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Patrick W. O’Carroll, MD, MPH, FACPM William A. Yasnoff, MD, PhD, FACMI U.S. Department of Health and Human Services. IMIA Education Working Group April 25, 2003. Curriculum & Competencies for Public Health Informatics. Public Health Informatics (PHI).
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Patrick W. O’Carroll, MD, MPH, FACPM William A. Yasnoff, MD, PhD, FACMI U.S. Department of Health and Human Services IMIA Education Working Group April 25, 2003 Curriculum & Competencies for Public Health Informatics
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
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”
PHI Curriculum: Topics • Overview and 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]
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
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
PHI Competencies • Outgrowth of recommendation from 2001 National Agenda for PHI • Working group of 45 public health informaticians and educators sponsored by CDC • Definition: Observable or measurable performance, skill or knowledge by a public health worker related to PHI • 45 competencies in 3 classes • Expertise levels for • Front-line staff • Senior-level technical staff • Supervisory/management staff
PHI Competencies, Class 1: Effective Use of Information • Analytic Assessment • Determine appropriate uses of both quantitative and qualitative data • Policy Development/Program Planning • Collect, summarize, and interpret relevant information • Financial Planning & Management • Conduct cost-effectiveness, cost-benefit, and cost-utility analyses • Leadership & Systems Thinking • Manage info as strategic resource
PHI Competencies, Class 2: Effective Use of IT • Electronic Communications • Use IT tools appropriately • Online information utilization • Identify, locate, access, assess, and interpret online public health information • Strategic use of IT to promote health • Through community education, behavior modification, policy development • Information and knowledge development • Combine data & information from multiple sources to create new info
PHI Competencies, Class 3: Effective IT Project Management • System development • Promote the development of integrated, cost-effective information systems • Cross-disciplinary communication • Engage & communicate effectively with both IT & public health colleagues • Standards • Utilize relevant data standards for transmission & storage • Accountability • Use IT to assure openness and responsiveness of public health
Conclusion • Public Health Informatics is distinguished from other informatics specialty areas by: • Prevention in populations • Wide range of interventions • Government context • PHI = Informatics in a public health context • Principles of informatics are common across sub-disciplines
Questions? PHI curriculum http://faculty.washington.edu/~ocarroll/infrmatc PHI book:www.amazon.com (search for “public health informatics”) PHI Competencies http://nwcphp.org/phi/comps Patrick W. O’Carroll, MD, MPH William A. Yasnoff, MD, PhD pocarroll@osophs.dhhs.govwilliam.yasnoff@hhs.gov 206/615-2469 202/690-7862