CDC’s Informatics Research and Development Activity (IRDA) and R&D Lab

1. CDC’s Informatics Research and Development Activity (IRDA) and R&D Lab Tom Savel, MD, Director Brian Lee, Acting Deputy Director Informatics Research & Development Activity Public Health Surveillance & Informatics Program Office Office of Surveillance, Epidemiology and Laboratory Services CDC Wednesday, March 7, 2012

2. Informatics Research & Development Activity (IRDA) • A resource to CDC and the public health community that studies, prototypes, and tests new and innovative technology-based tools and resources to maximize programmatic public health impact. • Our philosophy is, “Better, faster, low-cost experiments for how technology can improve public health.”

3. The R&D Lab: History & Current • Physical space created in 2007 • Within NCPHI’s Division of Informatics Shared Services • Predominantly a resource for NCPHI • Focused on R&D Activities • Testing and Hosting hardware and software solutions • Responding to Public Health Emergencies • Created with a separate network from CDC • Unit/Activity organized in January 2010 • Security C&A in October 2010 • Agency resource in October 2010

4. R&D Lab Website

5. Web address for R&D Lab • http://www.phiresearchlab.org

6. Lab Services • Applied Public Health Informatics Research Cloud – lab provides 1+ virtual machines for 3+ months, accessed remotely (for free) • Test and profile non-CDC supported software • Community Engagement (UAT, JAD, Social Media) • Open Source Development • Prototype – gain insight by building software to test concepts and refine requirements • Consultation – explore innovation options • Evaluation – structured review of technology for public health audience

7. Lab Organization Sara Brown UX Designer (SRA) Greg Ledbetter Developer (SRA) Dale LaValley Senior Infrastructure Engineer Infrastructure Prototyping Consultation & Evaluation Brian Lee Acting Deputy Director Tom Savel, MD Director

8. IRDA Teams • Research and Innovation Team • Provides consultation; develops guidelines, evaluations, recommendations to CDC & public health community • e.g., evaluating new open source data mining, GIS, and visualization tools • Prototype Development Team • Expertise in hardware and software design and development • e.g., MMWR for iPad , STD Guidelines for iPhone, & web apps…. • Laboratory Infrastructure and support team • Develops and maintains secure, dynamic environment in which to experiment and carry out research • (i.e., R&D sandbox hosting, aka…. R&D Lab Research cloud)

9. The Public Health Informatics Research Cloud

10. Lab Manager

11. The R&D Lab: Infrastructure • Internet Connectivity: Dedicated 10 MB Fiber & DSL backup • Cloud: Infrastructure: VMWare™ - based • VM Capacity- ~5000 • Live, simultaneous VMs – 400 • Environments: Windows, Linux, Mac OS X, SQL Server, Oracle, MySQL, and others. • Hardware Architecture • Dell, HP, Wyse Thin Client, Apple • Mobile devices (Apple iPad, Motorola Xoom, Blackberry Playbook, Barnes & Noble Nook) • 19 Computers – Physical Lab

12. The R&D Lab: Security • Enclave network isolated from CDC using physical controls • Rules of Behavior: • No PHI/PII – Synthetic Data Only • No interdependence with production systems • No SLA

13. R&D Lab Cloud vs. Amazon Cloud • Granularity of control (performance, etc.) • Degree of Customization offered (VLAN creation, etc.) • Relationship to CDC • Subject Matter Expertise • Physical Location – CDC Campus • Terremark example…

14. Project Overview • Total Projects*: 67 • Under Review: 0 • Approved: 46 • Completed/Retired: 17 • Engagement Types: • Internal: 6 • External: 48 • Collaborative:13 * as of 2/21/12

15. Research Project Management System

16. Selected Prototype Engagements PTT Advisor PHTweet Public Health News STD Treatment Guide eBook / iPhone App MMWR for iPad SAMwise+ NHSN Central Line Insertion Practices iPhone App Situation Awareness Dashboard

17. Selected Partner Engagements Chronic Kidney Disease Web Portal Evaluation – NCCDPHP – Pre-release Partner Feedback Health Statistics Web Presentation Prototype – NCHS – Testing new technology platform SDN Multi-Platform Certificate Testing – ITSO – Cross-browser testing Universal Data Collection External User Acceptance Testing – NCBDDD – External UAT Biosurveillance Registry Alternatives Analysis – PHSPO – Multiple pilots of different software configuration Arctic Investigations Program Legacy Systems Testing – NCEZID – Dynamic server and client environments

18. Demonstrations Central Line Insertion Practices (CLIP) Adherence Monitoring for iPad Submission of data to NHSN Real-time data entry and submission using app Replacing / supplementing web-based data entry, usually at end of the day HL7 Clinical Document Architecture (CDA) for Data Exchange REST Web Service API for App-NHSN communication (Facility Location) Intuitive and simple UI

19. Demonstrations, CLIP Source: http://www.cdc.gov/nhsn/forms/57.125_CLIP_BLANK.pdf

20. Demonstrations, CLIP Source: http://www.cdc.gov/nhsn/forms/57.125_CLIP_BLANK.pdf

21. Demonstrations Situation Awareness Dashboard Redesign Visual Prototype Modular Approach - Widgets allow composability  Multi-Platform Support - Different Widgets written in different technologies Widgets use/give off data as web API/web services (JSON/XML) Leveraging HTML5, Web API Different views based on security & functional roles

22. Demonstrations, Situation Awareness Dashboard

23. Demonstrations PTT Advisor Diagnostic algorithms Clinical Decision Support Embedded in iPhone platform

24. Demonstrations, PTT Advisor

25. Demonstrations PHTweet Situational Awareness Tool Leveraging real-time Twitter data

26. Demonstrations, PHTweet

27. Demonstrations, PHTweet

28. Demonstrations, PHTweet

29. Demonstrations Public Health News Novel way to visualize Google News Treemap Algorithm

30. Demonstrations, Public Health News

31. Demonstrations CDC 2010 STD Guidelines for iPhone v1 vs. v2

32. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

33. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

34. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

35. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

36. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

37. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

38. Demonstrations, STD Guidelines Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

39. Demonstrations MMWR for the iPad “MMWR Navigator” Standard method for displaying data on iPad Split-view controller

40. Demonstrations, MMWR Navigator

41. Demonstrations, MMWR Navigator

42. Demonstrations, MMWR Navigator

43. Demonstrations, MMWR Navigator

44. Demonstrations, MMWR Navigator

45. Demonstrations MMWR for iPad (prototype II) - Map Navigator

46. Demonstrations, MMWR Map Navigator

47. Demonstrations, MMWR Map Navigator

48. Demonstrations, MMWR Map Navigator

49. Demonstrations, MMWR Map Navigator

50. Demonstrations, MMWR Map Navigator