Conference 2009 Informatics: Investment for the Future

Transcription

Conference 2009 Informatics: Investment for the Future
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Conference 2009
PUBLIC HEALTH INFORMATION NETWORK
Informatics: Investment for the Future
August 30 – September 3, 2009
Hyatt Regency, Atlanta, GA
Public Health
Informatics
Co-sponsored by:
Welcome from Lynn Gibbs-Scharf
Welcome to the 2009 Public Health Information Network (PHIN) Annual Conference! Building on the success of our
previous years, we welcome you back to Atlanta to share our seventh year of bringing together the best of the informatics
community to build the future of PHIN.
The Centers for Disease Control and Prevention (CDC) National Center for Public Health Informatics (NCPHI) would
like to give a special thank you to the National Association of County and City Health Officials (NACCHO) for their
cosponsorship and Joint Public Health Informatics Taskforce (JPHIT) for the support of this year’s conference. In addition
to NACCHO and JPHIT, a special thank you to all of the dedicated individuals who devoted their time to the conference
planning committees and to the PHIN community. Our joint success is dependent upon the entire PHIN community.
This year’s conference tagline “Informatics: Investment for the Future” is appropriate given the tremendous efforts
focused on stimulating the economy and health reform. Public Health Informatics, without a doubt, plays a key role in
shaping the future of our nations health. We are on the verge of tremendous breakthroughs that can only be accomplished
by working together with our state and local public health partners, academia, the private sector, other government
agencies, and the international community. We look forward to this opportunity to come together, and identify areas for
collaboration, while working towards the collective goal of improving public health throughout the world.
Some special features of this year’s PHIN Conference include:
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Interactive sessions to explore local, state, federal, and international public health collaboration on shared goals
•
Tutorials where PHIN community members can learn about cutting edge areas in public health informatics
•
Presentation of the HIMSS Davies Award, the most prestigious award in Public Health Informatics
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Communities of Practice (CoPs) meetings, where we will tackle the issues facing us today
I want to thank all of our speakers, planners, and volunteers without whom this conference would not be possible. I also
want to extend a special welcome to our international guests and Assessment Initiative grantees. Thank you also to our
sponsors and exhibitors for bringing the most innovative features of public health informatics to the PHIN Conference.
Again, welcome to Atlanta and to the PHIN community!
Sincerely,
Lynn Gibbs-Scharf
Director, Alliance Management and Consultation
National Center for Public Health Informatics
PHIN Conference Goal and Objectives
Goal
•
To build a public health informatics community through the sharing of promising practices and lessons learned.
Objectives
•
Extend the reach of innovative public health informatics practices.
•
Summarize current issues and trends in the field of public health informatics.
•
Translate issues and opportunities in public health informatics and health information technology for public health
practitioners and policy makers.
•
Facilitate the development of a community focused on accelerating the field of public health informatics.
•
Validate public health informatics activities at national, state and local levels through open source collaboration
and community building.
•
Integrate knowledge gained to leverage resources for sustainability of information technology, workforce
development, and human capital.
General Information
Registration Hours
Sunday, August 30: 7:00 AM – 6:00 PM
Monday, August 31: 7:00 AM – 5:30 PM
Tuesday, September 1: 7:00 AM – 5:00 PM
Wednesday, September 2: 7:00 AM – 12:00 PM
Continuing Education Credit (Application Pending)
Continuing education for this activity is pending. For participants interested in nursing credits, the Centers for
Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses
Credentialing Center’s Commission on Accreditation.
Please view the PHIN Conference website for updates: http://www.cdc.gov/phinconference
Conference Evaluation
NOTE: Continuing Education is pending for this activity. CDC is accredited as a provider of continuing nursing
education by the American Nurses Credentialing Centers Commission and Accreditation. Please view the PHIN
Conference website for updates: http://www.cdc.gov/phinconference
Please complete your general conference evaluation at the computers available at the Cyber Café. We will also send you
an electronic link to the evaluation after the conference. Your input and suggestions are valuable and will help us improve
future conferences. Additionally, if you are requesting continuing education (CE) credits, you will also need to fill out an
evaluation for each session for which you are requesting credit.
Comments, questions, and suggestions are always welcome at: [email protected]
Exhibit Hall Hours
Sunday, August 30th
8:00 AM – 3:00 PM Decorator Move In
3:00 PM – 7:00 PM Exhibitor Move In/Set Up
Monday, August 31th
10:00 AM – 5:30 PM Exhibit Hall Open
12:00 PM – 1:30 PM Exhibit Hall Open - Networking Lunch
Tuesday, September 1st
10:00 AM – 3:30 PM Exhibit Hall Open
Wednesday, September 2nd
8:00 AM – 12:00 PM Exhibit Hall Open
12:00 PM – 5:00 PM Exhibit Hall Dismantle
Cyber Café
Check email, catch up on news, and touch base with your office while at the PHIN Conference. The Cyber Café is located
in the Exhibit Hall and will follow the Exhibit Hall hours of operation.
Job Fair
This is the first year that the PHIN conference is hosting a job fair. Please visit the Exhibit Hall to view and discuss
opportunities within public health informatics.
Posters
There are over 60 posters on various public health informatics topics in the
Exhibit Hall. These posters will be judged on Monday, and awards will be given
on Wednesday, September 2nd, at the closing plenary session.
CDC Exhibit Hall Demonstrations
Please stop by the PHIN Booth and view application demonstrations.
Hotel Emergency Evacuation Procedures
Hyatt Regency Atlanta is committed to providing guests a safe and secure visit. If a security or safety situation arises, or
an incident occurs which should be brought to our attention, we ask that you observe the following reporting protocol:
•
Dial “55” from any hotel phone or summon a hotel manager. State the area and nature of the emergency.
(If the matter is NOT an emergency, dial 4325 from any hotel phone, ask to speak to the security manager on
duty, and report the matter accordingly.)
•
Security dispatch will immediately send a security officer to the emergency location. Please include location
(i.e., room number, etc.) and nature of injury or illness in your initial call.
Note
•
An emergency public address and fire alarm speaker is located in each room and will sound in an emergency.
It may also be used to advise of status and direct evacuations.
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In the event of an emergency, please do not panic.
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During a fire emergency, do not use the elevators; use the stairwells. When opening an emergency stairwell door,
please be aware that there may be others in the stairwell, so use caution when opening the door.
Staying Green
To support CDC’s efforts to “go-green”, we have limited the number of materials being
printed for the conference. Exhibitor List, Session Abstract Guide, and Poster Abstract
Guide will only be available online at: http://www.cdc.gov/phinconference
Additional “go-green” efforts include:
•
The PHIN Conference contracted to provide recycling services for paper and
plastic. Please make sure to use designated bins when throwing away materials.
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The PHIN Conference give-away bags are earth-friendly, reusable bags made from 85% post-consumer recycled
content. The bags are lightweight, durable soft fabric made from recycled #1 PET (PETE) plastic (plastics bottles
and containers).
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The Hyatt Regency uses countertop water cooling stations and pitchers to reduce plastic waste.
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The Hyatt Regency recycles common goods such as plastic, glass, and food residuals. The Hyatt Regency is
part of the Zero Waste Zone; an estimated 928,000 pounds of residual food product will be diverted from the
landfill and turned into valuable compost. In addition, excess food, in accordance with the Good Samaritan Food
Donation Act, is donated to the Atlanta Community Food Bank, which aids in feeding the city’s hungry.
Staying Healthy
•
All food served at the conference meets the requirements set forth in NACCHO’s healthy eating guidelines,
which are available at www.naccho.org.
•
Reminder: All PHIN Conference functions are smoke-free, and all public areas of the Hyatt Regency Atlanta
are designated as non-smoking.
Special Events
PHIN Communities of Practice (CoPs) Reception and Road Mapping
Monday, August 31, 5:30 PM – 8:00 PM
Location: Centennial Ballroom
Learn about the work of the PHIN Communities of Practice (CoPs) and
participate in a conversation led by the Communities Council to design a Road
Map for CoPs for the coming year. The CoPs were officially launched at the
2008 PHIN Conference as a new collaborative process for PHIN-related work
among stakeholders. Several of these communities—the Vocabulary CoP, the
InfoLinks CoP focused on HIE, the National Electronic Laboratory Reporting
(ELR) Group and the Health Alert Network (HAN) Coordinators, had been
successful learning, collaborative communities for several years prior to their adoption for PHIN in August 2008. A CoP
Council was established in Feb 2009, comprised of representatives from each CoP, the PHIN Community, and the CoP
Program at CDC. The Council works to identify cross collaborations among communities and serves as the collective
voice of the CoPs, developing messages and mechanisms for communication across CoPs, the larger PHIN Community,
and key public health informatics groups. This session will review the progress of the CoP process over the past year, the
role of the CoP Council and Program, and solicit input from session attendees for goals and tasks to develop a Road Map
for the next year. All PHIN Conference attendees are encouraged to attend this session.
Conference Social Event: PHIN, PHIT & PHUN!
Tuesday, September 1, 5:30 PM – 8:00 PM
Location: Centennial Ballroom
Put on your dancing shoes for this fit and fun event! We’ll rev up your activity level with some heart-healthy fun! Start
by enjoying a selection of fresh, locally-produced hors d’oeuvres at stations scattered throughout the ballroom. While
enjoying these healthy treats, stroll around the stations that demonstrate how to stay active and on the move while you
travel away from home. Top off the night as you watch and join in a few group
dances from top Atlanta dance instructors. They will teach you how to groove to
the latest dance beats while working off the peach cobbler! This social event is
included in your conference registration fee; there is no additional charge to eat
wisely and get your heart pumping!
The Davies Awards
Wednesday, September 2, 8:00 AM – 8:30 AM (Closing Session)
Location: Centennial Ballroom
The Healthcare Information and Management Systems Society (HIMSS) sponsors the Nicholas E. Davies Award of
Excellence, the only national award of its type (since 1994), which recognizes value and return on investment in the use
of electronic health records (EHRs) among hospitals, independent practices, public health entities, and community health
organizations. The Davies Award of Excellence for Public Health has recognized nine entities since 2004, for their use of
care data for public health issues, and ideally its impact on population health.
The PHIN Poster Awards
Wednesday, September 2, 8:30 AM – 9:00 AM (Closing Session)
Location: Centennial Ballroom
Come celebrate our PHIN 2009 poster competition winners.
International Reception: Panel Discussion and Sit-Down Dinner
(Invite Only)
Wednesday, September 2, 5:30 PM – 9:30 PM
Location: Centennial Ballroom
Global Partners in Public Health Informatics (University of Washington) in
collaboration with NCPHI Global Public Health Informatics Program will host an International Night. Speakers include:
Dr. Ties Boerma, Head, Department of Health Statistics and Informatics (HSI), World Health Organization (WHO),
Geneva; Dr. Sally Stansfield, Executive Secretary, Health Metrics Network Secretariat, WHO, Geneva; Mr. Karl Brown,
Associate Director, Rockefeller Foundation; and Mr. Mark Landry, Senior Informatics Specialist, PEPFAR, Office of the
Global AIDS Coordinator, USA.
Conference Committee Acknowledgements
Conference Planning Committee
Raymond D. Aller, MD, FCAP, FHIMSS
Director
Integrated Disease Surveillance
Los Angeles County Department of Public Health
Los Angeles, California
Nancy L. Barrett, MS, MPH
PHIN Coordinator
Connecticut Department of Health
Hartford, Connecticut
Kari A. Cady, BA, MA
Consultant
Deloitte Consulting, LLP
Supporting Division Alliance Management and
Consultation (DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
J. Mark Conde
Director
Information Technology
Emory/Rollins School of Public Health
Atlanta, Georgia
Christi Bordeaux Dant, BA, MPM
Principal & CEO
VIA Solutions, LLC
Severna Park, Maryland
Laura H. Franzke, PhD, MPH
Health Scientist, Program Manager
Division Alliance Management and Consultation
(DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Lynn Gibbs Scharf, MPH (Co-Chair)
Director
Division Alliance Management and Consultation
(DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Christine Abarca, MPH, CHES
Program Coordinator
Florida Department of Health
Office of Health Statistics and Assessment, Bureau of
Community Health Assessment
Tallahassee, Florida
Wayne Brathwaite, BA
Public Health Advisor
Division of Integrated Surveillance Systems and &
Services (DISSS)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Allison M. Connolly, MA, MPH
Epidemiologist/NC EDSS Coordinator
NC Division of Public Health
Raleigh, North Carolina
Yvonne Claudio, DM, MS
CQI Coordinator/Ambulatory Health Services
Philadelphia Department of Public Health
Philadelphia, Pennsylvania
Nicole Fehrenbach, MPP
Deputy Director
Division Alliance Management and Consultation
(DAMC)
National Center for Public Health Informatics
(NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Suzanne (Suzi) Gates, BJ, MPH
Health Communication Analyst
Division of Knowledge Management Services (DKMS)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Sharon Hall, RN, PhD
CE Consultant/Nurse Planner
Office of The Director (OD)
Office of Workforce and Career Development (OWCD)
Centers for Disease Control and Prevention (CDC)
Atlanta, Georgia
Linda Humphrey
Consultant
Deloitte Consulting, LLP
Supporting Division Alliance Management and
Consultation (DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Judy Kuo, BS
Business Analyst
Supporting Division of Emergency Preparedness and
Response (DEPR)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Deloitte Consulting, LLP
Atlanta, Georgia
Gautam (GB) Kesarinath, MS
Associate Director of Technology
Division of Informatics Shared Services (DISS)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Jessie R.M. Legros, EdD, MPH
Public Health Educator
Division Alliance Management and Consultation
(DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Sheri Lewis MPH
International Disease Surveillance Program Manager
Johns Hopkins University Applied Physics Laboratory
Laurel, Maryland
Mamie Jennings Mabery, MA, MLn
Communities of Practice Program Manager
Division Alliance Management and Consultation
(DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Charles Magruder, MD
Senior Service Fellow
Office Of The Director (OD)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Ian Painter, Ph.D.
Clinical Assistant Professor
Department of Health Services
University of Washington
Seattle, Washington
Rosina Romano
Manager
Meetings & Events
National Association of County and City Health Officials
(NACCHO)
Washington, DC
Joseph Lombardo MS
PI, Johns Hopkins University
Center of Excellence in Public Health Informatics
Johns Hopkins University Applied Physics Laboratory
Laurel, Maryland
J.A. Magnuson, PhD, RS
Health Informaticist
Oregon Division of Public Health
Portland, Oregon
Gonza Namulanda, MS
Associate Service Fellow
Division Of Environmental Hazards And Health Effects
(DEHHE)
Environmental Health Tracking (ETHB)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Valerie Rogers, MPH (Co-Chair)
Program Manager
Public Health Informatics Team
National Association of County and City Health Officials
(NACCHO)
Washington, DC
Walter G. Suarez, MD, MPH
President and CEO
Institute for HIPAA/HIT Education and Research
Alexandria, Virginia
Conference Committee Acknowledgements
Patricia A. Thomas, M(ASCP), MPH, CHES
Health Scientist
Office of The Director (OD)
Office of Workforce and Career Development (OWCD)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Claudia Vousden, BSN, MPH
Health Communication Specialist
Division Alliance Management and Consultation (DAMC)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
Tadesse Wuhib, MD, MPH
Medical Officer
Office Of The Director (OD)
National Center for Public Health Informatics (NCPHI)
Centers for Disease Control & Prevention (CDC)
Atlanta, Georgia
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Special thanks to our Partners:
•
American Medical Informatics Association (AMIA)
•
Association of Public Health Laboratories (APHL)
•
Association of State & Territorial Health Officials
(ASTHO)
•
Centers of Excellence (CoE) in Public Health
Informatics
•
Council of State and Territorial Epidemiologists
(CSTE)
•
Healthcare Information and Management Systems
Society (HIMSS)
•
Joint Public Health Informatics Taskforce (JPHIT)
•
Public Health Informatics Institute (PHII)
•
National Association of County and City Health
Officials (NACCHO)
•
National Association for Public Health Information
Technology (NAPHIT)
•
National Association for Public Health Statistics and
Information Systems (NAPHSIS)
Hyatt Regency Conference Area Floor Plan
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Sunday, August 30, 2009
Assessment Initiative
9:30 AM – 12:00 PM: Morning Session
Session AI-1
Location: Regency Ballroom VII
Title: Past, Present, and Future of the Assessment Initiative Program
Description: Review of the past, present, and future of the Assessment Initiative Program. This collaborative session will
explore past successes and issues in an attempt to create future improved solutions. It will look at how the innovation of
this program can be integrated into the rest of public health informatics and how lessons learned and best practices can be
shared from other areas back into the Assessment Initiative.
