DSHS Grand Rounds Presenter: Chesley Richards, MD, MPH, Deputy - - PowerPoint PPT Presentation

▶
dshs grand rounds presenter chesley richards md mph
SMART_READER_LITE
LIVE PREVIEW

DSHS Grand Rounds Presenter: Chesley Richards, MD, MPH, Deputy - - PowerPoint PPT Presentation

Oct 01, 2023 115 likes •858 views

DSHS Grand Rounds Presenter: Chesley Richards, MD, MPH, Deputy Director for Public Health Scientific Services, Centers for Disease Control and Prevention . Logistics Registration for free continuing education (CE) hours or certificate of

slide-1
SLIDE 1

.

DSHS Grand Rounds

Presenter: Chesley Richards, MD, MPH, Deputy Director for Public Health Scientific Services, Centers for Disease Control and Prevention

slide-2
SLIDE 2

Logistics

2

Registration for free continuing education (CE) hours or certificate of attendance through TRAIN at:

https://tx.train.org

Streamlined registration for individuals not requesting CE hours

  • r a certificate of attendance
  • 1. webinar: http://extra.dshs.state.tx.us/grandrounds/webinar-noCE.htm
  • 2. live audience: sign in at the door

For registration questions, please contact Annette Lara, CE.Service@dshs.state.tx.us

slide-3
SLIDE 3

Logistics (cont.)

3

Slides and recorded webinar available at:

http://extra.dshs.state.tx.us/grandrounds

Questions?

There will be a question and answer period at the end of the presentation. Remote sites can send in questions throughout the presentation by using the GoToWebinar chat box or email GrandRounds@dshs.state.tx.us. For those in the auditorium, please come to the microphone to ask your question.

For technical difficulties, please contact:

GoToWebinar 1-800-263-6317(toll free) or 1-805-617-7000

slide-4
SLIDE 4

Disclosure to the Learner

4

Requirement of Learner Participants requesting continuing education contact hours or a certificate of attendance must register in TRAIN, attend the entire session, and complete the

  • nline evaluation within two weeks of the presentation.

Commercial Support This educational activity received no commercial support. Disclosure of Financial Conflict of Interest The speakers and planning committee have no relevant financial relationships to disclose. Non-Endorsement Statement Accredited status does not imply endorsement by Department of State Health Services - Continuing Education Services, Texas Medical Association, or American Nurses Credentialing Center of any commercial products displayed in conjunction with an activity.

slide-5
SLIDE 5

Introductions

5

David Lakey, MD

DSHS Commissioner is pleased to introduce today’s DSHS Grand Rounds speakers

slide-6
SLIDE 6

6

Health Data and Transforming Our Approaches to Improving Population Health

Chesley Richards, MD, MPH Deputy Director, Public Health Scientific Services Director, Office of Public Health Scientific Services Centers for Disease Control and Prevention

slide-7
SLIDE 7

Heal ealth D Dat ata a and nd Transf nsfor

  • rming

ng our

  • ur Appr

pproa

  • ache

ches s to

  • Impr

provi

  • ving

ng Popul

  • pulation H
  • n Health

h

Ch Chesley Ri Richards, MD, D, M MPH PH

Deputy Director for Public Health Scientific Services DSHS Grand Rounds – Austin, Texas November 20, 2013

Centers for Disease Control and Prevention Office of Public Health Scientific Services

slide-8
SLIDE 8

Le Learni ning O ng Obj bject ctive ves

  • Examine the current state of health data and its use in

public health

  • Improve understanding of CDC data systems and tools

available to aid policy makers in public health decision making

  • Encourage use of innovation in data access,

visualization, and participant engagement to promote health

slide-9
SLIDE 9

Le Learni ning O ng Obj bjective: Cur urrent nt stat ate o e of heal ealth d dat ata a and nd its us use i in publ n public he health

slide-10
SLIDE 10

Health lth, U Unite ited S Sta tate tes

ht http: p://www.cdc dc.gov gov/nc nchs hs/hus hus.ht htm

Annua nnual repor port pr present nts na nationa

  • nal

trends nds in n he health s h statistics on s

  • n suc

uch h topics a cs as: s:

