide laboratory
services and diagnostic
support
Provide informatics
support
Communicate public
health information
Provide executive
leadership
Manage administrative
operations of the public
health department
Manage finances
Manage human
resources
Manage supplies
Provide information
technology services
Manage facilities and
other capital resources
Administer vital records
© 2012 Public Health Informatics Institute
Visit to learn more
© 2012 Public Health Informatics Institute
Collaborative Requirements
Development Methodology
© 2012 Public Health Informatics Institute
Where the
work takes
place
Person who
does the work
Decision
point
Capture
in the work flow
logic and requirements
through nontechnical modeling
Discrete work
activity or task
Capture rules,
comments and
feedback
© 2012 Public Health Informatics Institute
Informatics Baked In
• Good informatics builds around CQI
concepts
– We want you to use CRDM
– We want informatics projects to use CQI
• Good informatics should enable public
health services and systems research
• Good informatics will build public health
agency information capabilities
© 2012 Public Health Informatics Institute
“ Skate to where
the puck is going,
not where it is. ”
Wayne Gretsky
• What is our role in an era of Google Flu Trends?
• Will your agency use big data?
• Will your agency have access to big data
technologies?
• Will you use shared services (SaaS, PaaS)?
• Citizen agents via personal health information tools
FUTURE INFORMATION ROLE
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
© 2012 Public Health Informatics Institute
Guiding Principles
• Collaborate and drive consensus
– Mutual contributions, shared implementation
• Plan boldly, implement incrementally
– Need to be both strategic and tactical
• Understand we are transforming practice
– Informatics and IT are tools
© 2012 Public Health Informatics Institute
PUBLIC HEALTH’S ROLE IN THE
EMERGING HEALTH INFORMATION
MARKET PLACE
© 2012 Public Health Informatics Institute
1. Make data sharable
A. Embrace the Info-mediary role
i.
Using data means we have a focus on
interoperability & information integration
B. Make data, information & analytic tools
widely available to public health,
healthcare, payers and community partners
i. Create public use datasets
ii. Support and use all payer claims datasets
© 2012 Public Health Informatics Institute
2. Focus on neighborhood health
information
A. Establish multi-site collaborative projects
B. Establish agency-based i3-Labs (innovation
& implementation informatics Labs)
C. Study and evaluate community
interventions and the role information
plays in them
© 2012 Public Health Informatics Institute
3. Establish an NCQA for social
determinants of health
A. Establish a research base for linking social
determinants with desirable health and
community resilience metrics
B. Provide analytic support
C. Initiate “blinded benchmarking” to provide
feedback on community-based program
effectiveness
© 2012 Public Health Informatics Institute
Next Steps
© 2012 Public Health Informatics Institute
Q&A
ENOUGH OF ME, LETS TALK!
© 2012 Public Health Informatics Institute
Work Areas of the Public Health
Deliver Individual
Health Services
Provide Laboratory
Services
Measure and Monitor
Population Health
Regulate Facilities,
Workers, Systems and
Activities
Provide
Environmental Health
Services
Prepare and Respond
to Health Threats and
Hazards
Develop Policies and
Plans and Evaluate
Public Health Services
and Programs
Conduct Community
Based Assessments
and Interventions
Communicate Health
Information
Provide Public Health
Operations Support
DRAFT V14.0
© 2012 Public Health Informatics Institute
NOT FOR DISTRIBUTION
Getting the right information,
to the right person,
at the right time
to support them doing
something constructive
to advance health
© 2012 Public Health Informatics Institute