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Developing an Open Source Asynchronous Communication Framework for Public Health - PHAccess

Developing an Open Source Asynchronous Communication Framework for Public Health - PHAccess. Jon Reid, MBA, Susan Mottice, PhD, Theron Jeppson, MEd, Richard Kurzban, Wu Xu, PhD. Agenda. Problems with communication in Public Health Need for an Open Source Framework Solution – PHAccess

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Developing an Open Source Asynchronous Communication Framework for Public Health - PHAccess

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  1. Developing an Open Source Asynchronous Communication Framework for Public Health- PHAccess Jon Reid, MBA, Susan Mottice, PhD, Theron Jeppson, MEd, Richard Kurzban, Wu Xu, PhD

  2. Agenda • Problems with communication in Public Health • Need for an Open Source Framework • Solution – PHAccess • Next Steps

  3. Problems with Communication • 2007 SPHERE action items: • Better internal communications • Better communications with partners • Consider adding asynchronous communication techniques • Synchronous communication too costly and time consuming

  4. Communication Survey • Conducted Dec 2008 – Jan 2009 • The value of sharing information • Identifying barriers that exist that may prevent them from receiving/sharing information • Satisfaction levels with current communication processes • Preferred communication methods for the receiving/sharing of information

  5. Survey Results (n=52) Preferred method of communication Preference for staying informed on routine communicable disease issues Own Time Personal Interaction

  6. Need for Open Source Framework • Length of time to develop and implement software • Most software applications have redundant code (Authentication, UI) • Hard to build user base • High cost of implementation • Users don’t want another username and password

  7. Solution - PHAccess • Secured Web-Site • Able to host secure applications • Portal to public health information • Allows secure asynchronous communication within public health and external users • Single sign-on using the Utah Master Directory • Gives autonomy to users (Web 2.0)

  8. PHAccess Development • Collaboration of Public Health Workers, Clinicians, IT, Informaticists • Used modified Agile/RAD methodology • Built using Open Source tools and resources • Released to local and state public health and clinical workers

  9. Open Source Tools Used • Linux (SUSE) • Apache 2.0 • PHP v. 4.4.9 • MYSQL v. 4 • TinyMCE • YUI Tools 2.5 • PHPMailer

  10. PHAccess Building Blocks

  11. Core Applications Messaging Calendar Contacts Wiki File Library User Management Project Management Secure Applications Issue Tracker UT-NEDSS Newborn Screening Clinical Apps ELR Application Types

  12. PHAccess Application Framework

  13. PHAccess Application Framework

  14. UMD Single Sign-on

  15. PHAcces Home Page

  16. Application Manager

  17. View Application Users

  18. Add Users to Application

  19. PHAccess Application Framework

  20. Example of Data Interfaces

  21. Case Study • Needed to transmit lab test results to Epi through a secure method • Easy to manage user rights through PHAccess application manager • Fast turn around time • Allows users to create custom queries

  22. PHAccess Application Framework

  23. User Interface • Common Interface • Shared Menu, layout • Seamless Integration • Hosted or external application • Portal of applications • Functions/Classes • Auditing, File storage/retrieval • Secure Messaging

  24. Secure Mail System

  25. Secure Message Process

  26. Case Study • PHAccess messaging used during H1N1 outbreak • Easy group creation and management • Send secure and insecure messages • Clinical Infection Preventionists (IP) sending reports to state and local departments • Reduces number of faxes and increase turn-around-time

  27. Wiki Workspace

  28. Next Steps • Increase Clinical User Base • ELR • Clinical Web-Based Reporting (CMR) • Roll out PHAccess to other agencies • EMS/Preparedness • LHD/Environmental Reporting • Develop Open Source Community • COP • Facilitate Adoption

  29. For More Information • Office of Public Health Informatics • http://health.utah.gov/phi/phaccess • PHAccess Demo/Code • http://www.rockymountaincoe.org/phaccess • Contact • Jon Reid – jon.reid@utah.edu

  30. Acknowledgements • Dr. Matthew Samore, P.I. • University of Utah, Center of Excellence • Dr. Robert Rolfs • Utah State Epidemiologist • This study is supported by CDC Grant No. P01 CD000284, Utah Research Center for Excellence in Public Health Informatics.

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