  • birth and death rates
  • infant mortality
  • morbidity and health status
  • risk factors
  • use of ambulatory and inpatient care
  • health personnel and facilities
  • financing of health care
  • health insurance and managed care
slide-11
SLIDE 11

Sour

  • urce: Nationa
  • nal Health a

h and nd Nut utrition

  • n Examina

nation S

  • n Sur

urvey

slide-12
SLIDE 12

Source: e: N Nat ational al Vital al Stat atistics S System em

Birth R Rat ates es for U U.S. T Teen eenag ager ers Reac each Historic Low Lows for

  • r A

All A Age ge and nd Ethni hnic Groups

  • ups
slide-13
SLIDE 13

Percent nt of

  • f a

adul dults age ged 1 d 19-25 with h he health h i ins nsur uranc nce, by by c cov

  • verage

ge type pe, a and nd pe percent nt uni unins nsur ured: d: 2 2009 – 2012 2012

Source: Cohen RA, Martinez ME. Health insurance coverage: Early release of estimates from the National Health Interview Survey, January – September 2012. National Center for Health Statistics. March 2013.

Privat ate

27. 27.0 35. 35.6

slide-14
SLIDE 14
slide-15
SLIDE 15
slide-16
SLIDE 16
slide-17
SLIDE 17
slide-18
SLIDE 18
slide-19
SLIDE 19
slide-20
SLIDE 20
slide-21
SLIDE 21
slide-22
SLIDE 22
slide-23
SLIDE 23
slide-24
SLIDE 24
slide-25
SLIDE 25

Le Learni ning O ng Obj bjective:

CDC da data s systems and t nd tool

  • ols availabl

ble t to a

  • aid pol

d policy makers in publ n public he health de h decision m

  • n making

ng

slide-26
SLIDE 26

Offic ice of Public lic Healt lth Scie ientif ific ic Ser ervices es

Cen enter er for Survei eillan ance, e, Epi pide demiol

  • logy
  • gy,

and nd La Labor borator

  • ry Services

Division of

  • n of La

Labor borator

  • ry P

Progr

  • grams,

Stan andar ards, an and Ser ervices es Division

  • n of
  • f Epi

pide demiol

  • logy
  • gy, A

Ana nalysis, an and L Librar ary Ser ervices es Division

  • n of
  • f Health I

h Inf nfor

  • rmatics

and S nd Sur urveillanc nce Division

  • n of
  • f Scient

ntific Educ ducation

  • n

and nd Prof

  • fessiona
  • nal D

Developm

  • pment

nt

Nat ational al Cen enter er for H Health S Statistics

November, 2013

Div ivis isio ion of Vit ital S l Statis istic ics Div ivis isio ion of Healt lth Care S Statis istic ics Division

  • n of
  • f Health I

h Int nterview Sta tati tisti tics Division

  • n of
  • f Health a

h and nd Nut utrition

  • n

Examina nation S

  • n Sur

urveys

OPHSS Mission: To lead, promote, and facilitate science, standards and policies to reduce the burden of diseases in the United S tates and globally.

slide-27
SLIDE 27

Dat Data a an and Stat atistics

slide-28
SLIDE 28

Survey eys an and Dat Data a Co Collec ection System ems

slide-29
SLIDE 29

Le Learni ning O ng Obj bjective:

Enc ncour

  • urage

ge us use of

  • f i

innov nnovation i

  • n in da

n data access, visua ualization,

  • n, and pa

nd participa pant nt enga ngage gement nt t to

  • pr

prom

  • mot
  • te

heal ealth

slide-30
SLIDE 30

Elect ctroni

  • nic H

c Health h Recor cords: ds: I Impl plica cations

  • ns
  • Clini

nicians ns wor

  • rk at E

EHR, not not phone phone, f fax, e email

  • Moni
  • nitor
  • r the

heir ow

  • wn pr

n practice popul populations

  • ns
  • Aut

utom

  • mate m

many ny sur urveillanc nce a and nd repor porting ng tasks

  • Excha

hange nge or

  • r c

com

  • mpi

pile pa patient nt inf nfor

  • rmation
  • n us

using ng Health h Inf nfor

  • rmation E
  • n Excha

hange nge

  • PH repor

porting i ng inc ncreasingl ngly from

  • m E

EHR us using ng na nationa

  • nal

standa ndards ds

  • Rul

ules for

  • r E

EHRs start to de

  • define

ne how how publ public he health h excha hange nges inf nfor

  • rmation
  • n with pr

h prov

  • vide

ders

slide-31
SLIDE 31
slide-32
SLIDE 32

Meani ningf ngful ul U Use se

CMS es estab ablished ed Med edicar are an e and M Med edicai aid el elec ectronic he health h recor