Moderator: Lynn Gibbs-Scharf
12:00 PM – 1:00 PM: Lunch (On Your Own)
1:00 PM – 4:00 PM: Concurrent Roundtables/Afternoon Sessions
Session AI-2
Location: Regency Ballroom VII
Title: Assessment Initiative – Web-Based Data Query Systems Roundtable
Description: This session will focus on issues pertinent to the Web-based
data query systems (WDQS) funded under this initiative, including their
functionalities. Data from the WDQS is used at the state and local levels to
fulfill the component for core public health functions, and it is imperative
that this tool is meeting public needs. During this session, states will discuss
proliferation of WDQS, design, documentation, automation of data, evidencebased community intervention, web content development collaborations,
accessibility, evaluation metrics, training, training guide, historical data and
changes in standards/data definitions, and statistical concepts in the WDQS.
Moderator: Mark Winarsky
Session AI-3
Location: Regency Ballroom VI
Title: Assessment Initiative – Community Health Practice Roundtable
Description: Community Health Assessment is a core public health function. It is defined as part of a strategic plan that
describes the health of the community by collecting, analyzing, and using data to educate and mobilize communities,
develop priorities, garner resources, and plan actions to improve public health. As a result of conducting community
health assessments: (1) communities are educated about their needs, and mobilized towards action; (2) priorities are
identified; (3) resources are gathered that help with implementing strategies; (4) action plans are developed; and this
eventually leads to (5) improved public health. The Round Table Discussion session will include issues of training, small
area estimation for sparsely populated area, health assessment approach, resources, health assessment guidebook, and
survey results. Partnerships are at the heart of community-based health planning, and mobilizing community partnerships
to identify and solve health problems is among the ‘Essential Public Health Services’. This roundtable will conclude with
a discussion on forming, nurturing, and sustaining community partnerships.
Moderator: Brad Jones
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8:00 AM – 12:00 PM
Sunday
PHIN Tutorials
TT-4
Location: Hanover C
Title: PHIN MS Basic Training - Configuring the PHIN-MS Sender, Receiver, and Poller
Description: This workshop is dedicated to managers and engineers currently evaluating and planning for the
deployment of a PHIN-MS Sender, Receiver, or Route-Not-Read Poller. The workshop will consist of a 1.5 hour
presentation and a 1.5 hour demonstration of configuring the different components in PHIN-MS. The remaining
time will be used as a question and answer forum.
9:00 AM – 5:00 PM
TT-1
Location: Greenbriar
Title: The Health Metrics Network (HMN): Introduction to the Framework and Tools
Description: This one-day training introduces the HMN Framework, principles, and tools to participants involved in
country-level interventions to strengthen health information systems (HIS). It will allow participants to promote, in the
countries where they work, the HMN framework and principles as a worldwide recognized approach to HIS design. It also
will provide participants with basic knowledge and skills on using the HMN Assessment Tool and Planning
Guidance document.
TT-2
Location: Hanover A
Title: Project Management Fundamentals for Health Information Technology Professionals
Description: This tutorial is a no-nonsense seminar specifically designed for health organizations managing complex
information technology projects. This workshop provides hands-on, interactive training that will benefit both beginner and
experienced project leaders. Participants will discover a simple, effective step-by-step process to organize, define, plan,
track, and complete any project. Attendees will master the technical tools and develop the leadership skills necessary to
successfully complete their projects on time, within budget, and guarantee results.
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1:00 PM – 5:00 PM
TT-5
Location: Hanover B
Title: Socio-technical Issues Implementing Public Health Information Technology Systems
Description: There are numerous issues and challenges when information systems are implemented in public health
practice settings. While the technology is designed to improve the collection of data and the use timely and current
information, it can often have the unintended consequence of disruption. It is important to understand the full potential
impact of a system’s deployment and how these efforts can enable efficiencies or cause disruption to workflow.
Knowledge of the roles, responsibilities, and expertise of each stakeholder is important along with the learning about
examples of clinical informatics implementations gone right and wrong. This tutorial is designed to provide instruction
using lessons learned from the informatics community discussing how they might translate and be applied to the front
lines of public health practice.
TT-6
Location: Hanover C
Title: PHIN-MS Advanced Training—Security and Certificate Management (SCM)
Description: PHIN-MS was developed for the purpose of secure and reliable messaging over the Internet. Although
PHIN-MS has been widely deployed by CDC and its public health partners, Security and Certificate Management are still
the greatest deployment challenges faced by both new and veteran PHIN-MS managers and administrators. The PHINMS SCM workshop will provide PHIN-MS managers and engineers with background information necessary to plan and
deploy a PHIN-MS Receiver at local health departments and organizations.
TT-7
Location: Hanover D
Title: Electronic Laboratory Reporting 102: Your ELR Program is Up and Running—How to Avoid Crash and Burn
Description: If you have an Electronic Laboratory Reporting (ELR) link live - perhaps even have several labs connected,
what comes next? How do you get the higher-volume labs in your region to pay attention and connect to your ELR
system? How do you work with national labs?
This tutorial will include:
•
Every laboratory is different – details and solutions
•
How to recruit national and large hospital laboratories to join your
ELR community
•
One tactic – the LIS – vendor-centric approach to implementation
•
Financing – incentives such as financial support for laboratories’ start-up
costs (interface licenses, implementation cost, etc.)
•
Standard vs. Local: LOINC, SNOMED, and other coding quandaries
•
The important question: Where do results go after ELR receives them?
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Sunday
TT-8
Location: Hanover E
Title: CoPs for PHIN: An Interactive Workshop
Description: Attendees to this introductory workshop on Communities of Practice (CoPs) will learn about this
collaborative and innovative approach to knowledge sharing and problem solving. Topics covered will include the
business case for using the CoP approach within PHIN, how it is being implemented across the PHIN Community, and
how PHIN members can join a PHIN community of practice and get the most out of that participation. Included in the
workshop will be a walkthrough of the PHIN CoP Resource Kit to support the planning, designing, launching, evaluating,
and sustaining of CoPs throughout their lifecycles.
TT-9
Location: Hanover F
Title: Evaluation in Public Health Informatics: Are We Really Making a Difference?
Description: This tutorial will summarize the latest methods in evaluating the degree to which informatics projects are
making a difference in public health—either in increasing public health impact and outcomes, in making public health
practice more efficient and effective, or in making appropriate data available and useful for conducting evaluations. The
session will begin by covering the basic types of evaluation in public health: formative, process, impact, and outcome
evaluation. Then, experts from the CDC Evaluation Working Group will provide a short overview of the CDC Evaluation
Framework, and its use over the last ten years. We will describe the use of Logic Models and how they can be used
to enhance the case for informatics components making a contribution to public health impact and outcomes. This
tutorial will present an overview of epidemiological criteria for causality and attribution; describe both qualitative and
quantitative measures that can be used to build the case for contribution to observed changes; and present a framework
of measures suggested for informatics evaluations and a general informatics logic model. In the area of translating
research into practice, we will review two translational evaluation models and emphasize the importance of being able to
reproduce positive results in different real-world settings. Case study examples will include evaluation of the informatics
contribution to particular health problems regarding state and local public health practice situations. In some situations,
an information system is the primary intervention; in others, informatics plays a supporting role. Finally, we will describe
how informatics can be used as an aid to other evaluations, through collecting data that were previously not available,
collecting data in a more timely or precise manner, or validating data with automated validity checks.
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TT-15
Location: Learning Center
Title: PHIN 101
Description: PHIN 101 provides a comprehensive overview of the Public Health Information Network, including
purpose, goals, and available resources for developing interoperable information systems. This session will focus on
recent changes in PHIN and new collaborative approaches to architecture, requirements, and systems development.
Several CDC programs will provide information about CDC-developed tools and applications that support
PHIN initiatives.
3:00 PM – 5:00 PM
AM22
Location: Regency V
Title: NEDSS Stakeholders Meeting
Description: This meeting is to provide an opportunity for state, local, and federal stakeholders interested in NEDSS
activities to be engaged allowing the opportunity to share programmatic issues and updates impacting surveillance as well
as H1N1 readiness discussion leveraging NEDSS compatible solutions.
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7:30 AM – 9:00 AM: Continental Breakfast
Location: Centennial Ballroom Foyer (Breakfast Provided)
7:00 AM – 8:30 AM: Ancillary Meeting
Monday
Monday, August 31, 2009
AM-14
Location: Hanover FG
Title: Epi Info: Highlights and Demonstration
Description: Epi Info™ is a public domain software package designed for the global community of public health
practitioners and researchers. The system is a collection of lightweight software tools to support ad-hoc epidemiological
functionality to rapidly develop questionnaires, customize data entry, analyze data, and create customized reports.
This workgroup will demonstrate the features and functionality of the Epi Info™ and seek to obtain feedback from
stakeholders and partners during the session. A key component will be to prioritize interests to continue collaboration
on improvements and enhancements to the Epi Info™ system in order to maintain support and provide the functionality
needed by public health partners.
8:30 AM – 10:00 AM: Opening Session
Session PS-1
Location: Centennial Ballroom
Title: People, Technology, and Informatics: What is the Return on Investment?
Moderator: Robert Pestronk and Lynn Gibbs-Scharf
Description: Kickoff your conference experience by hearing the perspectives of key leaders in government at the
international, national, and State level. This session will explore current trends in public health informatics including
the US national health information technology agenda, the American Recovery and Reinvestment Act and its impact on
public health, investing in people, and a not-to-be-missed inside look at the interactions between federal, State, and local
public health. This session features Dr. Thomas Frieden, Director of the Centers for Disease Control and Prevention,
David Ross, Director of Public Health Informatics Institute, and Dr. Seth Foldy, State Health Officer and Administrator of
the Division of Public Health for the State of Wisconsin.
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Welcome and Introductions
Stephen B. Thacker, MD, MSc, Assistant Surgeon General (Ret.), USPHS, Acting Director, National Center for Public
Health Informatics, Centers for Disease Control and Prevention
Stephen B. Thacker, MD, MSc, is Acting Director of the National Center for Public Health Informatics (NCPHI). Prior
to joining NCPHI, Dr. Thacker was the director of CDC’s Office of Workforce and Career Development (OWCD).
Since 1989, Dr. Thacker has been responsible for programs that train employees and fellows in epidemiology, statistics,
prevention effectiveness, informatics, applied public health, and scientific communications. He first joined CDC in
1976 and has worked in the public health areas of chronic disease, birth defects and developmental disabilities, injury
prevention, toxic substances, and environmental health.
Dr. Thacker received his undergraduate degree in biochemistry from Princeton University in 1969 and his master’s
degree from Mount Sinai School of Medicine in 1973. He completed residency training in family medicine at the Duke
University School of Medicine in 1976 and was certified by the American Board of Family Practice in 1977. From
July 1976 to June 1978, Dr. Thacker served as an Epidemic Intelligence Service (EIS) officer and was stationed at the
Washington, D.C. Department of Health. In 1984, he was awarded a master of science degree in epidemiology from the
London School of Hygiene and Tropical Medicine and received certification from the American Board of Preventive
Medicine. He holds appointments at both Emory University School of Medicine and the Mount Sinai School of Medicine.
Dr. Thacker has published materials representing multiple areas of public health, including epidemiology, public health
surveillance, meta-analysis, infectious diseases, environmental public health, injury prevention, alcohol abuse, health-care
delivery, and technology assessment. He also holds the grade of Assistant Surgeon General (Rear Admiral, Upper Half)
and is a retired Commissioned Corps officer in the U.S. Public Health Service (USPHS).
Speakers
Thomas Frieden, MD, MPH, Director of the Centers for Disease Control and Prevention
Thomas R. Frieden, M.D., M.P.H., has served as Commissioner of the New York City Department of Health and
Mental Hygiene since January 2002. One of the world’s oldest and largest public health agencies, the department has an
annual budget of $1.7 billion and more than 6,000 staff. During his tenure, the number of smokers declined by 350,000,
teen smoking decreased by half, and New York City became the first place in the United States to eliminate trans-fats
from restaurants, rigorously monitor the diabetes epidemic, and require certain restaurants to post calorie information
prominently. Under Dr. Frieden’s leadership, the department established the largest community electronic health records
project in the country. Dr. Frieden also chairs the New York City Board of Health. A physician with training in internal
medicine, infectious diseases, public health, and epidemiology, Dr. Frieden is especially known for his expertise in
tuberculosis control. Dr. Frieden worked for CDC from 1990 until 2002. He began his career at CDC as an Epidemiologic
Intelligence Service (EIS) Officer at the New York City Health Department. In that role, he led a program that rapidly
reduced tuberculosis, including reducing cases of multidrug-resistant tuberculosis, by 80 percent. He then worked in India
for five years where he assisted with national tuberculosis control efforts. The program in India has now treated more
than 10 million patients and has saved more than one million lives. Dr. Frieden also served as Director of the Bureau of
Tuberculosis Control and Assistant Commissioner for the New York City Health Department from 1992 to 1996. Dr.
Frieden speaks Spanish and graduated from Oberlin College. He received both his medical degree and master’s of public
health degree from Columbia University and completed infectious disease training at Yale University. He has received
numerous awards and honors and has published about 200 scientific articles.
18
Monday
David Ross, ScD, Director, Public Health Informatics Institute
Dr. David Ross is Director of the Public Health Informatics Institute. He became the Director of All Kids Count, a
program of the Institute supported by The Robert Wood Johnson Foundation (RWJF), in 2000, and subsequently began
the Institute, also with funding from RWJF.
His experience spans the private healthcare and public health sectors. Before joining the Task Force, Dr. Ross was an
executive with a private health information systems firm, a Public Health Service officer with the Centers for Disease
Control and Prevention (CDC), and an executive in a private health system.
Dr. Ross holds a doctoral degree in Operations Research from The Johns Hopkins University (1980) where he was
involved in health services research. After serving as Director of the Health Service Research Center, Baltimore USPHS
Hospital, he became Vice President for Administration with the Wyman Park Health System. In 1983, he joined the
CDC’s National Center for Environmental Health. During his career at CDC, he worked in environmental health, CDC’s
executive administration, and public health practice. Dr. Ross was founding director of the Information Network for
Public Health Officials (INPHO), CDC’s national initiative to improve the information infrastructure of public health. His
research and programmatic interests reflect those of the Institute: the strategic application of information technologies to
improve public health practice.
Seth Foldy, MD, MPH, State Health Officer and Administrator of the Division of Public Health for the
State of Wisconsin
Seth Foldy became State Health Officer and Administrator of the Division of Public Health for the State of
Wisconsin in January, 2009. Dr. Foldy practiced and taught urban community-oriented family practice for fifteen years
in Worcester, MA and Cleveland OH. From 1996 to 2004 he served as Medical Director and then Commissioner of
the Milwaukee Health Department as it pioneered electronic disease surveillance, led the eradication of the Western
Hemisphere’s first monkeypox outbreak, and improved rates of childhood lead poisoning, vaccination, health insurance,
tobacco use and infant mortality. Dr. Foldy later served as Medical Director of Health Care for the Homeless of
Milwaukee and co-founded the Wisconsin Health Information Exchange (WHIE). He provided consultation and authored
numerous publications in health informatics, emergency preparedness, and public health systems in association with the
Medical College of Wisconsin, Argonne National Laboratory, the Center for International Health and health.e.volution
consulting. He earned Presidential Volunteer Awards for participation in a joint Navy-civilian tsunami-relief operation in
Indonesia and training health professionals in the Republic of Georgia. Dr. Foldy holds degrees from Stanford University,
Case Western Reserve University and the Medical College of Wisconsin; faculty appointments at both Wisconsin medical
schools and the University of Wisconsin - Milwaukee; and board certifications in Family and Preventive Medicine. He is
President of the Milwaukee Academy of Medicine and member of a National Academy of Sciences/Institute of Medicine
committee on bioterrorism surveillance. He was awarded APHA’s 2002 Roemer Prize for Creative Local Public Health
Work among other honors.
19
10:00 AM – 7:00 PM: Exhibit Hall Opens
Location: Grand Hall
10:00 AM – 10:30 AM: Morning Beverage/Snack Break
Location: Grand Hall/Exhibit Hall (Beverage and Snacks Provided)
10:30 AM – 12:00 PM: Concurrent Session A
Session A-1
Location: Hanover C/D
Title: Transforming Public Health Partner Networks
Description: This session will provide an opportunity to learn about social
collaboration models and their application within public health. Specific
examples will include an overview of a community of users utilizing open
source software known as the Indicator-Based Information System for Public
Health (IBIS-PH), a web-based application that provides for indicator tracking
and custom data queries for public health datasets, known as the IBIS-PH
Community of Practice (CoP). An overview and update on the PHIN CoP
approach and “The PHIN Experience” will be provided.
