Public Health Informatics 10x10 AMIA-Utah Course overview and logistics

1. Public Health Informatics 10x10 AMIA-UtahCourse overview and logistics Course Director: Catherine Staes, BSN, MPH, PhD

2. Welcome to PH Informatics! From all the faculty involved… • Catherine Staes -Biomedical Informatics • Scott Narus -Biomedical Informatics • Wu Xu -Utah Department of Health • Barry Nangle -Utah Department of Health • Susan Matney -Nursing Informatics • Kathy Sward -Nursing Informatics • Per Gesteland -Pediatrics/Biomedical Informatics • Kathi Marti -Utah Department of Health • Jen Wrathall -Utah Department of Health • Nancy McConnell -Utah Department of Health

3. Goal: To introduce informatics and public health students/practitioners to informatics principles and their application to public health problems. Students will develop basic analysis and lifelong learning skills to engage in the evolving field of public health informatics.

4. What is Public Health? • What is informatics? • Syllabus review • Introduction to the class project • Face-to-face meeting at AMIA NOW! 5/24

5. Most people only consider the tip of the iceberg Vaccination of children restaurant inspections outbreak investigation birth/death certificates care for indigents notifiable disease reporting Clean water/air & environmental monitoring Injury control and prevention / safe roads protected food supply proper disposal of solid and liquid waste rat control and mosquito abatement Disease surveillance prevention and prepareness research. Broad invisible aspects of public health

6. Why is “public health” hard to grasp? • Clinicians and others often have a preconceived idea about public health often limited or even incorrect. • Public health has a broad scope  hard to fathom. • Focus of public health has evolved in past 200 years – activities are driven by goals. • Involves varying interventions • Involves diverse professional disciplines and role of epidemiologist is not well understood. • Amalgam of science, action, policy, advocacy, & govt.

7. Causal pathway of disease

8. What is Public Health Informatics? My definition: Public health informatics is the application of informatics methods and tools to support public health goals. Others: Public health informatics is the systematic application of information and computer science and technology to public health practice, research, and learning. Catherine Staes, BSN, MPH, PHD

9. Informatics methods and tools • Data ---> Information ---> knowledge • Automated surveillance • Knowledge-base development and management • Integrated systems • Electronic health records • Health risk communication • Model development (ED crowding, disease in population) • Standardized vocabulary and data models • Natural language processing • Decision-support systems • Usability / Human-computer interaction

10. Most recent immunization schedule Catherine Staes, BSN, MPH, PHD

11. Public health practice is: • data-intensive • dependent on information: • Acquisition • management and analysis • exchange • Communication • Opportunities for process improvement

12. Public health research agenda Prevent and Control Infectious Diseases Promote Preparedness to Protect Health Promote Health to Reduce Chronic Diseases and Disability Create Safer and Healthier Places Work Together to Build a Healthy World Manage and Market Health Information Promote Cross-Cutting Public Health Research • Analytical methods • Information and visualization • Communications and alerting technologies • Decision support • Electronic health records • Knowledge management Pg 87….”The need for informatics development has been recognized within all public health disciplines”

13. Modules for the course • Introduction to public health informatics and the mission and practice of public health 2. Fundamentals informatics principles and application to public health (part 1) • Introduction to database design • System development 101 • Business process analysis 3. Public health surveillance systems: current and evolving

14. Modules for the course 4. Vocabulary and standards: (part 2 of fundamental informatics principles) 5. Public health and clinical systems: Current and evolving relationships, needs, challenges, and opportunities • Health information exchange • Public health clinical systems • State public health enterprise data • Use of population-based data for clinical decision-making 6. Roles required to develop and manage public health informatics projects and systems

15. Major exercise • Storyboard • Process diagram • Data flow diagram • Define Vocabulary for a message to send information from one entity to another

16. Utah-AMIA 10x10 course in Public Health Informatics In-person session May 24, 2010 Phoenix, Arizona (5 hours of CME)

17. In-person session outline 8:00 - 9:00 Continental Breakfast available 8:30- 8:45 Introduction 8:45-10:30 Share system descriptions 10:30-10:45 Break 10:45-12:00 Standards/vocabulary review and lab session 12:00-12:45 Lunch Break 12:45-1:30 Clinical public health systems: Description of current system in Utah 1:30- 2:30 Walk-though case study for new system 2:30- 3:00 Wrap-up, Q&A, evaluation/feedback

18. Faculty Catherine Staes, BSN, MPH, PhD Assistant Professor of Biomedical Informatics University of Utah Susan Matney, MSN RN Sr. Content EngineerOffice of the Associate VP for Health Sciences Information Technology, University of Utah Nancy McConnell, MBA USIIS Program ManagerDivision of Disease Control and PreventionUtah Department of Health Yuling Jiang, MS Doctoral student University of Utah

19. Welcome to PH Informatics! From all the faculty involved… • Catherine Staes -Biomedical Informatics • Scott Narus -Biomedical Informatics • Wu Xu -Utah Department of Health • Barry Nangle -Utah Department of Health • Susan Matney -Nursing Informatics • Kathy Sward -Nursing Informatics • Per Gesteland -Pediatrics/Biomedical Informatics • Kathi Marti -Utah Department of Health • Jen Wrathall -Utah Department of Health • Nancy McConnell -Utah Department of Health • Questions: catherine.staes@hsc.utah.edu