  • rd (

d (EHR) pr progr

  • gram
  • Provides incentives for eligible professionals (EP), eligible

hospitals (EH), and critical access hospitals (CAH) to become meaningful users of EHR

  • Maximum cash incentives of up to $63,750 for EPs and several

million dollars for hospitals

  • Non-participating Medicare EPs will receive lower fee-for-service

payments beginning in 2015

slide-33
SLIDE 33

Meani ningf ngful ul U Use se Prior

  • rities

Meani ningf ngful ul us use is us using c ng certified d electroni

  • nic he

health h recor

  • rd (

d (EHR) technol hnology

  • gy t

to:

  • :
  • Improve quality, safety, efficiency, and reduce health disparities
  • Engage patients and family
  • Improve care coordination
  • Maintain privacy and security of patient health information
  • Improve population and public health

Sour

  • urce: ht

http: p://www.he healthi hit.gov gov/pr prov

  • vide

ders-pr prof

  • fessiona
  • nals/meani

ningf ngful ul-us use-de defini nition

  • n-objec

ectives es

slide-34
SLIDE 34

Meani ningf ngful ul U Use

WHO HO s sets EHR EHR rules?

  • Office of Nat’l Coordinator for Health Info Tech (ONC at HHS)

HOW ar are e rules es ‘ ‘en enforced ed’?

  • The Medicare and Medicaid in

incentiv ive program

WHO qua qualifies for

  • r i

inc ncent ntives?

  • Most clinicians and hospitals paid by Medicare &/or Medicaid

WHAT q T qual alifies es?

  • Implement a cer

ertified ed EHR

  • “Meaningfully use” for objectives to improve care and population

health, including (in Stage 1) one of:

  • S ubmit E lectronic Lab R eports for reportable conditions to PH
  • S ubmit S yndromic S urveillance reports to PH
  • S ubmit Immunization reports to Immunization R egistries
  • ALS O: Quality measures, registries, clinical decision support

WHEN? HEN? No Now!

slide-35
SLIDE 35

Mo More A e About WHEN… 3 3 Stag ages es

  • 3 s

stage ges of

  • f Meani

ningf ngful ul Use

  • Escal

alat ating o

  • bjec

ectives es

  • Stag

age e 1: 1: O Oct 2010 2010-Dec ec 2013* 2013*

  • Stag

age e 2: 2: b beg egins O

  • Oct. 2013*

2013*

  • Stag

age e 3: 3: L Likel ely beg egins O

  • Oct. 2015

2015

  • Yearl

rly atte ttesta tati tion (hospita tals: F : FFY, p pro roviders rs: : cal alen endar ar)

  • Med

edicar are i e incen entives es fav avor ear early par articipat ation

  • Pen

enal alties es s star art ?2015 2015

slide-36
SLIDE 36

Births and fetal deaths Birth defects & congenital disorders Immunizations Communicable diseases R eportable test results Outbreaks Poisoning Occupational injuries Other injuries Adverse events and effects Cancer Other chronic disease reports Visits and hospitalizations (S yndromic surveillance) Quality reports Deaths and associated data Healthcare Public Health

Mean eaningful Use: e: S Stag age 1 e 1 Electroni

  • nic I

Inf nfor

  • rmation
  • n Excha

hange nge

slide-37
SLIDE 37

Mean Meaningful Use: e: Stag age e 2 2

Stag age 2 o e 2 objec ectives es beg egan an O October er, 2013 2013 More h e heal ealthcar are e provider ers…

  • …sendi

nding m ng mor

  • re electroni
  • nic da

data…

  • …to m
  • mor
  • re publ

public he health pr h progr

  • grams…
  • …by

by hi highe gher s standa ndards ds…

  • …for
  • r hi

highe gher s stakes.