Moderator: Nicole Fehrenbach
Presentations:
IBIS-PH CoP Strategic Planning: New Directions and Clearer Goals for an Open Source Software Community
Kathryn G. Marti, RN, MPH, Center for Health Data, Utah Department of Health, Salt Lake City, Utah
Communities of Practice Approach for PHIN: Update
Mamie Jennings Mabery, MA, MLn, Program Manager, National Center for Public Health Informatics, Centers for
Disease Control and Prevention, Atlanta, Georgia
Transforming Relationships in Complex Environments: The PHIN Experience
Lynn Gibbs-Scharf, MPH, Division Director, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Session A-2
Location: Inman
Title: Building the Global Public Health Informatics Network
Description: This session will describe current initiatives by the World Health Organization (WHO) and CDC’s National
Center for Public Health Informatics (NCPHI) to address the challenges hindering global information exchanges and
overcoming organizational and technological “silos”. Presenters will also discuss corresponding WHO’s Health Metrics
Network (HMN) framework, and how the global network of Centers of Excellence for Public Health Informatics might
facilitate the work of public health informatics practitioners worldwide.
Moderator: Raymond Aller
Presentations:
Proposal for the Refinement of the World Health Organization’s Health Metrics Network (HMN) Framework for
Country Health Information Systems: A Federated Approach for Interoperability
Mike Perry, BS, MSICS, Computer Specialist, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
20
Building the Global Network of Centers of Excellence in Public Health Informatics
Sherrilynne S. Fuller, PhD, Professor, Center for Public Health Informatics, University of Washington,
Seattle, Washington
Session A-3
Location: Hanover F/G
Title: Exploring Interoperable Open Source Solutions for Public Health
Monday
Proposed WHO Collaborating Center for Public Health Informatics at NCPHI, CDC
Tadesse Wuhib, MD, Program Manager, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Description: This session will describe the challenges and rewards of developing open source applications, the
development of collaborative communities to leverage existing technologies, and functions of the Open Source Maturity
Model. Specific examples from CDC’s BioSense Influenza Data Summary project, WHO’s OpenHealth platform, and the
Larimer County Colorado’s Department of Health Electronic Tool for Health Open Source (ETHOS) tool will
be discussed.
Moderator: Anna Grigoryan
Presentations:
OpenHealth Suite of Interoperable Tools for Public Health Informatics
Knut Staring, PhD, Technical Officer, Health Statistics and Informatics, WHO, Geneva, Switzerland
Open Source Solutions for State and Local Public Health
Russell Gann, MS, Associate Director for Technology, National Center for Public Health Informatics, Centers for
Disease Control and Prevention, Atlanta, Georgia
Larimer County - Public Health ETHOS (Electronic Tool for Health - Open Source)
Joseph S. Schreurs, MS, PMP, Business Analyst Supervisor, Health & Human Services, Larimer County,
Fort Collins, Colorado
Session A-4
Location: Courtland
Title: Geographic Information Systems for Public Health
Description: Geographic information and geospatial services are critical to public health practice, data analysis /
visualization, and situational awareness. This session will cover the public health application of geospatial technology
including the Public Health Distributed Geospatial Intelligence Network (PH-DGInet) and other shared geospatial
web services, which can be integrated into public health programs. Presenters will describe the benefits and potential
applications of Google Earth for Public Health: GEMS (Google Earth Map Share), and discuss the characteristics of
advanced spatial analysis and cluster detection techniques.
Moderator: Roland Gamache
Presentations:
Public Health Distributed Geospatial Intelligence Network (PH-DGInet): Pilot II
Carl Kinkade, MCRP, GISP, GIS Coordinator, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
21
Optimizing SaTScan for Spatio-Temporal Analysis of National Biosurveillance Data
Jerome I. Tokars, MD, MPH, Medical Epidemiologist, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
Session A-5
Location: Hanover A/B
Title: The Public Health Grid: What Is It, and Why Is It Important to Public Health Practice?
Description: Over the past two years, CDC and its partners have researched Grid computing as a model to resolve
information management challenges within public health research in practice. This session will provide an overview of
several current and future Grid-related activities and innovations. Presenters will also describe the development of a Gridenabled public health surveillance prototype that utilizes multiple Web services.
Moderator: Sanjeeb Sapokota
Presentations:
Overview of Public Health Grid (PHGrid) Activities and Projects – the CDC Perspective
Tom Savel, MD, Medical Officer, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
Grid 101: An Introduction to Grid / Distributed Computing
Ken Hall, MDiv, Contractor, National Center for Public Health Informatics, Deloitte Consulting contractor for Centers for
Disease Control and Prevention, Atlanta, Georgia
The Cost of Developing Clients That Utilize Public Health Grid Services
Wayne A. Loschen, MS, Software Engineer, John Hopkins University Applied Physics Laboratory, Laurel, Maryland
Session A-6
Location: Hanover E
Title: Improving Reportable Disease Surveillance and Reporting Processes
Description: Over the years, much attention has been given to enabling
surveillance for infectious disease. Currently, public health agencies are
investing heavily in preparation for a possible pandemic H1N1 influenza
outbreak. Speakers will provide a critique of the proposed public health
informatics solutions to improve state and local public health infectious disease
identification and reporting and will explore the impact of these solutions
on health department work processes. Presenters will also discuss how the
intersection of traditional surveillance methods with new technological
capabilities can improve the systematic application of public health surveillance
case definitions.
Moderator: Jeanne Tropper
Presentations:
Positive Lab Tests: To Investigate or Not Investigate, That Is the Case Report Question
Laverne Alves Snow, MPA, Student, Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah
22
Monday
Automated Application of Case Classification Logic to Improve Reportable Disease Surveillance
Janet Hamilton, MPH, Surveillance Administrator, Bureau of Epidemiology, Florida Department of Health,
Tallahassee, Florida
Evaluating the Impact of Electronic Disease Surveillance Systems on Local Health Department Work Processes
Deepthi Rajeev, MS, MSc, Student, Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah
Myalerts: User-Defined Detection in Disease Surveillance Systems
Joel M. Jorgensen, BS, Web Developer, John Hopkins University Applied Physics Laboratory, Laurel, Maryland
Session A-7
Location: The Learning Center
Title: Computer Demonstrations of Cross-Jurisdictional Collaborations
Description: Demo A – Connecting the Frontlines of Public Health Using Grid Technology
This demonstration will detail the steps taken during a pilot project to apply Public Health Grid (PHGrid) technologies
to facilitate cross jurisdictional exchange of summary level Nationally Notifiable Disease data using existing data
repositories in the bordering states of Wyoming and Montana. A review of the technical and business “lessons learned”
during the pilot will be presented, and recommendations for local and state public health considering implementing
PHGrid technologies will be discussed.
Demo B – Oracle and CDC BioSense Present “the Flu”
The scenario will present the various technologies that can provide useful collaborations across state, local, federal
and military department boundaries in the response to a pandemic. Specifically, this demonstration will present what a
team will need to do to prepare, plan, and be informed about when accessing real-time information and instantaneous
communication during a public health threat.
Moderator: Austin Kreisler
Presentations:
Connecting the Frontlines of Public Health Using Grid Technology
Bonnie Barnard, MPH, Epidemiologist, Communicable Disease Epidemiology Program, Montana Department of Health
and Human Services, Helena, Montana
Oracle and CDC Biosense Present “the FLU”
Erin Ryan, BS, Technology Manager, Oracle USA, Reston, Virginia
23
Session A-8
Location: Dunwoody
Title: Communication & Alerting Applications
Description: This session will compare and contrast different modes of communication between public health agencies
and health care providers. Open source tools to assist in asynchronous communication to facilitate new communication
methods in outbreak management within public health will be explored. Also, bi-directional communication through the
implementation of the Health Information Technology Standards Panel’s T50 Construct, and the associated Integrating the
Healthcare Enterprise (IHE) Retrieve Forms for Data Capture (RFD) profile for case reporting and public health alerting
will also be discussed.
Moderator: Jerome Tokars
Presentations:
Evaluating Fax, Email and SMS Delivery of Alerts: Public Health REACH-Ing Healthcare
Debra Revere, MLIS, MA, Research Coordinator, Center for Public Health Informatics, University of Washington,
Seattle, Washington
Developing An Open Source Asynchronous Communication Framework for Public Health
Jon Reid, MBA, Informatics Portfolio Manager, Clinical Epidemiology,
University of Utah, Salt Lake City, Utah
Xforms for Public Health: Notifiable Condition Case Reporting and Public
Health Alerting Using IHE’s RFD Profile
Rebecca A. Hills, MSPH, NLM Fellow, Biomedical and Health Informatics/
Center for Public Health Informatics, University of Washington,
Seattle, Washington
24
1:30 PM – 3:00 PM: Concurrent Session B
Session B-1
Location: Hanover C/D
Title: Synergies of Public Health & Biomedical Informatics
Monday
12:00 PM – 1:30 PM: Networking Lunch
Location: Grand Hall/Exhibit Hall (Lunch Provided)
Description: The American Medical Informatics Association (AMIA) President and CEO, Dr. Edward Shortliffe, will
provide an overview regarding the interface of public health and biomedical informatics. This lecture will focus on the
natural synergies and need for collaboration between medicine and public health disciplines. Dr. Shortliffe will provide
his strategic vision for informatics as it relates to research endeavors and education.
Moderator: Ruth Jajosky
Presentations:
AMIA, PHIN, and the Synergies Between Public Health and Biomedical Informatics
Edward H. Shortliffe, MD, PhD, President and CEO, American Medical Informatics Association, Bethesda, Maryland
Session B-2
Location: Hanover F/G
Title: Security Officer Wanted: Grid Technology
Description: Grid technology requires an elaborate security infrastructure to provide authorization and authentication
for users of services. This session will provide an overview of best practices and technologies from various initiatives,
including the Cancer Bioinformatics Grid (caBIG) and the Globus Alliance. In this context, the requirements and roadmap
for developing security controls within PHGrid will be discussed. Finally, speakers will explore the capabilities of
specific Grid technologies such as Introduce, a Grid service development framework, and the Grid Authentication and
Authorization with Reliable Distributed Services (GAARDS).
Moderator: Russell Gann
Presentations:
Development of Security Infrastructure for Public Health Grid
Fu-Chiang Tsui, PhD, Associate Director of RODS Laboratory, Department of Biomedical Informatics, University of
Pittsburgh, Pittsburgh, Pennsylvania
Securing the Grid for Interoperability
Tom Savel, MD, Medical Officer, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
Development and Deployment of Secure Grid Services
Shannon Hastings, MS, Co-Director Software Research Institute, Department of Biomedical Informatics, Ohio State
University, Columbus, Ohio
25
Session B-3
Location: The Learning Center
Title: EMR: Public Health Alerting Project & Demonstration
Description: This session will provide an overview regarding the CDC Electronic Medical Record (EMR) Alerting
Project and describe how electronic health record data can support public health alerting. Included in the discussion will
be a computer demonstration of a public health alert using existing standards for the GE Centricity EMR.
Moderator: Nedra Garrett
Presentations:
EHR Public Health Alerting Project- Initial Demonstration Panel Session
Nedra Y. Garrett, MS, Public Health Informatics Manager, National Center for
Public Health Informatics, Centers for Disease Control and Prevention,
Atlanta, Georgia
Using Decision Support in Electronic Health Records for Public
Health Alerting
Nedra Y. Garrett, MS, Public Health Informatics Manager, National Center for
Public Health Informatics, Centers for Disease Control and Prevention, Atlanta, Georgia
Lessons Learned Implementing Standards-Based Public Health Alerts
Keith W. Boone, AA, Interoperability Architect, Systems Interoperability and Standards, GE Healthcare,
Boston, Massachusetts
Session B-4
Location: Courtland
Title: T3: Technologies, Tools, Techniques
Description: Public Health Informatics utilizes innovative technologies, tools, and techniques for the advancement of
public health practice, research, and learning. Speakers will provide an overview of an integrated, standards-based public
health alerting system specifically describing its design, technical overview, route use, and novel features. Secondly, a
case study will examine requirements and public health alert messages targeted for clinicians during the H1N1 outbreak,
along with a review of how a health department collaborated with a major healthcare system and university to use an
electronic system for case reporting as an alternative to using the NEDSS base system.
Moderator: Brett Trusko
Presentations:
Design and Deployment of An Integrated, Standards-Based Public Health Alerting System
Shaun Grannis, MD, MS, FAAFP, Medical Informatics Research Scientist, Regenstrief Institute, Indianapolis, Indiana
Evaluation of Public Health Alert Messages Targeted for Clinicians During the Influenza A H1N1 Outbreak, Spring
2009: Implications for Alerting in EHRs
Catherine Staes, BSN, MPH, PhD, Assistant Professor, Department of Biomedical Informatics, University of Utah, Salt
Lake City, Utah
Application to Display Electronic Messages for Public Health
Richard Kurzban, BS, Database Integration Manager, Bureau of Epidemiology, Utah Department of Health,
Salt Lake City, Utah
26
Monday
Session B-5
Location: Baker
Title: Data Sharing Across Jurisdictions
Description: A significant amount of work has been done to understand and document the impact of privacy laws on
health care organizations, but less information is available on the impact of these laws on data exchanged electronically
through EHRs, PHRs, HIEs and NHIN. This session will present two examples of data sharing across jurisdictions and
lessons learned from the 2009 Presidential Inauguration and from the H1N1 outbreak using InfoShare.
Moderator: Janet Hamilton
Presentations:
Health Information Privacy in Public Health Agencies: An Assessment of Current and Future Issues Affecting
Public Health Practice
Walter Suarez, MD, MPH, President/CEO, Institute for HIPAA/HIT Education and Research, Alexandria, Virginia
Multi-Jurisdictional Information Sharing During the 2009 Presidential Inaugural
Wayne A. Loschen, MS, Software Engineer, John Hopkins University Applied Physics Laboratory, Laurel, Maryland
Information Sharing During the H1N1 Outbreak
Wayne A. Loschen, MS, Software Engineer, John Hopkins University Applied Physics Laboratory, Laurel, Maryland
Session B-6
Location: Dunwoody
Title: InfoLinks CoP: e-Health Strategic Plan
Description: Given that the American Recovery & Reinvestment Act (ARRA) includes over $20 billion for Healthcare
IT infrastructure, public health officials must be able to demonstrate “meaningful use” and collaboration for information
technology strategies. This working session will provide 1) an overview of strategic alignment, assessment, planning,
implementation, and maintenance for health information technology/exchange projects and then 2) engage session
attendees in a discussion of the plan, developed collaboratively by the InfoLinks Community of Practice, to improve
population health and transform public health practice.
Moderator: Bill Brand
Presentations:
InfoLinks CoP e-Health Strategic Plan for Public Health
John R. McLamb, MSIA, PHDM, PHIN Project Manager, Department of Public Health, North Carolina DPH Information
Technology, Raleigh, North Carolina, and InfoLinks CoP Co-Leader and PHIN CoP Council Representative
27
Session B-7
Location: Hanover A/B
Title: Data Standards & Data Sharing
Description: The National Health Information Technology (HIT) agenda includes processing of the American Health
Information Community (AHIC) detailed use case for public health case reporting developed by the Office of the National
Coordinator for Health Information Technology (ONC). This session will describe various CDC-sponsored Public Health
Situational Awareness projects in the context of the AHIC use case and associated data standards. The New York State
Department of Health and New York City Department of Health and Mental Hygiene are implementing and evaluating
the AHIC Harmonized Use Case for Biosurveillance (BUC) using the Minimum Biosurveillance Data Set (MDS). They
will also provide an update regarding their Public Health Information Exchange (HIE) Architecture and Standards for
the Universal Public Health Node (UPHN). Additionally, the University of Washington’s Center for Public Health
Informatics (CPHI) will present on a study utilizing an ethnographic approach regarding communication, data sharing and
real-time reporting mechanisms for health data and information at the local and state level.
