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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. American Medical Informatics Association November 11, 2003. Public Health Informatics Education: Implications for NHII.

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Public Health Informatics Education: Implications for NHII

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  1. William A. Yasnoff, MD, PhD, FACMI Senior Advisor National Health Information Infrastructure Department of Health and Human Services American Medical Informatics Association November 11, 2003 Public Health Informatics Education: Implications for NHII Views expressed do not necessarily represent U.S. Government policy

  2. Overview • Definition of Public Health Informatics (PHI) • PHI Topics & Curricula • Need for PHI Education • Implications for NHII

  3. I. Public Health Informatics (PHI) • 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

  4. II. PHI Curriculum • 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”

  5. PHI Curriculum: Topics • 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

  6. 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]

  7. PHI Textbook: Organization (1 of 2) • 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

  8. PHI Textbook: Organization (2 of 2) • 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

  9. III. Need for PHI Education • National Agenda for PHI (AMIA Spring 2001, Atlanta): • Establish new and strengthen existing academic programs in PHI • Develop a national competency-based 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

  10. III. Need for PHI Education (continued) • 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

  11. IV. What is NHII? • 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

  12. What is NHII? (continued) • 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

  13. What will NHII enable? • Linkage between medical care & public health (e.g. for bioterrorism detection) • Test results and x-rays always available  eliminate repeat studies • Complete medical record always available • Decision support always available: guidelines & research results • Quality & payment information derived from record of care – not separate reporting systems • Consumers have access to their own records

  14. Four Domains of NHII NHII Personal/ Consumer Clinical Public Health/ Community Research/ Policy

  15. NHII applications of PHI • 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

  16. Questions? For more information about NHII http://aspe.hhs.gov/sp/nhii William A. Yasnoff, MD, PhD william.yasnoff@hhs.gov 202/690-7862

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