1. Requirements Lab: Public Health Information Model April 1, 2013

2. © 2010 Public Health Informatics Institute Agenda Project Background Project Approach Presentation of Construct of Public Health Work Why does it help you? – Public Health Information System Capability Roadmap – Common terminology and understanding – Starting point for information system acquisition (RFP) Illustrative Walk-through – Work Areas – Business Process – Requirements Wrap- up/Discussion

3. © 2010 Public Health Informatics Institute Project Background Proposition: information systems support work Where can we find the work of public health defined in detail? What is the business architecture of public health? We mostly do the same work in the same way. Can open systems become useful to your agency?

4. © 2010 Public Health Informatics Institute PROJECT APPROACH

5. © 2010 Public Health Informatics Institute Data Sources & Rationale We gathered, analyzed and synthesized a host of information to construct the public health information model: – Ten Essential Services – 3 Core Functions – Organizations charts from 40+ state/local agencies – PHAB Standards – Interviews with public health practitioners

6. © 2010 Public Health Informatics Institute

7. CONSTRUCT OF PUBLIC HEALTH WORK

8. © 2010 Public Health Informatics Institute Public Health Goal and Their Relationship Respond to public health threats Protect the public’s health Improve the public’s health

9. © 2010 Public Health Informatics Institute Relationship of Public Health Goals to Public Health Support and Administrative Operations Functions Manage administrative operations of the public health department Support public health actions and programs Improve the public’s health Protect the public’s health Respond to public health threats

10. © 2010 Public Health Informatics Institute Improve the public’s health Protect the public’s health Respond to public health threats P UBLIC H EALTH G OAL Public Health Goals and Their Associated Functions

11. © 2010 Public Health Informatics Institute Improve the public’s health Protect the public’s health Respond to public health threats P UBLIC H EALTH G OAL F UNCTION : A SSESS F UNCTION : P LAN F UNCTION : A CT F UNCTION : E VALUATE Public Health Goals and Their Associated Functions

12. © 2010 Public Health Informatics Institute Improve the public’s health Protect the public’s health Respond to public health threats Assess community health Plan to improve community health Act to improve community health through targeting individuals Evaluate…actions for improving the public’s health Assess the environment for hazards Plan to protect the public’s health Act to control and mitigate public health hazards Act to enforce public health laws and regulations Assess potential public health threats Plan and prepare for public health threats Act to respond to public health emergencies Act to respond to outbreaks Act to improve community health through targeting communities and populations P UBLIC H EALTH G OAL Evaluate…actions for protecting the public’s health Evaluate…responses to public health threats F UNCTION : A SSESS F UNCTION : P LAN F UNCTION : A CT F UNCTION : E VALUATE Public Health Goals and Their Associated Functions

13. © 2010 Public Health Informatics Institute Support public health actions and programs Manage administrative operations of the public health department Collect, maintain, and analyze public health data Communicate public health information Provide legal support to the public health department Provide informatics support Manage finances Manage human resources Manage supplies Provide information technology services Provide support for grants, contracts, and cooperative agreements S ET OF S UPPORTING FUNCTIONS Manage facilities and other capital resources F UNCTIONS Administer vital records Provide executive leadership Provide epidemiological, statistical, and analytical support Provide laboratory services and diagnostic support Public Health Support and Administrative Operations Functions

14. © 2010 Public Health Informatics Institute Support public health actions and programs Manage administrative operations of the public health department Collect, maintain, and analyze public health data Communicate public health information Provide legal support to the public health department Provide informatics support Manage finances Manage human resources Manage supplies Provide information technology services Provide support for grants, contracts, and cooperative agreements S ET OF S UPPORTING FUNCTIONS Manage facilities and other capital resources F UNCTIONS Administer vital records Provide executive leadership Provide epidemiological, statistical, and analytical support Provide laboratory services and diagnostic support Public Health Support and Administrative Operations Functions

15. © 2010 Public Health Informatics Institute Support public health actions and programs Manage administrative operations of the public health department Collect, maintain, and analyze public health data Communicate public health information Provide legal support to the public health department Provide informatics support Manage finances Manage human resources Manage supplies Provide information technology services Provide support for grants, contracts, and cooperative agreements S ET OF S UPPORTING FUNCTIONS Manage facilities and other capital resources F UNCTIONS Administer vital records Provide executive leadership Provide epidemiological, statistical, and analytical support Provide laboratory services and diagnostic support Public Health Support and Administrative Operations Functions

16. © 2010 Public Health Informatics Institute WHY DOES THIS HELP YOU?

17. © 2010 Public Health Informatics Institute ILLUSTRATIVE WALKTHROUGH

18. © 2010 Public Health Informatics Institute Public Health Model Structure and Terminology Work Area: A high-level grouping that is unique and encompasses functions and business processes. Work areas are not reusable, meaning two work areas will not have the same goal or outcome. Functions: A mid-level grouping that can be unique or reusable across work areas. Sub-functions also encompass business processes. Business Process: A set of related work tasks designed to produce a specific desired programmatic (business) result.

19. © 2010 Public Health Informatics Institute Work Areas of the Public Health Information Model DRAFT V14.0 NOT FOR DISTRIBUTION Deliver Individual Health Services Provide Laboratory Services Prepare and Respond to Health Threats and Hazards Regulate Facilities, Workers, Systems and Activities Communicate Health Information Provide Public Health Operations Support Develop Policies and Plans and Evaluate Public Health Services and Programs Conduct Community Based Assessments and Interventions Provide Environmental Health Services Measure and Monitor Population Health

20. © 2010 Public Health Informatics Institute Measure and Monitor Population Health Conduct Population Surveys Measure and Monitor Reportable Conditions Measure and Monitor Births and Deaths Measure and Monitor Disease Incidence Measure and Monitor Environmental Risks Measure and Monitor Population Health Using Disease- and Condition-Based Registries Conduct Secondary Analyses to Measure and Monitor Population Health Communicate Population Health Information to Target Audiences

21. © 2010 Public Health Informatics Institute Defining the Public Health Information Eco-System

22. © 2010 Public Health Informatics Institute Public Health Information Systems Capabilities

23. © 2010 Public Health Informatics Institute Defining the Public Health Information Model

24. © 2010 Public Health Informatics Institute Local and State Public Health Reportable Conditions Surveillance Process Model

25. © 2010 Public Health Informatics Institute Conditions Identification and Reporting

26. © 2010 Public Health Informatics Institute Condition Identification and Reporting

27. © 2010 Public Health Informatics Institute Requirements for Apply Filter to Data Apply Filter to Data Have ability to use national knowledge bases as a basis for criteria Allow user to configure filter parameters (i.e. based on jurisdictional rules) Provide audit log to identify conditions of interest that are not captured through filter Support logging of all condition reports received (i.e. date, time, sender) Send communication to sender to notify of the receipt of conditions report Provide full interoperability with multiple data sources Detect various parameters, such as ICD 9 codes, LOINC/SNOMED codes, or NLP, to identify conditions Support natural language processors Maintain directories of searchable data sources (including type of data contained), by jurisdictional area Support multiple transport protocols