Moderator: Jannie Williams
Presentations:
Health Information Exchange and Notifiable Disease Surveillance
Geraldine S. Johnson, MS, Project Manager, Office of Science, New York State Department of Health, Albany,
New York
Public Health and Health Information Exchange: New York Public Health Use Case Implementations with the AHIC
Minimum Data Set
Geraldine S. Johnson, MS, Project Manager, Office of Science, New York State Department of Health, Albany,
New York
Public Health and Regional Health Information Organization Collaboration: Public Health Integration Into the
Statewide Health Information Network - New York (SHIN-NY)
John Brady, BS, Senior Project Manger, Office of Science, New York State Department of Health, Albany, New York
Public Health Information Management Strategies That Support Situational Awareness in a Health Information
Exchange: An Ethnographic Approach
Debra Revere, MLIS, MA, Research Coordinator, Center for Public Health Informatics, University of Washington,
Seattle, Washington
28
Monday
Session B-8
Location: Inman
Title: Mobile Technology: US & Developing Countries
Description: Mobile technologies are being utilized to support Public Health communication both domestically and
internationally. This session will present use of mobile phones as a medium for intervention in HIV/AIDS, lessons learned
from using mobile-based technology in response to China’s Sichuam earthquake, and a description of the business
process used to strengthen vaccine logistics in low resource settings.
Moderator: Adam Arthur
Presentations:
Benefits of Mobile Phone Technologies for Driving Health Awareness and Behaviors
Eric Leven, MSc, MBA, President, Rip Road, New York, New York
Mobile-Based Emergency Public Health Response System for Sichuan Earthquake-Affected Areas Infectious Disease
Reporting Investigation in China: China CDC and U.S. CDC Experience
Wei Li, MD, MS, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
MIS Innovations for Last Mile Health System Advancement
James Dailey, MPA, BBA, Chief Technology Officer, VillageReach, Seattle, Washington
Session B9
Location: Hanover E
Title: Federal Health Architecture
Description: This session will provide attendees with an update on how federal agencies came together in 2008 to
create the CONNECT solution, a gateway software solution that enables the secure and interoperable exchange of
electronic health information between organizations, using the conventions and standards of the Nationwide Health
Information Network. CONNECT is built upon open standards and architecture. Senior agency information technology
officers will describe how their respective organizations are utilizing the CONNECT software and outline the benefits
that federal participation in the NHIN and will provide to patients, care providers, payers and other health stakeholders.
This session will also detail citizen to citizen benefits that a nationwide network of interoperable health IT will provide,
including continuity of care and benefits determination. This session will also opportunities to leverage CONNECT to
support public health needs, including biosurveillance, case reporting and public health alerting. Invited participants in
this panel include key technology and business leaders from agencies that have engaged in Federal Health Architecture
collaboration. One invitee who has confirmed her participation on this panel is Rear Admiral Theresa Cullen, USPHS,
and Chief Information Officer for the Indian Health Service. Other invitees, of RADM Cullen’s caliber, are endeavoring
to clarify their schedules, which is difficult as federal agencies are working to advance the President’s health IT agenda.
Moderator: Valerie Rogers
Presenter:
Vish Sankaran, BS, Program Director, Federal Health Architecture, Office of the National Coordinator for Health
Information Technology, Washington, District of Columbia
3:00 PM – 3:30 PM: Afternoon Beverage/Snack Break
Location: Grand Hall/Exhibit Hall (Beverages and Snacks Provided)
29
3:30 PM – 5:00 PM: Concurrent Session C
Session C-1
Location: Hanover E
Title: Tools for Bringing About Change in Public Health Informatics
Description: Developing a new informatics initiative is not simply a matter
of creating a request for proposals and selecting a vendor. This session will
demonstrate the need to carry out business process analyses using collaborative
tools, change management frameworks, and the application of project
management competencies. By considering internal, people-related factors,
informatics initiatives will likely have a higher degree of success.
Moderator: Claudia Vousden
Presentations:
Developing Information Systems That Support Public Health Work: The Common Ground Experience
Rhonda Miller, MEd, Business Analyst, Public Health Informatics Institute, Taskforce for Global Health, Decatur, Georgia
Managing Change within Public Health Informatics Initiatives
Lynn Gibbs-Scharf, MPH, Division Director, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Applying Project Management Competencies Efficiently On Public Health Projects
Thomas S. Brinks, BA, PMP, Senior Project Manager, National Center for Public Health Informatics, Science
Applications International Corporation contractor for Centers for Disease Control and Prevention, Atlanta, Georgia
Session C-2
Location: Courtland
Title: Developments in Disease Surveillance
Description: This session brings together three new ways by which notifiable disease surveillance can be enhanced.
Presenters will discuss development of a knowledgebase of reportable conditions, provide an overview of the capabilities
and limitations related to the Retrieve Forms for Data Capture (RFD) Xforms standard, and describe a self-contained
disease surveillance tool being used in a low-income country.
Moderator: Rita Altamore
Presentations:
Value Proposition and End-to-End Design Plan for a Knowledgebase of State Reportable and Nationally
Notifiable Conditions
Ruth Ann Jajosky, DMD, MPH, NDSS Project Officer, National Center for Public Health Informatics, Centers for
Disease Control and Prevention, Atlanta, Georgia
Xforms for Public Health: Notifiable Condition Case Reporting and Public Health Alerting Using IHE’s RFD Profile
Rebecca A. Hills, MSPH, NLM Fellow, Biomedical and Health Informatics/Center for Public Health Informatics,
University of Washington, Seattle, Washington
Essence Desktop Edition: A Self-Contained Disease Surveillance Application
Charles J. Hodanics, BS, NSTD-STH, Software Engineer, John Hopkins University Applied Physics Laboratory,
Laurel, Maryland
30
Monday
Session C-3
Location: Inman
Title: You’ve Got All the Data, Now What?
Description: Public health information systems are often good at collecting data, but true informatics is about turning this
data into information to support public health activities. This session is an opportunity to discover techniques in which
you can visualize and analyze your data in ways that are meaningful for public health. The three speakers will cover how
to use and administrator dashboards to monitor a program’s performance, mapping tools for poison center data, and a
program for analyzing notifiable disease surveillance data in Central America.
Moderator: Kimberly Wilson
Presentations:
Administrator Dashboards—Implementation in Public Health
Patricia Yao, MS, Informatics Coordinator, Medical Informatics, Office of Family Health, Department of Human
Services, Portland, Oregon
Creation of A Secure Web Service for Visualizing Poison Center Data for Nationwide Biosurveillance
Alvin C. Bronstein, MD, FACMT, American Association of Poison Control Centers, Alexandria, VA
Tool for Analysis of Routine Data for Surveillance of Notification Obligatory Disease. EpiVigila
Marcelo Adaglio, MD, Consultant, Programa Influenza CDC - CAP, Universidad del Valle. Guatemala, Ciudad de
Guatemala, Guatemala
Session C-4
Location: Hanover C/D
Title: Floating on the Cloud: New Opportunities for Public Health Data Storage and Analysis
Description: The concept of cloud computing—accessing applications and data from anywhere using the internet—has a
huge potential for public health. This session will provide an overview of cloud computing and then two specific examples
of how it can be used in public health. Presentations will highlight the potential for tapping into distributed computation
resources for intensive epidemiological analyses and describe how to overcome the challenge of meshing epidemiological
data from disparate sources.
Moderator: Claudia Brogan
Presentations:
“Cloud Computing” and Why It Matters to Public Health
Mark S. Tuttle, AB, BE, Informatician, Center for Biomedical Informatics, Mount Sinai School of Medicine, New York,
New York
Enabling SaTScan On the Cloud: Large Scale Spatial Analysis of Epidemics On-Demand
Ronald C. Price, BCS, SCJP, Senior Developer & Grid Architect, Center for High Performance Computing, University of
Utah, Salt Lake City, Utah
Data Synchronization of Epi Info™ Using a Mesh4X Adapter
David Nitschke, BS, PMP, Public Health Advisor, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
31
Session C-5
Location: Dunwoody
Title: Informatics for Public Health Professionals at the Front Lines
Description: This panel features four experts who will discuss the need to develop informatics skills among front-line
public health professionals. The speakers will describe the results of a needs assessment in Oregon, identify how
informatics training has impacted professionals in Utah, and examine the adaption of a Web-based medical informatics
course for public health. A facilitated discussion will follow this panel presentation.
Moderator: Allison Connolly
Presentations:
Panel: Informatics for Public Health Professions at the Front Lines
J.A. Magnuson, PhD, RS, Public Health Informatics Specialist, Oregon State Health Department, Portland, Oregon
Informatics for Public Health Professions at the Front Lines
Laverne Alves Snow, MPA, Student, Department of Biomedical Informatics, University of
Utah, Salt Lake City, Utah
Informatics for Public Health Professions at the Front Lines
William R. Hersh, MD, Professor/Chair, Medical Informatics & Clinical Epidemiology,
Oregon Health & Science University, Portland, Oregon
Informatics for Public Health Professions at the Front Lines
Janise Richards, PhD, MS, MPH, Senior Informatics Advisor, Global Aids Program, Centers
for Disease Control and Prevention, Atlanta, Georgia
Session C-6
Location: Baker
Title: Three Ways Through Which You Can Meet PHIN Requirements
Description: This session will present an open source solution for data integration, discuss how collaborating across state
lines can result in a more cost-effective solution, and describe the specific PHIN requirements for cascade alerting along
with suggested approaches on how to meet these requirements.
Moderator: Joseph Lombardo
Presentations:
Open Source Data Integration Solutions for PHIN Based Architecture
Janet K. Firestone, BA, Data Administrator/Integration Manger, Department of Health, Florida Department of Health,
Tallahassee, Florida
Successful Collaboration and Leveraging of a Vendor-Based Surveillance and
Tracking System to Allow Public Health Jurisdictions to Meet PHIN
Requirements in a More Cost-Effective Manner
Scott Troppy, MPH, PMP, MAVEN Project Manger, Office of Integrated
Surveillance and Informatics Services, Massachusetts Department of Public
Health, Jamaica Plain, Massachusetts
Achieving PHIN Certification for Cascade Alerting
Charles F. Berning, BS, Preparedness IT and Communication Manager,
Preparedness, Indiana Department of Health, Indianapolis, Indiana
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Monday
Session C-7
Location: Hanover A/B
Title: Health Information Exchanges and Public Health: Lessons from the Field
Description: This panel features experts from the Health Information Management Systems Society (HIMSS) and the
Infolinks Community of Practice (CoP) discussing the current national landscape of Health Information Exchanges (HIEs)
and the extent to which public health agencies have become partners. The panel discussion will examine data that suggests
public health agencies bring value to HIEs, challenges to ensure the long-term financial sustainability of HIEs, and how
access to comprehensive data can inform healthcare delivery decisions.
Moderator: Nicole Fehrenbach
Presentations:
Health Information Exchanges and Public Health: Lessons From the Field
S. Nicole Fehrenbach, MPP, Deputy Director, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
Session C-8
Location: The Learning Center
Title: Disease Surveillance and Event Detection in Low-Resource Settings
Description: This demonstration will highlight two systems that overcame some of the constraints of conducting disease
surveillance in developing countries: collecting data in the absence of a robust sentinel network and applying resources
to analyze the data collected. The first demonstration describes how mobile technology was used by rural health workers
to collect data and then how a modified version of ESSENCE was used to conduct analyses. The second demonstration
shows how large multivariate temporal data can be quickly and inexpensively analyzed to speed up outbreak
investigations, using real-world data.
Moderator: Richard Seagraves
Presentations:
End-to-End Disease Surveillance in Developing Nations
Joseph F. Skora, BS, NSTD-STH, Software Engineer, John Hopkins University Applied Physics Laboratory,
Laurel, Maryland
Computationally Efficient Event Detection and Investigation in Very Large Multivariate Temporal Data
Artur Dubrawski, PhD, Director, Auton Lab, Carnegie Mellon University, Pittsburgh, Pennsylvania
5:30 PM – 8:00 PM: Communities of Practice Reception & Roadmapping
Location: Centennial Ballroom
Learn about the work of the PHIN Communities of Practice (CoPs) and participate in a conversation led by the
Communities Council to design a Road Map for CoPs for the coming year. The CoPs were officially launched at the
2008 PHIN Conference as a new collaborative process for PHIN-related work among stakeholders. Several of these
communities—the Vocabulary CoP, the InfoLinks CoP focused on HIE, the National Electronic Laboratory Reporting
(ELR) Group and the Health Alert Network (HAN) Coordinators, had been successful learning, collaborative communities
for several years prior to their adoption for PHIN in August 2008. A CoP Council was established in Feb 2009, comprised
of representatives from each CoP, the PHIN Community, and the CoP Program at CDC. The Council works to identify
cross collaborations among communities and serves as the collective voice of the CoPs, developing messages and
mechanisms for communication across CoPs, the larger PHIN Community, and key public health informatics groups.
This session will review the progress of the CoP process over the past year, the role of the CoP Council and Program, and
solicit input from session attendees for goals and tasks to develop a Road Map for the next year. All PHIN Conference
attendees are encouraged to attend this session.
33
Tuesday, September 1, 2009
7:30 AM – 8:30 AM: Continental Breakfast Provided
Location: Centennial Ballroom Foyer
7:00 AM – 8:30 AM: Ancillary Meetings
AM-6
Location: Hanover AB
Title: The Road to MEDINFO 2010 South Africa from Bellagio/MEDINFO 2010
Description: The International Medical Informatics Association (IMIA) will organize MEDINFO 2010 - 13th World
Congress on Medical and Health Informatics under the theme of “Partnerships for Effective e-Health Solutions,”
Sept. 13 – 16, 2010, Cape Town, South Africa. This Workgroup will provide opportunity for PHIN attendees to obtain
information about, provide input to, and discuss about the organization of the Conference. The organizers are interested
to hear specific, feasible, and practical suggestions on how to accommodate and highlight public health informatics at
Medinfo; potential role that the PHIN community can play will also be discussed. This session will build on the call
for action from the Rockefeller Foundation organized Bellagio e-health conference. Dr. Charles Safran, Medinfo 2010
Editorial Board member and NCPHI consultant, will lead the discussion. He will
share and follow-up on the group’s recommendations with Medinfo leadership.
AM-7
Location: Hanover FG
Title: Countermeasure and Response Administration System - Highlights and
Demonstration of Version 1.9
Description: The Countermeasure and Response Administration (CRA) system
was initially developed by CDC to track utilization of scarce countermeasures
during public health emergencies. As state and local public health partners have
used the system for both exercises and public health events, they have identified
additional capabilities that the system needs to support. Collaboration among CDC stakeholders, CRA development team,
and public health partners provides the direction for these new capabilities. This workgroup will demonstrate the new
features and functionality that have been incorporated into the CRA system since the 2008 PHIN Conference (including
Release 1.9) and solicit feedback from partners during the session. Updates for tracking vaccine doses administered during
the fall novel influenza A (H1N1) campaign will also be discussed.
AM-1
Location: Hanover CD
Title: PHEP Cooperative Agreement BP10 and BP11 Roundtable
Description: A reduction of federal funding and declines in state budgets threaten to impact critical PHIN
accomplishments in state and local public health preparedness. This roundtable will allow attendees the opportunity to
have insight and comment on the PHIN language of the next Public Health Emergency Preparedness (PHEP) Cooperative
Agreement. Grant administrators from the Division of States and Local Readiness (COTPER/DSLR) have begun the
process of drafting the Guidance for the Budget Period (BP) 11 PHEP Cooperative Agreement. A member of DSLR will
attend this roundtable session to answer your questions, hear your concerns and consider your recommendations before
finalizing the requirements for the BP11 PHEP Cooperative Agreement. How can changes to the Guidance language
of PHEP ensure additional support from jurisdictional leadership? This is your opportunity ask questions, recommend
changes, and express the importance of PHIN from your prospective. Join the roundtable and learn more about the PHEP
Cooperative Agreement for BP10 and BP11.
34
8:30 AM – 10:00 AM: Plenary Session
Tuesday
AM-12
Location: Hanover E
Title: Case Reporting Standardization Workgroup (CRSwg)
Description: CDC and CSTE are co-hosting the Case Report Standardization Workgroup (CRSWg) meeting to address
opportunities and challenges for public health case reporting. The progress of current activities, such as the development
of the Public Health Case Report Implementation Guide using Clinical Document Architecture Release 2 (CDA) and the
review and incorporation of data elements in CSTE position statements, will be covered. Future activities and working
group meetings will also be addressed.
Session PS-2
Location: Centennial Ballroom
Title: Institutions Investing in Public Health Informatics
Moderator: Lynn Gibbs-Scharf and Valerie Rogers
Description: Join representatives from the Office of the National Coordinator, Joint Public Health Informatics Task
Force, World Health Organization for an interactive discussion of topics including partnership and community programs
supporting and advancing informatics, the interface between clinical care community and public health, innovation in
public health informatics, and the how the future of public health will be shaped through the application of informatics.
The expert panel will address questions from the audience on the current state of health information technology and
emerging trends.