slide-38
SLIDE 38

Healthcare Public Health

Mean eaningful Use: e: S Stag age 2 e 2 Electroni

  • nic I

Inf nfor

  • rmation
  • n Excha

hange nge

Births and fetal deaths Birth defects & congenital disorders Immunizations Communicable diseases R eportable test results Outbreaks Poisoning Occupational injuries Other injuries Adverse events and effects Cancer Other chronic disease reports Visits and hospitalizations (S yndromic surveillance) Quality reports Deaths and associated data HL7 2.5.1 CDA HL7 2.5.1

slide-39
SLIDE 39

Wha hat PHAs s ne need d to

  • do

do for

  • r Stage

ge 2?

 Make a realistic pl

plan n for

  • r each

h repor porting ng pe period

  • d of
  • f Stage

ge 2

  • Which types of exchange will be offered, and how?
  • Will you designate a Health Information Exchange organization as

a suitable replacement for direct reporting?

  • Plan how to use computers to help staff manage growing data

flows

 Creat

eate e a a written en stat ate-wide de sum ummary of

  • f the

hese opt

  • ptions
  • ns by

by the he be begi ginni nning ng of

  • f each r

h repor porting pe ng period

  • d
  • This should include LOCAL as well as STATE options

 Regi

gister he healthc hcare pr prov

  • vide

ders in n an n or

  • rde

derly way

 Doc

  • cum

ument nt your

  • ur reque

quests of

  • f pr

prov

  • vide

ders and nd the heir failur ure to

  • com
  • mpl

ply in n writ itin ing

 Wor

  • rk c

clos

  • sely w

with h HIT Coor

  • ordi

dina nator

  • r a

and nd MA D Director

  • r in

n your

  • ur state or
  • r

terri rritory ry

 Stay tune

uned d to

  • www.cdc

dc.gov gov/ehr hrmeani ningf ngful ulus use, CDC CDC l listserv and mont

  • nthl

hly t teleconf

  • nferenc

nces.

 Send

nd que questions

  • ns to:
  • : meani

ningf ngful ulus use@cdc dc.go gov

slide-40
SLIDE 40

Meani ningf ngful ul Use: e: Stag age e 3 Draft Recom commenda ndations

  • ns

Heal ealthcar are A e Associat ated ed Infec ection (HAI) Rep eports:

  • EH Objective (new): Capability to electronically send

standardized HAI reports to the National Healthcare Safety Network (NHSN)

Jur urisdi dictiona

  • nal R

Regi gistry Repor ports:

  • EH/EP Objective (New): Capability to electronically send

standardized reports to a mandated jurisdictional registry (e.g., cancer)

Immuni unization:

  • n:
  • EP/EH Objective (New): Capability to receive immunization

history from a registry or information system

  • EP/EH Objective (New): Capability to receive, generate or

access appropriate age-, gender- and immunization history- based recommendations

slide-41
SLIDE 41

Healthcare Public Health

Mean eaningful Use: e: S Stag age 3 e 3 Electroni

  • nic I

Inf nfor

  • rmation
  • n Excha

hange nge

Births an and fet etal al d deat eaths? Birth de h defects & & c conge

  • ngeni

nital di disor

  • rde

ders? Immunizations Com

  • mmuni

unicabl ble di diseases? ? R eportable test results Outbreaks Poi

  • isoni
  • ning?

ng? Occupational injuries Other injuries Adver erse ev e even ents an and ef effec ects? Cancer Othe her chr hroni

  • nic di

disease repor ports? Visits and hospitalizations (S yndromic surveillance) Quality reports Deaths and associated data? Items bolded in white are being considered by S &I Framework PH R eporting Initiative

slide-42
SLIDE 42

Meani ningf ngful ul Use: e: Stag age e 3 Key ey CDC P CDC Priorities

  • Bidi

directiona

  • nal I

Immuni unization

  • n Inf

nfor

  • rmation S
  • n Systems (IIS)
  • Smok
  • king

ng Cessation (

  • n (aut

utom

  • mated r

d referral t to

  • Qui

uit Li Line ne)

  • Moni
  • nitor
  • ring pa

ng patient nts with h hy hype pertens nsion

  • n (regi

gistry)

slide-43
SLIDE 43

Wha hat Doe

  • es

s Meani ningf ngful ul Use se Cha hange nge?

