Panel on Public Health Informatics New Opportunities for Public Health Practitioners

1. Panel on Public Health InformaticsNew Opportunities for Public Health Practitioners Moderated by Susan M Salkowitz, MA, MGA Principal, Health Information Systems Consultant Salkowitz Associates, LLC salkowit@mac.com Adjunct Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania Mid-Atlantic Health Care Informatics Symposium April 25, 2014

2. Disclosures for Panel- NONE • Moderator, Susan M. Salkowitz discloses that she has no relationships with commercial interests. • Panelist Dr. Caroline C Johnson discloses that she has no relationships with commercial interests. • Panelist, Lisa McKeown discloses that she has no relationships with commercial interests • Panelist Dr. GiridharMallya discloses that he has no relationships with commercial interests • Panelist Dr. Paulina Sockolow discloses that she has no relationships with commercial interests

3. What is Public Health Practice? Core public health functions require stewardship for data collection, management, analysis, and dissemination across multiple stakeholders, and extensive communication to official agencies, healthcare providers and facilities, health plans, individuals and the public at large to document, measure, inform, educate, promote, mobilize, assure, and enforce.

4. What is Public Health Informatics? • The systematic application of information and computer science and technology to public health practice, research and learning, including surveillance, reporting and health promotion • Little known discipline before IOM report and AMIA PHI meeting-2000 • Not in the vocabulary of public health practitioners • Limited capacity to use information technology hampered by • Low state of available technology- main frame and legacy systems • Inadequate funding, staff resources and institutional support • Public health not on the public’s radar

5. Drivers for Expansion of Public Health Informatics • Bioterrorism and Preparedness funding post 9/11- enhanced surveillance, laboratory reporting, syndromic surveillance if tied to emergency preparedness • 2004- Office of the National Coordinator of Health IT-policies, standards and direction for interoperable HIT • ARRA HITECH funding- technical infrastructure, electronic health records, Meaningful Use • Affordable Care Act – population health/public health, prevention- • New focus on health vs. healthcare- Social determinants, health behaviors, environment All driving towards a Learning Health System

6. How Public Health Informatics helps practitioners in the Philadelphia Health Department and in Research • Communicable Disease Surveillance- a core public health function: Caroline Johnson, MD • Philadelphia Kids Plus IIS: Integration of public health, prevention and medical care: Lisa McKeown, MPH • Population Health- Get Healthy Philly: Tobacco and Obesity Surveillance, Research and Evaluation: GiridharMallya, MD, MSHP • Participatory Design of mHealth Intervention for Youth Susceptible to Risky Sexual Decision Making: Paulina S. Sockolow, DrPH, MS, MBA