Panel Participants
Ties Boerma, MD, PhD, World Health Organization, Director of Measurement and Health Information Measurement,
International Representative
Ties Boerma, MD, PhD, is the WHO’s Director of Measurement and Health Information System. He has 20 years
of experience working in public health and research programs in developing countries, including 10 years at
national and districts levels in Africa. He has worked for different United Nations organizations, bilateral donors,
national governments, and research institutions and has published extensively on AIDS, maternal and child health in
epidemiological, demographic, and public health journals.
A national of the Netherlands, Dr. Boerma received his degree in medicine from the University of Groningen and a PhD
in bio-demography from the University of Amsterdam.
35
William Hacker, MD, Public Health Commissioner, Joint Public Health Informatics Taskforce
William D. Hacker, MD, FAAP, CPE, a native of Manchester (Clay County), Kentucky received his Bachelor of Science
and Doctor of Medicine degrees from the University of Kentucky. Following a 3-year residency in pediatrics at the
University of Kentucky Chandler Medical Center, he founded Corbin Pediatric Associates in Corbin, Kentucky, in 1975.
Dr. Hacker continued in private practice in Corbin until 1993 when he accepted the position of vice president for health
services at Appalachian Regional Healthcare (ARH) and moved to the corporate headquarters in Lexington. He left
ARH in 1999 to serve as the medical director of Kentucky Health Select, a managed Medicaid program, within the CHA
Health organization. In 2001, Dr. Hacker joined the Kentucky Department for Public Health as a physician consultant
in the Division of Adult and Child Health. Following the terrorism events in the fall of 2001, Dr. Hacker transferred to
the Division of Epidemiology as branch manager of the newly formed Public Health Preparedness Branch. In September
2003, he was appointed as the acting director of the Division of Laboratory Services and served in that capacity until April
2005. He was appointed acting commissioner of the Department for Public Health in July 2004. Following a national
search, Governor Ernie Fletcher appointed Dr. Hacker commissioner of the Department for Public Health on November
30, 2004. In addition to his duties as commissioner, he was appointed acting undersecretary for health for the Cabinet for
Health and Family Services on April 6, 2006. Dr. Hacker is board certified by the American Board of Pediatrics and is a
Fellow in the American Academy of Pediatrics. He is also a Certified Physician Executive (CPE) and is a member of the
American College of Physician Executives. He holds an appointment at the University of Kentucky College of Medicine
as an associate clinical professor in the Department of Pediatrics and associate clinical professor in the University of
Kentucky College of Public Health.
David Hunt, M.D., F.A.C.S., Chief Medical Officer, Office of the National Coordinator for Health Information Technology
Dr. Hunt is Chief Medical Officer in the Office of Health IT Adoption for the Office of the National Coordinator for Health
Information Technology (ONC) in the Department of Health and Human Services.
At ONC he merges years as a practicing surgeon and leader in surgical quality and patient safety with hands-on experience
at all levels of information technology from programmer to systems analyst and software developer. Working at the Centers
for Medicare & Medicaid Services (CMS) from 2002 through 2007 Dr. Hunt led the Medicare Patient Safety Monitoring
System (MPSMS) as well as the Surgical Care Improvement Partnership (SCIP)—two national programs advancing quality
improvement and patient safety.
Dr. Hunt, who is licensed to practice medicine in the District of Columbia, is certified by the American Board of Surgery and
has been a Fellow of the American College of Surgeons since 1993. Practicing surgery in both private and academic settings,
Dr. Hunt served as a Clinical Assistant Professor of Surgery at Howard University, as well as chair of surgical peer review at
various hospitals in the Washington metropolitan area.
36
Tuesday
Poki Namkung, MD, County Health Officer, Joint Public Health Informatics Taskforce
Poki Namkung is the Health Officer of Santa Cruz County, California and represents NACCHO, the National
Association of County and City Health Officials. Santa Cruz County is considered the only fully functioning RHIO in
California, having exchanged health information between private providers, hospitals, safety net clinics and the health
department through a robust clinical email messaging system since 1997. In addition, in 2006-07, the health department’s
primary care clinics implemented electronic health records, as did two of the three local hospital and clinic systems. Santa
Cruz County was an InformationLinks grantee and is a Common Ground grantee. Poki Namkung is a principle in both
grants and through these opportunities she has expanded the role of public health opportunities with community based
organizations and the private healthcare sector.
Poki Namkung is a first generation immigrant who came to medicine late in life after many years of political activism.
After medical school at UC, Davis, she trained in Obstetrics and Gynecology for one year, also at UC, Davis, and then
took a hiatus from career to raise a family. During this period, she maintained her commitment to women’s health by
working for reproductive choice as well as involving herself in the life of her community by serving on many Boards
and Commissions, including chairing the PTA and the Parks and Recreation Commission for the City of Berkeley. Her
volunteer activities reflect her long-standing and abiding interest in the health of her community with a particular interest
in the well being of women and children.
In 1993, Dr. Namkung returned to training, first receiving an MPH in Epidemiology from the School of Public Health
at University of California, Berkeley. She completed a Preventive Medicine Residency at UCB in 1995 and went on to
become the Health Officer and Director of Public Health for the City of Berkeley Public Health Department. She is Board
Certified in Preventive Medicine and Public Health Administration. In 1996, she was selected as a State Scholar for
the Public Health Leadership Institute. She was elected to the Board of Directors of the Health Officers’ Association of
California in 1997 and to the Board of the California Conference of Local Health Officers in 1998. In November of 2001,
Poki Namkung was elected as President of the California Conference of Local Health Officers and re-elected for another
term in November of 2002. The California Public Health Association-North honored her in 2003 with their Public Health
Leadership Award. In July 2006, Poki Namkung was elected President of the National Association of County and City
Health Officials (NACCHO).
37
10:00 AM – 3:30 PM: Exhibit Hall Open
Location: Grand Hall
10:00 AM – 10:30 AM: Morning Beverage/Snack Break
Location: Grand Hall/Exhibit Hall (Beverages and Snacks Provided)
10:30 AM – 12:00 PM: Concurrent Session D
Session D-1
Location: Courtland
Title: Standards and Messaging?
Description: One of the biggest challenges in public health today is the electronic transmission of data from providers
of care to public health authorities. Today, much of that information flow is paper-based, while some information is sent
electronically, via laboratory reports using HL7 standards. This session will highlight public health related projects of
the HL7 Standards Develop Organization and current work to utilize the HL7 Clinical Document Architecture Release
to convey data to public health. Panelists will also address the Public Health Laboratory Interoperability Project (PHLIP)
Electronic Test Order and Result (ETOR) pilot, which is based on the HL7 v2.6 standard to establish the foundation for
full electronic data sharing between public health laboratories and their partners.
Moderator: Rita Altamore
Presentations:
The Public Health Laboratory Interoperability Project (PHLIP) Electronic Test Order and Result (ETOR) Pilot
Implementation
Curt Safranek, BS, Software Engineer, Nebraska Public Health Laboratory, Omaha, Nebraska
What’s Happening at HL7?
Austin Kreisler, BS, HL7 Messaging Specialist, National Center for Public Health Informatics, Science Applications
International Corporation contractor for Centers for Disease Control and Prevention, Atlanta, Georgia
Public Health Document Architecture – The Future of Public Health Reporting
Austin Kreisler, BS, HL7 Messaging Specialist, National Center for Public Health Informatics, Science Applications
International Corporation contractor for Centers for Disease Control and Prevention, Atlanta, Georgia
38
Tuesday
Session D-2
Location: Hanover F/G
Title: Health Information Exchange Between Private Healthcare and Public Health: Two Demonstration Projects
Description: The National Association of County and City Health Officials (NACCHO) supported two local health
departments to create linkages with existing regional health information exchanges and develop data sharing agreements
to support various public health activities, including communicable disease surveillance and public health preparedness.
These demonstration sites can serve as models for other agencies as well as provide valuable lessons learned for future
model refinement.
Moderator: Kim Wilson
Presentations:
Health Information Exchange Between Private Healthcare and Public Health: Two Demonstration Projects
Alastair Matheson, MPH, Program Associate, National Association of County and City Health Officials, Washington,
District of Columbia
The Use of Health Information Technology to Facilitate Data Exchange Between Private Healthcare and Public
Health: One Urban Local Public Health Department’s Experiences
Jeff Hussinger, BA, Telecommunications Analyst, Health Department, City of Milwaukee, Milwaukee, Wisconsin
Health Informatics and Information Technology: Facilitating Data Sharing Between Public Health and Clinical Care
Mark Lawson, MD, Health Officer, Public Health Department, Kittitas County, Ellensburg, Washington
Session D-3
Location: Baker
Title: Accelerating Improvements in Country Health Information Systems
Description: Health information systems in developing countries are often fragmented and isolated, with few
resources for operations and maintenance. A critical step in the implementation of health information systems in low
resource settings is the availability of technical support. World Health Organization’s (WHO) Health Metrics Network
Technical Support Partnership (HMN-TSP) was founded on the strategic principles of country ownership, promotion
of sustainability for human capacity development, greater north–south learning, network formation with other global
health agencies, in the attempt to leverage knowledge and collateral financing for Health Information Systems (HIS).
The panelists will discuss the challenges of implementing the strategic principles of the global Technical Support Facility
through the HMN-TSP and explore the application of public health and clinical information systems development in low
resource settings in Bangladesh, Africa, and Zambia.
Moderator: Angela Fix
Presentations:
Accelerating Country Health Information Systems (HIS) Strengthening through Improved Availability of Technical
Support Expertise to Low and Middle Income Countries
John Cutler, MD, MPH, Chief of Country Programs, Health Metrics Network, Geneva, Switzerland
Accurate Assessment for a Better National Health Information System: Bangladesh Experience
Muhammed Emranul Haq, MPH, Evaluation Advisor, Health Nutrition and Population Sector Programme (HNPSP),
Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ), Dhaka, Bangladesh
39
Open Architectures, Standards and Information Systems for Healthcare in Africa
Chris Seebregts, Dip, Data, BSc, BSc, (Med)(Hons), Hons, BSc, PhD, Senior Manager, Medical Research Council,
Tygerberg, South Africa
Health Information System Strengthening in Zambia
Christopher Simoonga, PhD, Deputy Director, Epidemiology, Policy and Planning, Ministry of Health, Lusaka, Zambia
Session D-4
Location: Hanover A/B
Title: Improvements in Biosurveillance Using Grid Technology
Description: Effective biosurveillance practice faces significant challenges, including the “silo-ing” of public health data.
A potential architectural solution to some of challenges may include the use of Grid computing, secure web services, and
the establishment of summary data sets to provide a common informatics approach for sharing data across jurisdictional
boundaries. This session will examine the value of summary level data for public health investigation and situational
awareness, and how to implement and evaluate minimum site sensitivity using dynamic threshold adjustments.
Moderator: Marshall Quin
Presentations:
Introducing the Geocode Interoperable Population Summary Exchange (GIPSE) Services: The First Secure Services
for PHGrid
Tom Savel, MD, Medical Officer, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
Sharing a Summarized Public Health Surveillance Data Set (SPHSDS)
William B. Lober, MD, MPH, Associate Director, Biomedical and Health Informatics/Center for Public Health
Informatics, University of Washington, Seattle, Washington
Consistent Algorithm Monitoring Performance at Distributed Sites with Disparate Data Sources
Jian Xing, PhD, MS, Senior Service Fellow, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
40
Tuesday
Session D-5
Location: Hanover E
Title: Effectively Communicating the Value of Future Investments
Description: Despite incredible advancements in informatics science and practice over the last several years, informatics
professionals throughout public health agencies continue to have difficulty communicating the importance of their work.
Presenters will engage the audience to discuss solutions related to the impending shortages in the public health workforce,
the need for leadership development and the gaps in informatics capacity across all levels of public health. Panelists will
also highlight ways in which the public health informatics competencies can be translated into organizational capacities
for local, state, or federal public health agencies.
Moderator: Lourdes Martinez-Cox
Presentations:
Infor-What?: Effectively Communicating the Importance of Informatics in Your Community
Lynn Gibbs Scharf, MPH, Division Director, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Investing in the Informatics Workforce: Strategy of the Future
Laura H. Franzke, PhD, MPH, Health Scientist, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
Leadership Development: A Human Capital Investment for the Future
S. Nicole Fehrenbach, MPP, Deputy Director, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Session D-6
Location: Hanover C/D
Title: Public Health Information Network in Action
Description: Awardees of the Public Health Emergency Preparedness (PHEP) Cooperative Agreement Grant have
encountered natural and man-made disasters in recent years. This session will discuss how PHEP grantees used PHIN
systems in preparation and response to public health events within and across jurisdictions.
Moderator: Andrew Autry
Presentations:
Public Health Information Network in Action
John R. McLamb, MSIA, PHDM, PHIN Project Manager, Department of Public
Health, North Carolina Department for Public Health, Raleigh, North Carolina
41
Session D-7
Location: Dunwoody
Title: Development and Implementation of National Standards to Improve Public Health Case Reporting
Description: Public health case reporting by clinicians, healthcare entities, and laboratories is a high priority national
activity to ensure complete and timely surveillance and control of health threats. This session will provide an update on
new standardized reporting criteria developed by the Council of State and Territorial Epidemiologists (CSTE) and new
implementation guides using Health Level Seven (HL7) Clinical Document Architecture (CDA) and version 2.5 message
formats for electronic public health case reporting.
Moderator: Claudia Vousden
Presentations:
Development and Implementation of National Standards to Improve Public Health Case Reporting
John Abellera, MPH, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
12:00 PM – 1:30 PM: Lunch (On Your Own)
1:30 PM – 3 :00 PM: Concurrent Session E
Session E-1
Location: Hanover E
Title: Pulling It All Together: How to Convince Both Managers and Users of the Need to Develop Integrated
Informatics Systems
Description: Gaining buy-in at all levels when putting informatics systems in place can be a challenge. This session will
begin with reflections of a newly employed county health department informatics specialist on the need to engage with
managers and peers, followed by a description of efforts towards integrating child health information systems, and will
conclude with a discussion about the importance of usability testing for public health systems in a
resource-stressed environment.
Moderator: Tonya Martin
Presentations:
Successfully Thinking Globally and Acting Locally: Reflections of a County Public Health Informatics Manager
Shawn E. Messick, BA, Public Health Informatics Manager, Community Health Services, Multnomah County Health
Department, Portland, Oregon
Integrating Public Health Information Systems
Alan R. Hinman, MD, MPH, Senior Public Health Scientist, Public Health Informatics Institute, The Task Force for
Global Health, Decatur, Georgia
Usability Testing in a Resource Stressed Environment: A Model for Public Health System Testing
Laverne Alves Snow, MPA, Student, Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah
42
Tuesday
Session E-2
Location: Hanover C/D
Title: Informatics Systems for Pandemic Response
Description: This session will cover three aspects of public health informatics that could be used during a response to an
influenza (or other) pandemic. One presenter will look at how using Grid technology can improve real-time monitoring as
well as speed up molecular epidemiology analyses. The second presenter will examine existing and future ways to provide
information to the public during an emergency. Finally, the last presenter will present a way to monitor the administration
of vaccine doses.
Moderator: Walter Suarez
Presentations:
Grid Added Value to Address Emerging Diseases
Vincent Breton, PhD, Research Director, CNRS-IN2P3, Aubiere, France
Leveraging IT for Pandemic Preparedness
Andrew Gordon, Director, Unisys, Reston, Virginia
Pandemic Influenza Preparedness: Monitoring Vaccine Doses Administered Using CDC’s CRA System, DAX2008
Jeanne Tropper, MS, MPH, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Session E-3
Location: Baker
Title: Practical Application of Public Health Informatics Systems in Low-Income Countries
Description: This session will showcase three examples of how informatics systems have been implemented in resourcepoor settings. The first demonstrates the use of short message service (SMS) text messages as part of dengue surveillance.
The second presentation is an evaluation of an electronic data system for antiretroviral therapy, and the third presentation
describes the use of OpenMRS as part of a malaria intervention, including the cost savings that resulted from its use.
Moderator: Janise Richards
Presentations:
Dengue SMS Surveillance Project in the Philippines
Jacqueline S. Coberly, MHS, PhD, NSTD-STH, Senior Epidemiologist, John Hopkins University Applied Physics
Laboratory, Laurel, Maryland
An Evaluation of Electronic Data Systems for Antiretroviral Therapy in Four Facilities in Malawi
Amy Gottlieb, MPH, M&E Officer, Global AIDS Program, Centers for Disease Control and Prevention (District of
Columbia), Dulles, Virginia
OpenMRS as a Key Malaria Intervention
Jonathan Dick, BA, BAS, e-Health Intern, Millennium Villages Project, Columbia University, New York, New York
43
Session E-4
Location: Inman
Title: HL7 Can Be Used to Transmit All Kinds of Data, but Sometimes You Need Help Building the Message
Description: The Health Level 7 (HL7) standard has many variations, versions, and values associated with it, and it can
sometimes be difficult to send health data between entities. The presenters will provide examples of using HL7 to send
reportable disease case notifications and clinical document architecture (CDA) to transmit cancer abstract reports. The
session will conclude by demonstrating practical tools such as Open Health Framework’s HL7 Java-based toolkit.