  • Prov
  • vide

ders/hos hospi pitals ur urge gent ntly s seek t to

  • e-repor

port

  • Electro

tronic re reporte rters rs ri rise fro from m doz dozens ens to

  • thous

usands nds per s r sta tate te

  • EHRs

EHRs will u use ONC NC-pr prescribe bed s d standa ndards ds

  • Rising r

ng repor port v vol

  • lum

umes

  • Timel

elines ess an and c complet eten enes ess

  • Electroni
  • nically r

reus usabl ble i inf nfor

  • rmation
  • n
  • Public

lic h healt lth’s r rela latio ionship ip w with clin linic ical l care is is cha hangi nging ng

slide-44
SLIDE 44

Publ ublic c Health S h Sur urve veillance nce

The systematic ongoing collection, analysis, interpretation and dissemination of health-related data for public health action

Image ge: La Labor borator

  • ry repor

port on

  • n mercur

ury poi poisoni

  • ning

ng ”Publ Public Hea ealth Bul Bulletin”, No. 23 234, 4, Fig. 27 27, 193 937

slide-45
SLIDE 45

Use ses s of

  • f Publ

ublic c Health h Sur urve veillance nce

  • Estimate magnitude of the problem
  • Determine geographic distribution of illness
  • Portray the natural history of a disease
  • Detect epidemics/define a problem
  • Generate hypotheses, stimulate research
  • Evaluate control measures
  • Monitor changes in infectious agents
  • Detect changes in health practices
  • Facilitate planning
slide-46
SLIDE 46

Sur urve veillance nce is s inf nfor

  • rmation
  • n for
  • r act

ction

  • n

Acut ute publ public heal health ac h action

  • n (epidemic-/disaster-type)
  • Case management
  • Partner/contact services
  • Outbreak investigation & management

Planned anned publ public heal health ac h action

  • n (management type)
  • Preparedness
  • Feedback & dissemination
  • Health education
  • Program management & development
  • Program planning & priority-setting
slide-47
SLIDE 47

Select cted d Sur urve veillance nce M Methods hods

  • Notifiable disease surveillance (providers & laboratories)
  • Sentinel surveillance
  • Active population-based surveillance in limited areas
  • Syndromic surveillance
  • Ongoing periodic surveys for public health monitoring

and action

  • Event-based surveillance
  • Health condition-specific registries
slide-48
SLIDE 48

Data so source ces f s for r CDC Surve veillance ce S Syst stems

Dat ata as a as of Mar arch 22, 22, 201 2011; NPHSB Reg egistry

slide-49
SLIDE 49

Births and associated data Birth defects & congenital disorders Immunizations Communicable diseases R eportable test results Outbreaks Poisoning Occupational injuries Other injuries Adverse events and effects Cancer Other chronic diseases reports Visits and hospitalizations Deaths and associated data

ACTION (Policy, S ervices, E nforcement, E ducation)

Healthcare Public Health E nvironmen t Population S urveys Complaints R eports Direct care E nrollment S ensors Licenses Inspections

slide-50
SLIDE 50

Publ ublic c Health h Sur urve veillance nce

  • Platfo

tforms rms fo for s r surv rveillance

– com

  • mpl

plex and nd requi quires col

  • llabor

boration

  • n at mul

ultipl ple levels

– bui

build d upon upon cur urrent nt capa pabi bilities

– req

equires es dat ata a from the e heal ealth car are e system em

– Right

ght da data, right ght time, for

  • r right

ght us users to

  • take publ

public he health h ac action

slide-51
SLIDE 51

Sur urve veillance nce pl platfor

  • rms

s

  • CDC Platform
  • Community Platform
slide-52
SLIDE 52

CDC CDC Plat atform (CDCP CDCP)

slide-53
SLIDE 53

Busi usine ness D ss Drive ver

CDC Programs need to have reliable, accurate and complete data

  • Current legacy systems are old and expensive to maintain
  • Data provisioning is burdensome and labor intensive
  • CDC Programs often duplicate data in own environment due to lack of confidence in the

quality of the data provided

Data quality and processes for handling of surveillance data between States and CDC need to be improved. Issues include:

