Transcript Leadership, Collaboration and Interoperability Our
Public Health Surveillance
Vital Records are Vital!
Chesley Richards, MD, MPH, FACP
Deputy Director for Public Health Scientific Services Centers for Disease Control and Prevention NAPHSIS Conference April 29, 2014 Office of Public Health Scientific Services Office of the Director
What are CDC’s priorities?
Improve health security at home and around the world
CDC strategic directions
Better prevent the leading causes of illness, injury, disability, and death
Health Care Public Health
Strengthen public health/ health care collaboration
CDC’s funding to state and local governments is increasing
$5,0 $4,5 $4,0 $3,5 $3,0 $2,5 $2,0 $1,5 $1,0 $0,5 $0,0 State/local govt awards total VFC estimated extramural obligations State/local % of CDC appropriated budget 2009 2010 2011 2012
Source: Tracking Accountability on Government Grants System. http://taggs.hhs.gov.
65% 64% 63% 62% 61% 60% 59% 58% 57% 56% 55%
CDC staff throughout the world
CDC HQ CDC staff Global Disease Detection Immunization Influenza Malaria Field Epidemiology Training Programs Global AIDS Program
As of January 2014 Staff of 1,600+ located in 60+ countries Budget of >$1.7 Billion Broad portfolio of programs
Data and health information are at the heart of everything CDC does and will do…
The world of health information is transitioning…
..from periodic health measurement to real time, integrated electronic data
…from a focus on individual health care to population health management
…from slower, labor intensive organism identification to rapid, automated whole genome characterization
…from professional interpretation to informed consumers
…from individual, small data to distributed, big data analytics
…from periodic, organized news updates to instant access to raw information
Key takeaways
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For health data and information More of it Faster
More integrated
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Better, hopefully
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Quicker action
What’s the Office of Public Health Scientific Services
and why am I here?
Cross cutting role as Deputy Director for Public Health Scientific Services
OPHSS has cross cutting responsibility for…
Epidemiology Health Statistics Informatics Laboratory Quality Scientific Workforce Surveillance
Data for public health action
CDC Resources in OPHSS
The CDC Surveillance Strategy …and the role of Vital Statistics
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Current challenges with CDC surveillance efforts CDC operates, funds or works with > 100 surveillance systems Silos often function, but at a cost
interconnections, interdependencies and efficiencies not realized local/state health departments with a plethora of systems and requirements
HI Policy issues
EHR/Meaningful use
Slow adoption of technology advances Interoperability Insufficient workforce with the right skills in right places Have not learned from previous failures, or successes
FY 2014 Omnibus Appropriations
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CDC Director to provide report by July 2014 that outlines
Opportunities for consolidating the various data collection systems in CDC including:
• • •
opportunities and costs advantages and barriers projected timeline to such a consolidated data reporting system, along with recommendations for adoption
Full consideration of a single Web-based data collection information technology platform
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The CDC Surveillance Strategy will, in part, respond to the Congressional request
CDC Director’s Charge: Develop a strategy that will 1.
Improve surveillance data availability/timeliness 2.
Advance effective use of emerging HIT tools 3.
Retire redundant or ineffective systems 4.
Maximize the effectiveness of agency resources
CDC Surveillance Strategy Goal 1: Enhance the accountability, resource use, workforce and innovation Goal 2: Accelerate the utilization of emerging tools and approaches Goal 3: Demonstrate substantive progress through agency wide, cross cutting initiatives
Goal 1: Enhance the accountability, resource use, workforce and innovation
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CDC Surveillance Leadership Board
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Surveillance and Informatics Workforce Plan
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CDC Health Information Innovation Consortium
Goal 2: Accelerate the utilization of emerging tools and approaches to improve the availability, quality, and timeliness of surveillance data
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Enhance HIT policy engagements
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Vendor Forum
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Innovative informatics project funding
Goal 3. Improve surveillance through cross-cutting initiatives
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Modernize National Notifiable Diseases Surveillance System
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BioSense Enhancement Initiative
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Accelerate Electronic Laboratory Reporting
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Accelerate Electronic Mortality Reporting
Success on the surveillance strategy will…
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At CDC, improve
CDC leaders engagement on cross cutting surveillance issues national policy effectiveness new informatics and technology adoption strategic relationships with vendors cross-cutting platforms or data streams, especially healthcare
For STLT agencies,
reduce the burden on STLT health agencies increase the range of data and tools for local public health decision makers
Set the stage for strengthening, consolidating and improving our surveillance activities and systems
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For Vital Statistics Vital statistics our a state and local function with many uses, one of which could be public health surveillance
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Our earliest wins in the strategy are going to come with mortality reporting, because of the work you are already doing
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We have already prioritized investments to accelerate electronic mortality reporting
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We should look together for additional opportunities