Moderator: Cecil Lunch
Presentations:
PHIN Case Notification Using HL7 v2.5 Messaging – Technical Assistance and Guidance
Aaron Aranas, MPH, MBA, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Transmission of Cancer Abstract Reports Using HL7’s CDA
Ken Gerlach, MPH, CTR, Health Scientist, National Program of Cancer Registries, Centers for Disease Control and
Prevention, Atlanta, Georgia
HL7 Transforms – Square Pegs in Round Holes
Thomas L. Dunnick, MS, IS Systems Development Specialist, Computer, Science, Division of Public Health Informatics
and Surveillance, Lab of Hygiene, University of Wisconsin, Madison, Wisconsin
Session E-5
Location: Courtland
Title: Understanding and Applying the Nationwide Health Information Network (NHIN) Domestically and Globally
Description: This session begins by presenting a tool that enables public health stakeholders at the state and local level to
better understand the Nationwide Health Information Network (NHIN) and health information exchange (HIE) initiatives.
Presenters will describe how the NHIN architecture is being applied at a global level for initiatives such as the Health
Metrics Network and also offer a model of how NHIN can operate using a rural health care pilot program.
Moderator: James Buehler
Presentations:
PHIN and HIE Policy Tool
John R. McLamb, MSIA, PHDM, PHIN Project Manager, Department of Public Health, North Carolina Department of
Public Health, Raleigh, North Carolina
An Emerging Architecture for Global Health Systems
John J. Fitzpatrick, BS, CEA, Enterprise Architect, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
Creating a Model for the Network of Networks NHIN and PHIN
Charles Magruder, MD, MPH, Coordinator of Health Information Exchange Activities, National Center for Public Health
Informatics, Centers for Disease Control and Prevention, Atlanta, Georgia
44
Tuesday
Session E-6
Location: Hanover F/G
Title: Using Social Networking and Virtual Collaboration to Yield Improved Public Health Outcomes
Description: For public health to be most effective, public health agencies must embrace the latest methods of
communicating and interacting with the public. This session covers the potential of three specific uses: creating virtual
collaborative workspaces for the National Children’s Study, using the Twitter Health application for sentinel surveillance,
and providing tailored information to social networking users based on their publicly available information.
Moderator: Jason Bonander
Presentations:
Virtual Collaborative Workspaces Promoting Public Health Scientific Collaboration
Anand Ambrose, MISM, MA, Informatics Engineer, National Center on Birth Defects and Developmental Disabilities,
BCA contractor for the Centers for Disease Control and Prevention, Atlanta, Georgia
Twitter Health and Sentinal Citizens
Ken Hall, M, DIV, NCPHI OD, Consultant, National Center for Public Health Informatics, Deloitte Consulting for the
Centers for Disease Control and Prevention, Atlanta, Georgia
Reciprocity in Action: Give a Little; Get a Lot
Suzanne Gates, MPH, Health Communication Analyst, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
Session E-7
Location: Hanover A/B
Title: PHIN-MS: Current Applications and Its Open Source Future
Description: This session will provide an overview of the Public Health Information Network – Messaging System
(PHIN-MS), which is used by public health organizations to exchange messages securely over the internet. Two
examples will be given of how the PHIN-MS architecture has been extended: 1) to allow data exchange between a health
department and its partners; and 2) for implementing interoperable laboratory data exchange. Also discussed will be the
future of the PHIN-MS product, and its transition to an open source community model.
Moderator: Roland Gamache
Presentations:
Integrate and Leverage PHINMS as a Common Data Transport Service in Service Oriented Architecture for Public
Health Information Exchange
Linh H. Le, MD, MPH, GISP, Research Scientist, Bureau of Healthcom Network Systems Management, New York State
Department of Health, Albany, New York
Implementing Two Interoperable PHINMS Rnr Hubs to Support Laboratory Data Exchange
Eduardo Gonzalez Loumiet, MBA, Data Integration Team Leader, Data Integration, Florida Department of Health,
Tallahasee, Florida
Launch of PHIN-MS Open Source Community Edition
Sorna Dhanabalan, MS, BS, Software Engineer – PHIN-MS, Information Systems/Health IT, Northrop Grumman
Corporation, Atlanta, Georgia
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Session E-8
Location: Dunwoody
Title: Community Collaboration in Laboratory Messaging: Data Access and Utilization Commonalities and Challenges
Across Three National Public Health Informatics Workgroups
Description: This community working meeting is for the emergent Laboratory Messaging Community of Practice (CoP).
This working meeting will discuss the formation of this unique CoP, followed by a panel review of the objectives and
scope of the three working groups that comprise this CoP. The session will conclude with a facilitated discussion to
identify, prioritize, and organize collaboration opportunities.
Moderator: J.A. Magnuson
Presentations:
Community Collaboration in Laboratory Messaging: Data Access and Utilization Commonalities and Challenges
Across Three National Public Health Informatics Workgroups
J.A. Magnuson, PhD, RS, Public Health Informatics Specialist, Oregon State Health Department, Portland, Oregon,
Laboratory Messaging CoP Co-Leader, and PHIN CoP Council Representative
Session E-9
Location: The Learning Center
Title: Natural Language Processing and Surveillance Systems
Description:
Demo A – Applying Intelligent Natural Language Processing (iNLP) to Public Health Case Detection and Notifications
Intelligent Natural Language Processing Techniques (iNLP) techniques are an emerging, powerful tool to support public
health informatics practice. This presentation will allow participants to understand advanced iNLP concepts and describe
the role iNLP within public health informatics.
Demo B – Improving Biosurveillance Using Full Text Clinical Note Processing
Natural language processing (NLP) tools applied to clinical notes have untapped potential for public health outbreak
detection. Symptoms documented in text-based clinical notes are an important source for surveillance. This computer
demonstration will showcase how novel approaches for automated text processing can improve biosurveillance.
After the two computer demonstrations, an overview of the National Electronic Disease Surveillance System (NEDSS)
strategic plan, including the use of NLP tools, will be discussed.
Moderator: Brett Trusko
Presentations:
Applying Intelligent Natural Language Processing (iNLP) to Public Health Case Detection and Notifications
Peter L. Elkin, MD, Professor of Medicine, Internal Medicine, Mount Sinai School of Medicine, New York, New York
Improving Biosurveillance Using Full-Text Clinical Note Processing
S. Trent Rosenbloom, MD, MPH, Assistant Professor, Department of Biomedical Informatics, Vanderbilt University
School of Medicine, Nashville, Tennessee
The National Electronic Disease Surveillance System (NEDSS) Strategic Plan: Leveraging Technology and Standards
John Abellera, MPH, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
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3:30 PM – 5:00 PM: Concurrent Session F
Session F-2
Location: Courtland
Title: Environmental Public Health Tracking Network
Tuesday
3:00 PM – 3:30 PM: Afternoon Beverage/Snack Break
Location: Grand Hall/Exhibit Hall (Beverages and Snacks Provided)
Description: The Environmental Public Health Tracking Network is a nationwide network of integrated health and
environmental data that provides information to assist in making public health decisions. This system has developed a
Role Based Access Control (RBAC) security system, utilizes multiple disparate data sources, and capitalizes on standard
vocabulary to enhance semantic interoperability.
Moderator: James Buehler
Presentations:
Role Based Access and Security for the Tracking Network
Shannon Dewitt, BS, Computer Scientist, National Center for Environmental Health, Scimetrika contractor for Centers
for Disease Control and Prevention, Atlanta, Georgia
Environmental Public Health Tracking – Data Models and Uses for National Tracking Portal
Matt Cahill, BS, Computer Scientist, National Center for Environmental Health, Centers for Disease Control and
Prevention, Atlanta, Georgia
Use of Standard Vocabulary in the Environmental Public Health Tracking Network
Gonza Namulanda, MS, Associate Service Fellow, National Center for Environmental Health, Centers for Disease
Control and Prevention, Atlanta, Georgia
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Session F-3
Location: Hanover C/D
Title: Integrated Disease Surveillance Systems: Belize, Asia, WHO
Description: This session will describe three unique programs that are working to create integrated disease surveillance
systems. Specifically, the three programs include: a nation-wide integrated Health Information System being utilized for a
hypertension disease management program; a hybrid surveillance system integrating domain experts and machine learning
algorithms for detecting effective responses; and Web-based data collection tools needed for IHR implementation.
Moderator: Christopher Bailey
Presentations:
Role of Country-Wide Health Information System in Decreasing the Intensity of Service Required to Manage
Hypertension Among Belizeans Age GE 65
Michael Graven, MD, MSc, MPH, FRSPH, FAAP, Assistant Professor of Pediatrics, Pediatrics, Dalhousie University,
Halifax, NS, Canada
InSTEDD Evolve: An Integrated Global Early Warning and Response System
Nicolas M. di Tada, Director of Platform, Engineering, InSTEDD, Palo Alto, California
Web-Based Monitoring Tool for National Core Capacities as Required by WHO’s International Health Regulations
Stella Chungong, MD, MPH, Coordinator, World Health Organization, Geneva, Switzerland
Session F-4
Location: Hanover E
Title: Communication & Alerting: HAN Case Studies
Description: The Health Alert Network (HAN) has assisted in many state
public health emergency response efforts. Recently, the stakeholders associated
with this initiative have formed the PHIN Communication and Alerting
Community of Practice (CACoP). Three states will provide case examples of
how their specific HAN has assisted in state emergency situations.
Moderator: Charles Magruder
Presentations:
Communication and Alerting Ten Years Later: Implementation Case Studies
Debra L. Sottolano, PhD, NYS Health Alert Network Coordinator, Information Systems and Health Statistics Group,
New York State Department of Health, Albany, New York
Session F-5
Location: The Learning Center
Title: PHIN VADS
Description: The exchange of electronic data in a meaningful and timely manner is crucial for public health. One
component enabling the effectiveness of data exchange is the use of controlled, yet extensible, public health vocabularies.
This session will describe: how the PHIN Vocabulary Access and Distribution System’s Universal Authoring Framework
(UAF) is a distributed terminology development environment that enables vocabulary specialists to create and update
standard vocabularies; vocabulary mapping and development processes; and communication of these vocabularies to
distributed environments. The value set development process, functional characteristics of value set distribution system,
PHIN VADS service-oriented architecture and its potential role in the Nationwide Health Information Network (NHIN)
will also be discussed.
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Tuesday
Moderator: Jerome Tokars
Presentations:
A Distributed Terminology Development Environment - PHIN VADS Universal Authoring Framework (UAF)
Mona Ayers, BS, Consultant, National Center for Public Health Informatics, Northrop Grumman Corporation contractor
for the Centers for Disease Control and Prevention, Atlanta, Georgia
Demonstration of CDC Vocabulary Server - PHIN VADS
Sundak Ganesan, MD, Consultant, National Center for Public Health Informatics, Northrop Grumman Corporation
contractor for the Centers for Disease Control and Prevention, Atlanta, Georgia
Implementers Perspective of CDC Vocabulary Server (PHIN VADS)
Sundak Ganesan, MD, Consultant, National Center for Public Health Informatics, Northrop Grumman Corporation
contractor for the Centers for Disease Control and Prevention, Atlanta, Georgia
Session F-6
Location: Hanover F/G
Title: Mobile Technology & Global Public Health
Description: The utilization of mobile applications for disease investigation is increasing globally. This session will
describe three real-world examples of how health departments are applying this technology through transmission of
disease investigation information via blackberry, use of smart phone applications to improve healthcare services in
under-served communities, and implementation of mobile technology for data collection and management.
Moderator: Adam Arthur
Presentations:
PRISM Mobile: Strengthening Disease Intervention and Control Through Mobile Applications, Florida
STD Program
Stacy A. Shiver, BA, Senior Management Analyst/Supervisor, Division of Disease Control, Bureau of Sexually
Transmitted Disease, Florida Department of Health, Tallahassee, Florida
Application of Smart Phone in “Better Border Healthcare Program” (BBHP)
Amnat Khamsiriwatchara, MS, Deputy Director BIOPHICS, Center of Excellence for Biomedical and Public Health
Informatics; Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Innovations in Global Data Collection Using Integrated Mobile Computing Technologies
Jay Robert Levinsohn, PhD, Senior Research Programmer, Research Computing Division, RTI International,
Research Triangle Park, North Carolina
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Session F-7
Location: Baker
Title: BioSense Next Generation
Description: BioSense is an innovative biosurveillance program designed to increase the nation’s emergency
preparedness through the development of a national network for real-time disease detection, monitoring, and health
situational awareness. In the last year, BioSense has solicited input from stakeholders across the country to transition the
program to meet the nation’s public health threats. Stakeholders were asked to provide input to the program’s operations,
requirements, direction, scientific contributions, and technology selection. This input informed the creation of a strategic
plan that focuses on the development of local, state, and national real-time biosurveillance capabilities, enhancement of
communications across all levels of public health, and enhancement of linkages between public health and the clinical
care system. The strategy, benefits, and next steps for BioSense will be discussed.
Moderator: Barry Rhodes
Presentations:
BioSense Next Generation: A Federated Approach to Biosurveillance
Taha Kass-Hout, MS, MD, BioSense Program Manager, National Center for Public Health Informatics, Centers for
Disease Control and Prevention, Atlanta, Georgia
Session F-8
Location: Hanover A/B
Title: Informatics & Interoperability
Description: This session will provide an overview of the annual Health Information Management and Systems
Society (HIMSS) meeting’s Integrating the Healthcare Enterprise (IHE) initiative. Included will be a description of the
IHE Interoperability Showcase where vendors and partners can demonstrate their utilization of the Healthcare Information
Technology Standards Panel (HITSP) interoperability specifications, followed by a discussion examining how clinical
workflow practices interact with the Health Information Exchange Systems. Finally, an interoperable healthcare system in
São Pablo Brazil presents a case study regarding the utilization of their system.
Moderator: Ramesh Krishnamurthy
Presentations:
Demonstrating Interoperability: Public Health Practice in a Model Health Information Exchange
Rebecca A. Hills, MSPH, NLM Fellow, Biomedical and Health Informatics/Center for Public Health Informatics,
University of Washington, Seattle, Washington
Understanding the Impact of Health Information Exchange Technology: Lessons from the MidSouth eHealth Alliance
Kim M. Unertl, MS, Student, Vanderbilt Implementation Sciences Laboratory, Department of Biomedical Informatics,
Vanderbilt University, Nashville, Tennessee
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Location: Centennial Ballroom (Heavy Appetizers Provided)
Title: PHIN, PHIT & PHUN!
Tuesday
5:30 PM – 8:00 PM: Social Event/Networking
Description: Put on your dancing shoes for this fit and fun event! We’ll rev up your activity level with some hearthealthy fun! Start by enjoying a selection of fresh, locally-produced hors d’oeuvres at stations scattered throughout the
ballroom. While enjoying these healthy treats, stroll around the stations that demonstrate how to stay active and on the
move while you travel away from home. Top off the night as you watch and join in a few group dances from top
Atlanta dance instructors. They will teach you how to groove to the latest dance beats while working off the peach
cobbler! This social event is included in your conference registration fee; there is no additional charge to eat wisely
and get your heart pumping!
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Wednesday, September 2, 2009
7:00 AM – 8:00 AM: Continental Breakfast
Location: Centennial Ballroom Foyer (Breakfast Provided)
7:00 AM – 8:00 AM: Ancillary Meeting
AM-8
Location: Hanover AB
Title: Epi-Info, CRA, and OMS: Interoperability to Support Public Health Practitioner
Description: Countermeasure and Response Administration (CRA), Epi Info™ and Outbreak Management System
(OMS) are informatics tools that support PHIN functions in the area of outbreak management and response relative to
different public health situations and events. This workgroup will explain basic functionality of the three systems and
explore different options for interoperability. A key objective will be to seek partner feedback on what approaches will
best support their practices in the near, mid and long term. Collaboration with partners about CRA, Epi Info™, and OMS
interoperability will lead to a useful suite of tools to support public health practitioner needs.