  • Inability to effectively manage surveillance data submissions to CDC
  • Inability to implement needed changes for emergency response
  • Lack of State participation in development of technology solutions to support surveillance

data standardization and submission

  • Inability to access same data by CDC programs and States; thereby, enabling the data

validation and reconciliation at the detail record level rather than at the data aggregate level

  • CDC Programs are not all implementing and using uniform coding and messaging standards
slide-54
SLIDE 54

Visi sion

  • n for
  • r the

he CDC CDC Platform

  • Support the exchange of health-related data in multiple message formats

through various data exchange channels

  • Provide data services such as health data transport, validation,

standardization, storage, provisioning, and analysis

  • Integrate many health data sources, including national notifiable diseases

data, syndromic surveillance, electronic laboratory reporting, immunization registries, and social media and unstructured news reports

  • Simplify the exchange of health data by bringing together different software

applications and services onto a unified platform

slide-55
SLIDE 55

Public Heal Health Com

  • mmuni

unity P Platfor

  • rm
slide-56
SLIDE 56

. . . . . .

Clin linic ical l Care - Publ ublic Health h Int ntegr gration

  • n Probl
  • blem

All Elec ectronic Dat ata a an and Man any System ems

405 EMR vendor products in 2012

Certify All to Make Operational : Business Logic Value sets Vocabularies Messages Security Transport

Health Departments EHRs

Actually: Multiple S urveillance S ystems for E ach S ite

slide-57
SLIDE 57

“ Hub ub and nd Spok poke” Int ntegr gration

  • n in

n a Fede derated d Publ ublic Health h Env nvironm

  • nment

nt

Health Departments EHRs . . . . . .

Publ ublic Heal ealth Com

  • mmuni

unity Platfo tform PHCP Funding Focuses Certification

slide-58
SLIDE 58

Publ ublic c Health h Com

  • mmuni

unity y Platfor

  • rm

Dat ata S a Sharing P Partners Hea ealth Departmen ents EHRs HRs HI HIEs La Labs bs Fed eder eral al agencies es Other ers

Public H lic Healt lth Gover erned ed

Rout

  • uting/

ng/ Brok

  • kering

ng

Publ ublic a and nd Co Commer ercial al Appl pplications

  • ns

Public H lic Healt lth Ser ervices es Dat Data Excha hange nge

C&A

Cer Certified ed Sec ecure

Survei eillan ance e req equirem emen ents Immuni unization

  • n

forec ecas asting Case repor porting ng crit iteria ia

Juris risdic ictio ional Dat ata O a Ownership

Com

  • mmon A
  • n Authe

uthenti ticati tion

  • n

Platfor tform r requi quirements nts:

  • Inde

ndepe pende ndent nt C C &A &A

  • Fe

FedRA RAMP Cloud

  • ud
  • Certification of

ion of Standa ndards ds

  • Guaran

anteed ed P Performance

  • Sha

hared A d Archi hitectur ure

slide-59
SLIDE 59

Poi

  • int

nts of

  • f I

Int ntegr gration:

  • n:
  • Data stewardship through DUAs and shared infrastructure

through jurisdictional multi-tenancy

  • Data and transaction brokering to support PHIN MS, DIRECT,

Exchange and other protocols

  • Hosting applications developed by public health departments,

CDC, and vendors

  • Common methods and standards of authentication and secure

authorization of clinical systems or HIEs to public health systems

  • Public health services to support reportable disease case

reporting, chronic disease registries and prevention support services

  • Data analysis, visualization and mapping services

PHCP will addr ddress… ss…

slide-60
SLIDE 60

Oppor pportuni unities f s for

  • r Innova

nnovation

  • n

Withi hin P n Publ ublic c Health

  • Cha

hallenge nge G Grant nts e enc ncour

  • urage

ge pa participa pant nt enga ngage gement nt

  • mHeal

ealth af affec ects w wher ere e an and h how dat ata a is used ed

  • Soc
  • cial M

Medi dia pr prov

  • vide

des ne new cha hanne nnels for

  • r s

sha haring ng

  • Open

en D Dat ata a provides es new ew dat ata ac a acces ess an and vis isualiz lizatio ion

