Transcript NHII Brief 5.1-2003

American Medical Informatics Association
November 11, 2003
Public Health Informatics
Education:
Implications for NHII
William A. Yasnoff, MD, PhD, FACMI
Senior Advisor
National Health Information Infrastructure
Department of Health and Human Services
Views expressed do not necessarily represent U.S. Government policy
Overview
I.
II.
III.
IV.
2
Definition of Public Health
Informatics (PHI)
PHI Topics & Curricula
Need for PHI Education
Implications for NHII
I. Public Health Informatics (PHI)


3
Definition: Systematic application of
information and computer science
and technology to public health
practice, research, and learning
Differentiated from other informatics
specialties by:
 Prevention in populations
 Wide range of interventions
 Government context
II. PHI Curriculum






4
CDC effort: 1995-7
One week (half days) course for
Public Health Advisors
Initial test: Summer 1996
Revised curriculum: Summer 1997
Subsequently given in multiple
settings, e.g.
 Denver Health Department
 University of Michigan
Very enthusiastic reception
 “my supervisor should take this
course”
PHI Curriculum: Topics











5
Overview/Basic Concepts
Information Architecture (+ exercise)
Database Design (+ exercise)
Privacy, Confidentiality, and Security
Networks
Data Standards
Internet / Web Publishing
IT Management: Projects
IT Management: People
Information Resources Management
(IRM)
IT Procurement
PHI Textbook




60 contributors
Published in
October, 2002
34 Chapters,
790 pages,
$79.95
Springer-Verlag
[note: royalties of CDC
authors go to CDC
Foundation]
6
PHI Textbook: Organization (1 of 2)
1.
2.
7
The Context for Public Health
Informatics: Introduction, History,
Information Management,
Governmental Context
The Science of Public Health
Informatics: Information
Architecture, Competencies,
Managing People & Projects,
Organizational Change, Standards,
Privacy & Confidentiality, Ethics,
Evaluation
PHI Textbook: Organization (2 of 2)
3.
4.
5.
8
Key Public Health Information
Systems: Vital Statistics, Morbidity,
Risk Factors, Toxicology &
Environmental
New Challenges, Emerging Systems:
Data Collection, Data Accessibility,
GIS, Immunization Registries,
Decision Support & Expert Systems,
Promoting Preventive Medicine
Case Studies: Applications of
Information Systems Development
to Policy, Networking, Community &
Population Health, Data
Warehousing, Surveys,
Immunization Registries
III. Need for PHI Education

9
National Agenda for PHI (AMIA Spring
2001, Atlanta):
 Establish new and strengthen
existing academic programs in PHI
 Develop a national competencybased continuing education
program in PHI
 Establish curriculum guidelines for
PHI in accredited schools and
programs in public health
 Expand the opportunities for public
health and informatics folks to
come together
III. Need for PHI Education (continued)

10
National Consensus Action Agenda
for NHII (NHII 03, Washington, DC)
 Align Public Health Information
Network (PHIN) with NHII
 Health IT education & hands-on
experience required in health
professional training
 Increased clinical informatics
training
– Health professionals
– Clinical informatics specialists
IV. What is NHII?




11
Comprehensive knowledge-based
network of interoperable systems
Capable of providing information for
sound decisions about health when and
where needed
“Anywhere, anytime health care
information”
NOT a central database of medical
records
What is NHII? (continued)


12
Includes technologies, practices,
relationships, laws, standards, and
applications, e.g.
 Communication networks
 Message & content standards
 Computer applications
 Confidentiality protections
Individual provider Electronic Medical
Record (EMR) systems are only the
building blocks, not NHII
What will NHII enable?
1. Linkage between medical care & public
health (e.g. for bioterrorism detection)
2. Test results and x-rays always available
 eliminate repeat studies
3. Complete medical record always
available
4. Decision support always available:
guidelines & research results
5. Quality & payment information derived
from record of care – not separate
reporting systems
6. Consumers have access to their own
records
13
Four Domains of NHII
NHII
14
Personal/
Consumer
Clinical
Public
Health/
Community
Research/
Policy
NHII applications of PHI




15
Pattern Recognition/Data Mining
 Risk Factor/Disease/Outcome
relationships
 Vast source of empirical data
Electronic Data Interfaces
 Public health reporting (100%
sample)
Automated Information Filters
 Surveillance
 Dynamic parameters
Consumer Health
 Opportunities for behavioral
interventions
Questions?
For more information about
NHII
http://aspe.hhs.gov/sp/nhii
William A. Yasnoff, MD, PhD
[email protected]
202/690-7862
16