AM-13
Location: Hanover CD
Title: Public Health Emergency Preparedness (PHEP) Grantee Public Health Information Network (PHIN)
Coordinators Roundtable
Description: This roundtable will provide an information sharing and networking opportunity for PHEP Cooperative
Agreement Awardees, PHIN Coordinators, and Public Health professionals. Discussions will focus around lessons learned
during the recent H1N1 event, innovations in technology, public health informatics funding sources, PHIN Certification,
PHIN Requirements, and the role of the PHIN Coordinator. Attendees will have direct access to CDC PHIN subject
matter experts and other NCPHI leadership. This will be an interactive event so attendees should come prepared to
share and learn.
8:00 AM – 12:00 PM: Exhibit Hall Open
Location: Grand Hall
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Session PS-3
Location: Centennial Ballroom
Title: Public Health Informatics’ Investment in Innovation
Moderator: Lynn Gibbs-Scharf and Valerie Rogers
Wednesday
8:00 AM – 9:30 AM: Closing Session
Description: Wrap up your conference experience by honoring colleagues who have demonstrated excellence in
informatics over the past year. This session will include a presentation of the Healthcare Information and Management
Systems Society (HIMSS) Nicholas E. Davies Award of Excellence and the Public Health PHIN Poster Awards.
Also not to be missed is an exciting presentation on the topic of EHRs and their relation to research, public health,
registries, quality, and the future of healthcare, by W. Thomas Green, Jr., Chairman and Chief Executive Officer of
Greenway Medical Technologies.
HIMSS Nicholas E. Davies Award of Excellence—Public Health
The Nicholas E. Davies Award of Excellence for Public Health is awarded to a state, local, or tribal public health program
that has improved the health of a defined community through health information management. Barriers, successes, and
lessons learned that have led to their achievement and recognition as industry leaders will be presented at 2010 Annual
HIMSS Conference & Exhibition in Georgia World Congress Center, Atlanta, GA, March 1-4, 2010.
Davies Public Health Award: Application Process Essentials
The award recognizes the use of care data for public health issues, and ideally its impact on population health; it does not
recognize care delivery. Vendors cannot apply for the award (but can provide assistance to the applicant). Public health
informatics researchers should provide assistance in submitting the application.
The award recognizes public health electronic information systems, which are:
1. Implemented for sufficient time to show strong evidence of measuring and improving health of a defined
population, not individual care;
. In routine daily use;
. Incorporated with IT into all phases of the systems operation and practice;
. Providing data currently acted upon by public health officials; and
5. Able to share data in a standard and secure manner with other public health systems.
History of the Davies Award
Originally created by CPRI-HOST (Computerized Patient Record Institute-Healthcare Open Systems and Trials) in
1994, the first three recipients of the Davies Award were Organizational Award recipients in 1995. CPRI-HOST merged
with HIMSS (Healthcare Information and Management Systems Society) in 2002, and HIMSS since has launched the
Davies Ambulatory Care Award in 2003, the Davies Public Health Award in 2004 and the Davies Community Health
Organization Award in 2008. The Davies Public Health Award has recognized eleven public health entities. The award
is applicable to any state, local, or tribal public health program that improves the health of a defined community through
health information management. Past award winners include:
2008 Davies Public Health Award: Cherokee Indian Hospital Authority (CIHA) & New Jersey Department of Health &
Senior Services – Communicable Diseases Services (NJDHSS)
2007 Davies Public Health Award: Institute for Family Health – New York, NY & Illinois-National Electronic Disease
Surveillance System (I-NEDSS) – Springfield, IL
2006 Davies Public Health Award: Behavioral Health Integrated Provider System (BHIPS) – Austin, TX & New York
State Environmental Public Health Tracking Network (NYS EPHTN) Data Exchange System – Albany, NY
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2005 Davies Public Health Award: Indian Health Service Clinical Reporting System – Warm Springs, OR & North
Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) – Chapel Hill, NC
2004 Davies Public Health Award: Pennsylvania’s National Electronic Disease Reporting System (PA-NEDSS)
– Harrisburg, PA; South Dakota Electronic Vital Records and Screening System – Pierre, SD; & Utah Statewide
Immunization Information Station, Utah Department of Health – Salt Lake City, UT
Speaker
Tom Leary, FHIMSS, MALA Senior Director of Federal Affairs, Healthcare Information and Management Systems
Society (HIMSS)
Tom Leary is Senior Director of Federal Affairs for the Healthcare Information and Management Systems Society
(HIMSS), the country’s largest healthcare association focused on information technology. He directs all the Society’s
public policy activities with federal agencies, including analysis and response to federal regulatory requirements and
leveraging HIMSS member subject matter expertise in healthcare IT public policy development. Leary is also staff liaison
to the HIMSS Government Relations Roundtable, in which association members meet monthly to promote healthcare
improvements through IT adoption and investments. Through the roundtable, he works with Diamond Corporate
Members, the highest level of membership for the association. Leary has spent a good portion of his career in Washington
on federal healthcare policy and regulation development. His experience includes work both inside and outside of
government. Prior to his arrival at HIMSS, Leary was a Division Manager for Science Applications International
Corporation’s TRICARE Division, where he was engaged in the coordination of healthcare administrative outsourcing
solutions for the Military Health System. Leary began his career in 1992 as a staff assistant to Rep. Les Aspin (D-WI).
He moved to the Pentagon with the Aspin team, where he served as a Clinton Administration political appointee at the
Defense Department in the Office of the Secretary of Defense Legislative Affairs office as staff assistant, then as Special
Assistant for Health Care Policy. In 1997, he expanded his focus on federal healthcare policy as the Special Assistant
to the Assistant Secretary of Defense for Health Affairs, serving on the Assistant Secretary’s senior management team
that addressed medical readiness and peacetime healthcare delivery for the Military Health System. Leary obtained his
bachelor’s degree in History/Political Science from Rutgers University and his master’s degree in Legislative Affairs from
The George Washington University.
PHIN Poster Awards
Description:
The 2009 Public Health Information Network (PHIN) Poster Award winners
will be announced.
Closing Speaker
Stephen Dale, BSc (Hons), Managing Director, Semantix (UK) Ltd
Stephen is a passionate advocate of the premise that organizations and enterprises can become smarter,
faster, more agile and more innovative by recognizing the latent creativity and energy locked up in their most
precious and valuable resource – their people. This can only be achieved by creating an environment of trust,
where conversations can flow and where ideas are encouraged and nurtured without being stifled by process.
Stephen’s 26+ years of experience as an information and knowledge management professional has enabled him
to blend technology solutions with a detailed understanding of behavioral characteristics that encourage people
to self-organize, collaborate, and co-create. His particular focus is the development and nurture of Communities
of Practice for knowledge sharing, learning, and innovation as part of a sustainable ‘knowledge ecosystem’.
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W.T. “Tee” Green III, BA, President, Greenway Medical Technologies
Wednesday
He is both an evangelist and practitioner in the use of Web 2.0 technologies and social media applications to
support personal learning and knowledge sharing. He was the business lead and information architect for the
award-winning IDeA Communities of Practice Platform currently deployed across the UK local government
sector, the largest network of its type, and continues to play a key role in the support of virtual Communities
of Practice for value creation in public services. Stephen’s current and previous clients include Creative
Partnerships, 3i plc, Reuters Ltd, Papillon Technology, the Department for Works and Pensions (DWP),
the Cabinet Office, the Home Office, Business Enterprise and Regulatory Reform (BERR, now BIS), the
Central Office of Information (COI), the Office for National Statistics (ONS), The Department for Innovation,
Universities and Skills (DIUS, now BIS), the Learning and Skills Council (LSC), the Improvement and
Development Agency (IDeA), London Deanery, and East Lindsey District Council.
Tee Green is the president of Greenway Medical Technologies. He joined Greenway Medical in November 1999 as
the vice president of sales and marketing. Prior to joining Greenway, he served as the senior vice president of sales and
marketing for the Bisys Group Inc. With his tenure and direction, Greenway has become a leader in the healthcare IT
industry, taking leadership positions in CCHIT, HITSP, the EHR Association, CDISC, IHE, HIMSS, as well as on Capitol
Hill. Mr. Green understands that improving healthcare delivery takes more than operating a company, but rather, it takes
leadership and investment across a broad spectrum to truly affect change. Serving as Greenway’s president since 2000,
Mr. Green has successfully built Greenway into one of the fastest growing private companies in the nation. Under his
guidance, Greenway has experienced tremendous year-over-year growth and is widely recognized as one of the leading
providers of EHR technology in the nation. Greenway is regularly consulted by the President’s Administration and
Congress to assist with health policy and leadership. Mr. Green currently serves on the boards of Greenway Medical
Technologies, CDISC IAB (Industry Advisory Board), R.W. Allen Construction, First Georgia Banking Company,
Auburn University Athletic Council, and the University of West Georgia Foundation. He is a member of First United
Methodist Church where he teaches adult Sunday school. Mr. Green is a graduate of Auburn University with a B.S.B.A.
degree in Management.
9:00 AM – 5:00 PM: Ancillary Meeting
AM-9
Location: Harris
Title: FACA Board of Scientific Counselors Meeting
Description: The NCPHI Board of Scientific Counselors (BSC) will meet in a Federal Advisory capacity to perform
official Board functions and conduct official Board business. This is the final NCPHI BSC meeting for FY 09; it is open
to the public and a Federal Registry notice will be posted one month in advance.
9:30 AM – 10:00 AM: Morning Beverage/Snack Break
Location: Grand Hall/Exhibit Hall (Beverage and Snacks Provided)
10:00 AM – 11:30 AM: Concurrent Session G
Session G-1
Location: Hanover F/G
Title: EMR & Messaging
Description: This session will describe a five step methodology for the implementation of an EMR solution, the use
of automated HL7 2.5 messaging using standardized vocabulary to reduce or replace the manual entry of data into the
National Health Safety Network (NHSN), and a demonstration of a working prototype of the Message Validation
Service Framework.
Moderator: Roland Gamache
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Presentations:
Electronic Medical Record Implementation for Public Health: A Best Practices Approach
Jeff Ditty, BS, Principal Consultant/Deputy Director, Public Health Foundation Enterprises, City of Industry, California
The eSurveillance v2.5 Messaging Initiative for the National Healthcare Safety Network: Migrating Toward
Electronic Public Health Surveillance Using Standards-Based Messaging and Vocabulary
Benjamin A. Kupronis, MPH, Epidemiologist, Coordinating Center for Infectious Disease, Centers for Disease
Control and Prevention, Atlanta, Georgia
Message Validation Service Framework - A Roadmap for Standards Compliance
Sergey A. Li, MBA, PMP, Program Manager, Northrop Grumman, Atlanta, GA
Session G-2
Location: Hanover A/B
Title: C 3 Tools Used During the Recent H1N1 Outbreak
Description: While the flurry of activity surrounding the novel H1N1 pandemic has subsided, there is a strong
possibility that it will return in the northern winter in a more potent form that will threaten the public’s health. This
session will discuss some of the tools used during the initial response and how these may be applied next flu season.
Topics covered include Internet-based disease surveillance, automated reports from Utah’s laboratory surveillance
system, and new functionality added to Illinois’ NEDSS application.
Moderator: Jacqueline Coberly
Presentations:
Swine Flu: Scope for Internet Disease Surveillance
Ninad Mishra, MD, MS, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control and
Prevention, Atlanta, Georgia
Enhanced Influenza and Respiratory Virus Surveillance During the 2009 H1N1 Influenza Outbreak
Per H. Gesteland, MD, MS, Assistant Professor, Division of Inpatient Medicine, Department of Pediatrics, University of
Utah School of Medicine, Salt Lake City, Utah
Session G-3
Location: Hanover E
Title: All That You Need for a Laboratory Information Management System (LIMS)
Description: Within healthcare, electronic laboratory systems are widely available, yet many labs are still paper based.
Attendees at this session will learn how to conduct business process analysis to model lab processes and workflows.
They will also examine other key considerations such as vocabulary, message syntax, and a core data set. Finally, CDC’s
Coordinating Center for Infectious Diseases will present a case study of how they implemented a LIMS solution in a
multi-lab environment.
Moderator: Jason Bonander
Presentations:
Key Considerations for Laboratory Information Management System (LIMS) Interoperability
Heather Patrick, MSc, Public Health Informatics Fellow, Coordinating Center for Infection Disease, Centers for Disease
Control and Prevention, Atlanta, Georgia
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Enhanced Business Process Modeling as a Framework for LIMS Interoperability Requirements
Valerie Britt, MBA, Senior Business Analyst, Coordinating Center for Infectious Diseases, Lockheed Martin
Contractor for Centers for Disease Control and Prevention, Atlanta, Georgia
Session G-4
Location: Courtland
Title: The Role of Informatics in Cancer Research
Wednesday
Implementing a LIMS Solution in a Multi-Lab, Multi-Workflow Environment
Nathan Rozenfeld, MSc, Senior System Architect, NHR Inc, Hollywood, Florida
Description: This session brings together different aspects of how informatics is being used in cancer research. The
first speaker will introduce the caGrid and then focus on the tools and resources that are available to support scientific
investigations. The second speaker will describe the purpose and application of translational research using the National
Cancer Institute as an example.
Moderator: Lisa Williams
Presentations:
Grid Infrastructure Knowledge Resources: caGrid Knowledge Center
Justin Permar, BS, Technical Manager, Biomedical Informatics, The Ohio State University, Columbus, Ohio
Translational Research for Public Health Informatics
Joseph Lombardo, MS, Program Manager/Director, John Hopkins University Applied Physics Laboratory,
Laurel, Maryland
Session G-5
Location: Baker
Title: Open Source Software for Geocoding and Disease Detection
Description: There are many advantages to using open source software to meet public health informatics challenges, yet
the process for implementing and supporting a public health open source solution can be complex. This session will
present three applications that take an open source approach, and how such solutions have been implemented in public
health settings. The first is a piece of geocoding software from Wisconsin that uses US Postal Service data and can
quickly and cheaply validate addresses. The second is Georgia’s new messaging system for notifiable disease reporting,
which will improve the timeliness and standardization of information. The final software to be discussed is the new
Notifiable Condition Detector (NCD), being implemented in Indiana.
Moderator: Jannie Williams
Presentations:
Free, Fast, Flexible, and Fit for First-Class GIS: Open-Source USPS Address Validation/Standardization QED
James L. Tobias, BS, Senior GIS Analyst, Northrop Grumman, Atlanta, Georgia
Using An Extensible Open Source Services Platform to Enable Data Feeds to Georgia Division of Public Health’s
SENDSS Surveillance System
Wendy P. Cameron, MPH, MA, Syndromic Surveillance Program Coordinator, Acute Disease Epidemiology Section,
Division of Public Health, Georgia Department of Human Resources, Atlanta, Georgia
Practical Aspects of an Operational Open Source Notifiable Condition Detection System
Shaun Grannis, MD, MS, FAAFP, Medical Informatics Research Scientist, Regenstrief Institute, Indianapolis, Indiana
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Session G-6
Location: Hanover C/D
Title: Cross-Jurisdictional Exchange of Health Information
Description: This session will provide examples of how health information can be exchanged both between and within
states. The first speaker will present how two states have formed a collaborative partnership to exchange laboratory
information when surge capacity is needed. The second speaker will describe how a state health agency has set-up
systems to transfer laboratory results to neighboring states when the patient resides outside of the state. The final speaker
will report on how the AHIC minimum data set for biosurveillance and biosurveillance use case were implemented among
several regional health information organizations (RHIOs).
Moderator: Tonya Martin
Presentations:
The Florida Department of Health and the Texas Department of State Health Services Influenza Electronic Data
Exchange Interoperability Partnership Project
Robin Lusk, BA, SCT, (ASCP)/AMIA, Defense Preparedness Informatics Specialist, Bureau of Laboratories, State of
Florida, Jacksonville, Florida
New York State ELR – Electronically Transferring Reports of Non-New-York Residents to Their Proper Jurisdictions
David DiCesare, BS, ELR Coordinator, Information, Science, Epidemiology, New York State Department of Health,
Albany, New York
Standardized Reporting, Encoding and Computerization of Cancer Pathology Reports
Mary F. Kennedy, MPH, Manager, Diagnostic Intelligence and Health Information Technology, College of American
Pathologists, Deerfield, Illinois
Session G-7
Location: The Learning Center
Title: All About Integration: The Theory and Then the Practice
Description: These two computer demonstrations will highlight the importance of integrating public health information
systems. The first demonstration will present a business case model (BCM) tool that estimates economic, health, and
programmatic effects that could result from integration. The second demonstration will show how service-oriented
architecture (SOA) was used to connect old and new laboratory systems, followed by a review of lessons learned.