slide-61
SLIDE 61

ht http: p://www.now nowtrendi ndingc ngcha hallenge nge.com

  • m
slide-62
SLIDE 62

http://map appyheal ealth.com/by_t _tweet eet_p _plac aces es/Austin,%20T 20TX

slide-63
SLIDE 63

AppLab

slide-64
SLIDE 64

Rapi pid d Evol volut ution

  • n of
  • f Soci
  • cial Medi

dia

  • Bi

Bi-di directiona

  • nal uns

unstruc uctur ured da d data s sha haring ng (Gov

  • vernm

nment nt t to P

  • Publ

ublic, Publ ublic to G

  • Gov
  • vernm

nment nt, P Publ ublic to P

  • Publ

ublic)

  • Goal

al is t to ac achiev eve e timel ely use e of imper erfec ect dat ata t a to au augmen ent ex existing s survei eillan ance e system ems

  • @CDCFl

Flu has as 274, 274,868 868 follower ers for s shar aring p public heal ealth m mes essag ages es

“ Survei eillan ance e Dat ata a Qual ality S Spec ectrum” Trad aditional al D Dat ata (e. e.g., survei eillan ance e system em, survey ey dat ata) a) Uns nstruc uctur ure d d (so soci cial med edia d a dat ata) a)

slide-65
SLIDE 65

Publ ublic c Health h Data Sets s Sha hared d with h Publ ublic

Ope pen n Dat ata a In Initiative (e (e.g .g., d ., data.g .gov)

  • Public health sharing formal, structured data sets with the public
  • Data access allows novel visualizations
  • Machine-readable Application Programming Interface (API)

allows Mashups of disparate data sets

  • Example: Federal initiative to share data using data.gov
  • Example: HHS initiative to share health data using

healthdata.gov

  • Example: CDC shares its data sets using data.cdc.gov
  • Example: CDC shares a data query system using

wonder.cdc.gov

slide-66
SLIDE 66

ht http: p://www.da data.gov gov/

slide-67
SLIDE 67

ht http: p://he healthda hdata.gov gov/

slide-68
SLIDE 68

ht https ps://da data.cdc dc.gov gov/

slide-69
SLIDE 69

ht http: p://wonde

  • nder.cdc

dc.gov gov/

slide-70
SLIDE 70

Fina nal Thought houghts

  • Public

c Health data is s cr cruci cial t to a asse ssess ss the sco scope, bur burde den, n, a and nd trends nds of

  • f publ

public he health h pr probl

  • blems
  • CDC, wor
  • rking

ng with h our

  • ur s

state and l nd loc

  • cal he

health h age genc ncy pa partne ners, col

  • llects a br

broa

  • ad r

d range nge of

  • f da

data f for

  • r publ

public heal ealth ac action

  • Emergi

ging t ng tool

  • ols will pr

present nt cha hallenge nges but but a also

  • tremendous

ndous oppor

  • pportuni

unities to i

  • impr

prov

  • ve t

the he timeline ness, bur burde den n and nd qua quality of

  • f publ

public he health h da data

  • The

he ul ultimate cha hallenge nge i is t to l

  • link

nk the he i impr prov

  • ved da

d data to

  • impr

prov

  • ved publ

d public he health a h action

  • n
slide-71
SLIDE 71
slide-72
SLIDE 72

Questions and Answers

Remote sites can send in questions by typing in the GoToWebinar chat box or email GrandRounds@dshs.state.tx.us. For those in the auditorium, please come to the microphone to ask your question.

72

Ed House, Chief Operating Officer, DSHS

slide-73
SLIDE 73

73

DSHS Grand Rounds Spring Semester

Wednesday, April 2, 2014 Wednesday, April 9, 2014 Wednesday, April 16, 2014 Wednesday, April 23, 2014 Wednesday, April 30, 2014 Wednesday, May 7, 2014 Wednesday, May 14, 2014 Wednesday, May 21, 2014