Linking Informatics and CrossProgrammatic 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
Office of Public Health
Information Management
PROGRAMS
PROCESSES
Goals
Mandates
Strategies
Governance
Practices
Work flows
Data flows
POLICIES
Data standards
Business rules
Laws
Regulations
TECHNOLOGY
Interoperable data
sharing
Ease of use
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
Community Balanced Scorecard (CBSC)
Strategic Planning
“Top Level Strategy Map” Based on PHAB Domains to Align More Detailed Strategies
Perspectives
STRATEGIC OBJECTIVES (“Generic Categories” for Issue-specific Strategic Objectives)
Community Health Status
H1. Improve
Health
Outcomes &
Eliminate
Disparities
Health Outcomes, Disparities,
Determinants, Risks.
Community
Implementation
Projects, services, & actions to
improve health or the conditions for
health.
Community
Process & Learning
All policy, planning, & decision
processes that can affect health.
Also, gathering & using information.
Community Assets
Financial & non-financial resources
(e.g., people, organizations,
partnerships, facilities, equipment)
and how they function to support
health strategies.
#2
Investigate,
Contain PH
Problems &
Hazards
#6
Enforce Public
Health Laws
#5
Develop PH
Policies &
Plans
#1
Assess, Disseminate Population
Health Status &
PH Issues
#4
Engage the
Community to ID
& Address Health
Problems
#8
Maintain a
Competent PH
Workforce
H2. Minimize
Risks
#3
Inform, Educate
About PH Issues
(Promote Health)
#7
Promote
Strategies to
Improve Access
to Services
#9
Evaluate &
Improve Processes,
Programs, &
Interventions
# 10
Contribute to
& Apply the
Evidence Base
of PH
#11
Maintain
Administrative &
Management
Capacity
#12
Maintain Capacity
to Engage the PH
Governing Entity
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
Perspective
Vision: Information Improving the Health and Safety
of People and Communities in New York State
H1 and H2 - Improve Outcomes, Eliminate
Disparities, and Mitigate Risks
Community
Health Status
Community
Implementation
#3 - Share and Use
Public Health
Information
#7 – Enhance Programs
#2 – Use Technology
#6 – Enforce Standards
# 9 - Evaluate and Improve Quality
Community
Process and
Learning
Community
Assets
#10 – Promote
Informatics
#5 – Develop Standards
#1 – Advance Monitoring
and Analysis Capability
#11 – Provide
Adequate Technical
Infrastructure
#12 – Establish Public
Health Goal-Oriented
Technology Development
#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
• Distinguished
between data and
information
Data to Public Health Practice*
• 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
Johanne Morne, 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