Moderator: Claudia Brogan
Presentations:
Using a Business Case Model to Predict Health and Financial Effects of Integrating Public Health
Information Systems
Karen Torghele, MPH, Health Scientist, Public Health Informatics Institute,
Decatur, Georgia
Connecting Old and New Lab Systems Using a Service-Oriented
Architecture (SOA)
Brian Levine, BS, CompSci, MBA, Program Manger, National Center for
Public Health Informatics, SAIC Contractor for Centers for Disease Control
and Prevention, Atlanta, Georgia
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Wednesday
Session G-8
Location: Inman
Title: Standards and Data Sharing
Description: In the development of the Nationwide Health Information Network (NHIN), the Department of Health
and Human Services has adopted health information technology (HIT) standardization as central to its strategy for
healthcare data interchange and information systems interoperability. An overview of HIT standardization, public
health’s participation, challenges faced, and a business plan for standards implementation will be discussed. Speakers
will also describe Health Information Technology Standards Panel (HITSP) identified standards relevant to alerting and
immunization decision support with recommendations for future steps to implement public health knowledge sharing and
clinical decision support. The benefits and best practices for sharing health information electronically between Health
Information Exchanges (HIEs) and public health will also be examined. The New York, Indiana, and Washington/Idaho
HIE initiatives will provide a summary of their ongoing accomplishments and future plans from the CDC’s Situational
Awareness through Health Information Exchange program.
Moderator: Andrew Autry
Presentations:
Business Case for Public Health Participation in Health Information Technology (HIT) Standardization
Anna Orlova, PhD, Executive Director, Public Health Data Standards Consortium, Baltimore, Maryland
Towards a Unified Framework of Public Health Knowledge for Clinical Decision Support
William B. Lober, MD, MS, Associate Director, Biomedical and Health Informatics/Center for Public Health Informatics,
University of Washington, Seattle, Washington
Public Health and Health Information Exchanges: Developing a Common Roadmap to Future Success
Charles Magruder, MD, MPH, Coordinator of Health Information Exchange Activities, National Center for Public Health
Informatics, Centers for Disease Control and Prevention, Atlanta, Georgia
11:30 AM – 1:30 PM: Lunch (On Your Own)
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12:00 PM – 1:30 PM: Ancillary Meeting
AM-10
Location: Regency V
Title: EHR Alerting Stakeholder Meeting
Description: The Electronic Health Record (EHR) Alerting stakeholders’ meeting provides an opportunity for CDC to
update stakeholders and solicit feedback on current and planned EHR alerting activities. All stakeholders are encouraged
to attend and participate in discussions on public health-clinical workflows in EHRs, a model architecture, and
future goals.
AM-15
Location: Dunwoody
Title: Outbreak Management System (OMS): Highlights and Demonstration
Description: The Outbreak Management System (OMS) is a complete, deployable system that provides CDC and its
public health partners with a suite of tools for creating dynamic questionnaires, configuring outbreak-specific
vocabularies, capturing standard data, creating reports, performing analyses, and creating outbreak-specific packages.
The system allows for case follow up, contact tracking, and data import, export, and analysis.
This workgroup will demonstrate the features and functionality of OMS and
seek insight and recommendations from stakeholders and partners during
the session. Continued opportunities for collaboration on improvements and
enhancements to the system will be discussed in order for it to provide the
functionality to support the needs of public health partners
1:30 PM – 2:45 PM: Concurrent Session H
Session H-1
Location: Hanover C/D
Title: Electronic Laboratory Reporting & Surveillance Systems
Description: This session will describe the integration of two surveillance systems that improved the timeliness of
laboratory reporting, minimized workload, and expedited case investigation and reporting. Los Angeles County will
discuss their ELR strategy, examine challenges with HL7 records and define some tools that assist in common ELR
interface errors. The Public Health Informatics Institute (PHII) will describe the Newborn Dried Bloodspot Screening
(NDBS) e-health initiative implementation guide using standard HL7 version 2.3.1 coding structures and LOINC
codes to assist with the reporting of NDBS laboratory results to various entities.
Moderator: Rita Altamore
Presentations:
The Integration of Electronic Laboratory Reporting and Case Surveillance Systems in New York State
Hwa-Gan Chang, PhD, Statistical Unit Director, Division of Epidemiology, New York State Department of Health,
Albany, New York
Electronic Lab Reporting (ELR): Murphy’s Law in Action
Raymond Aller, MD, Director, Acute Communicable Disease Control, Los Angeles County Department of Public Health,
Los Angeles, California
Progress Toward Implementation of Data Standards Related to Automated Newborn Dried Blood Spot Screening
Reporting and Data Sharing
David A. Ross, ScD, Director, Public Health Informatics Institute, Taskforce for Global Health, Decatur, Georgia
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Wednesday
Session H-2
Location: Hanover A/B
Title: National Center for Public Health Informatics (NCPHI): Scientific Updates & Town Hall Session
Description: This town hall interactive session will provide a broad overview and updates about CDC’s NCPHI key
scientific projects and activities (e.g., BioSense, Clinical Decision Support, PHGrid, Epi-Info, EHR, HIE’s). A discussion
regarding the need and importance of connecting NCPHI to other federal Public Health Informatics endeavors and finally,
an overview on how to communicate key informatics concepts to its public health partners.
Moderator: Valerie Rogers
Presentations:
National Center for Public Health Informatics (NCPHI): Scientific Updates & Town Hall Session
Art Davidson, MD, Director, Public Health, Denver Health, Denver, Colorado
Session H-3
Location: Hanover F/G
Title: C 3: Compliance, Communication, Collaboration
Description: This session will provide a discussion on how to integrate 508 compliance standards into your Web
operations. Presenters will also discuss an overview of communication tools for marketing and delivering core public
health messages, and best practices and workflows associated with initiating and monitoring blogs in the
government environment.
Moderator: Behnoosh Momin
Presentations:
Implementing 508 Compliance Strategies Into Your Daily Operations
Lourdes Martinez-Cox, MS, Health Communication Specialist, National Center for Public Health Informatics, Centers
for Disease Control and Prevention, Atlanta, Georgia
Creating Marketing and Communication Tools for the Public Health Informatics Audience:
A Communicator’s Perspective
Jay Jones, BA, Senior Consultant, National Center for Public Health Informatics, Deloitte Consulting contractor for
Centers for Disease Control and Prevention, Atlanta, Georgia
Setting Up and Monitoring Blogs in the Government Environment
Robert Swain, BSN, MLIS, Health Scientist, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
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Session H-4
Location: Baker
Title: Service Oriented Architecture & Interoperability
Description: A systematic approach to combine “best practices” in requirement analysis, Service Oriented Architecture
(SOA) for public health will be discussed from the perspectives of clinical care, health information technology, and
products to improve integration and interoperability within the healthcare enterprise.
Moderator: Jennifer McGehee
Presentations:
Service Oriented Architecture (SOA) for Public Health: Public Health and Clinical Perspectives
Anna O. Orlova, PhD, Executive Director, Public Health Data Standards Consortium, Baltimore, Maryland
Service Oriented Architecture (SOA) for Public Health: Health Information Technology
Industry Perspectives
Kenneth Rubin, BS, Senior Healthcare Architect, Electronic Data Systems, Bowie, Maryland
Service Oriented Architecture (SOA) for Public Health: Standard Development Organizations Perspectives
Alean Kirnak, MS, President, Software Partners LLC, Encinitas, California
Session H-5
Location: Inman
Title: Training & Technology
Description: A study, utilizing the Markov chain model, examining Web usage patterns for Chronic Fatigue Syndrome
Continuing Medical Education Internet courses is presented with recommendations on course navigations and predictions
for drop-out patterns. Second, Public Health officials present “lessons learned” regarding Web-based training software
with proficiency testing to educate employees on the Massachusetts Virtual Epidemiologic Network (MAVEN). Finally,
the findings from the World Health Organization’s (WHO) Health Metric Network (HMN) are presented and implications
for Public Health Informatics training are explored.
Moderator: Lisa Williams
Presentations:
Web Usage Patterns of Chronic Fatigue Syndrome Continuing Medical Education Internet Courses
Hao Tian, PhD, Computer Scientist, National Center for Zoonotic, Vector-Borne, and Enteric Diseases, Centers for
Disease Control and Prevention, Atlanta, Georgia
Training and Proficiency Testing for Local Health Partners on a Web-Based Surveillance System
Scott Troppy, MPH, PMP, MAVEN Project Manager, Office of Integrated Surveillance and Informatics Services,
Massachusetts Department of Public Health, Jamaica Plain, Massachusetts
Conceptual Framework for Training in Public Health Informatics Both Domestically and Internationally
Jessie Legros, EdD, MPH, Public Health Educator, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
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Wednesday
Session H-6
Location: Courtland
Title: Utilization of Data
Description: Advanced data processing and analytics enable public health awareness and intervention. This presentation
discusses an innovative technology that examines Electronic Medical Records (EMR), extracts patterns, and clusters
according to patterns and outcomes. A use-case scenario for Electronic Health Records (EHR) for public health
surveillance utilizing technology and standards such as NLP, CDA, AHIC case and T81 HITSP standards is demonstrated.
Finally, the benefits and challenges of utilizing NLP for routine Lyme disease reporting are discussed.
Moderator: Charles Magruder
Presentations:
Clustering of Electronic Medical Records of Patients with MRSA
Anna L. Buczak, PhD, Senior Professional Staff II, Johns Hopkins University Applied Physics Laboratory,
Laurel, Maryland
EHR and Outbreak Management
Ninad Mishra, MD, MS, Health Scientist, National Center for Public Health Informatics, Centers for Disease Control
and Prevention, Atlanta, Georgia
Natural Language Processing for Lyme Disease Reporting
Frances Morrison, MD, MPH, MA, Associate Research Scientist, Department of Biomedical Informatics, Columbia
University, New York, New York
Session H-7
Location: The Learning Center
Title: Environmental and caGrid Computer Demonstrations
Description:
Demo 1 - The Environmental Information Exchange Network (Exchange Network) is an Internet-based system used to
securely exchange environmental and health data among EPA, states, tribes, territories, and other partners resulting in
improved data quality and the standards based integration of public health information systems, programs and databases.
Security services support computer-to-computer connections and scheduled exchanges. The system’s new features and
tools will be demonstrated.
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Demo 2 - caGrid is a Grid toolkit aimed at enabling collaborative scientific
investigations. caGrid is funded by the National Cancer Institute’s Cancer
Biomedical Informatics Grid program. As a result, many caGrid features
already meet the needs of the biomedical informatics community. Currently,
other communities are choosing caGrid because the toolkit provides informatics
infrastructure that meets their requirements. In the public health informatics
community, CDC is prototyping phGrid using caGrid. An overview of the
system can be used to share analytical resources on the Grid.
Moderator: Walter Suarez
Presentations:
Empowering Environmental Public Health Collaboration with the Exchange Network – Discussion
and Demonstration
Christopher C. Clark, BS, System Analyst, Office of Environmental Information, United States Environmental
Protection Agency, Washington, District of Columbia
Sharing Analytical Resources on the Grid
Justin Permar, BS, Technical Manger, Biomedical Informatics, The Ohio State University, Columbus, Ohio
Session H-8
Location: Dunwoody
Title: Past, Present, and Future of PHIN Vocabulary & Messaging Community of Practice (VM CoP)
Description: This community session will explore the history and current work of the VM CoP, highlighting
accomplishments, community growth, and lessons learned, and will conclude with a community discussion of
the VM CoP’s strategic priorities for FY 2010.
Moderator: Kimberly Wilson
Presentations:
Past, Present, and Future of PHIN Vocabulary & Messaging Community of Practice (VM CoP)
Sundak Ganesan, MD, Consultant, National Center for Public Health Informatics, Northrop Grumman contractor for
Centers for Disease Control and Prevention, Atlanta, Georgia, and Vocabulary & Messaging CoP Co-Leader and PHIN
CoP Council Representative
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3:00 PM – 4:30 PM: Concurrent Session I
Session I-1
Location: Inman
Title: Advancing e-Cancer Reporting and Registry Operations
Wednesday
2:45 PM – 3:00 PM: Afternoon Beverage/Snack Break
Location: Grand Hall/Exhibit Hall (Beverages and Snacks Provided)
Description: The National Program of Cancer Registries—Advancing e-Cancer Reporting and Registry Operations
(NPCR-AERRO) is a collaborative project within the CDC-NPCR to leverage use of electronic health records (EHR) for
cancer surveillance. The presenters will describe the methods used to develop models for electronic reporting in cancer
surveillance, including an overview of solutions provided by National Healthcare IT Initiatives that will address the cancer
registry use cases. Presenters will also discuss ways to automate laboratory reporting to public health cancer repositories.
Moderator: Joseph Lombardo
Presentations:
National Program of Cancer Registries—Advancing E-Cancer Reporting and Registry Operations (NPCR-AERRO):
Implementing Electronic Pathology Reporting From a National Laboratory to Multiple State Cancer Registries
Wendy Blumenthal, MPH, Epidemiologist, National Program of Cancer Registries, Centers for Disease Control and
Prevention, Atlanta, Georgia
National Program of Cancer Registries—Advancing E-Cancer Reporting and Registry Operations (NPCR-AERRO):
An Update On Innovative Activities
Minal Agrawal, BS, System Analyst, National Program for Cancer Registries, Northrop Grumman contractor for Centers
for Disease Control and Prevention, Atlanta, Georgia
Interoperability Between the EHR and Public Health Disease Surveillance – the Cancer Registry Use Case
Sandy Thames, HMDE, Public Health Advisor, National Program of Cancer Registries, Centers for Disease Control and
Prevention, Atlanta, Georgia
Session I-2
Location: Hanover A/B
Title: “What Can the Public Health Grid Do for Me?”
Description: Currently, public health faces challenges of widely distributed and rapidly growing data, as well as limited
accessibility, visualization, analysis, and use for decision-making. CDC’s NCPHI has proved the technical feasibility
of deploying grid architecture to address these issues. This session will describe the public health end-user workflow
scenario in terms of information requirements and processes in everyday tasks, with specific examples of possible
approaches to utilizing grid services locally in a public health department. Moreover, presenters will also describe the
value of implementing innovative grid technologies in the global public health domain.
Moderator: Andres Espinosa Bode
Presentations:
“What Can the Grid Do for Me?” – A Public Health Use Case for Grid Computing Architecture
Muzna Mirza, MD, MSHI, Public Health Informatics Fellow, National Center for Public Health Informatics, Centers
for Disease Control and Prevention, Atlanta, Georgia
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Public Health Grid: Bringing Grid Services to the Data
Wayne A. Loschen, MS, Software Engineer, John Hopkins University, Laurel, Maryland
Global Public Health Grid—WHO-CDC Public Health Informatics Initiative: Value Proposition and Pilot Projects
Muzna Mirza, MD, MSHI, Public Health Informatics Fellow, National Center for Public Health Informatics, Centers for
Disease Control and Prevention, Atlanta, Georgia
Session I-3
Location: Hanover C/D
Title: Integration of Infectious Disease Surveillance Among Military
Health Systems
Description: This session will cover the integrated disease surveillance
applications within national and international military health systems. The
speakers will outline surveillance activities of the Navy and Marine Corps Public Health Center and describe the
laboratory sources and methods employed by information technology staff, database administrators, and programmers
to make data useful for epidemiological analysis. Specific application within the Department of Navy will be presented.
Speakers form the Saudi Arabian National Guard Health Affairs organization will also describe their collaborative work
with CDC’s NCPHI to develop and deploy a nationwide integrated electronic disease surveillance system across
all NGA facilities.
Moderator: Lisa Williams
Presentations:
Navy and Marine Corps Public Health Center: Development of an Integrated Infectious Disease Surveillance System
Rosa Johanna Ergas, MPH, Epidemiologist, Navy and Marine Corps Public Health Center, Portsmouth, Virginia
Towards the Development of an International Health Care Associated Infection Surveillance System
Ziad Memish, MD, CIC, FRCPC, FACP, FIDSA, Executive Director, Infection Prevention & Control Program, Saudi
National Guard Health Affairs, Riyadh, Saudi Arabia
Electronic Laboratory Data for Disease Surveillance in the Military
Teresa Hines, BA, Senior Statistician, Navy and Marine Corps Public Health Center, Portsmouth, Virginia
Session I-4
Location: Courtland
Title: Overview of Public Health Emergency Preparedness and Response Efforts
Description: This session will explore the shared challenges and successes as well as lessons learned from the public
health perspective in addressing biosurveillance, environmental health tracking, and radiological response systems for
public health emergencies. Speakers will discuss effective public health detection and response to natural disasters or
terrorist events using specific examples of the NC DETECT biosurveillance system and the CDC National Center for
Environmental health radiological emergency response activities. Examples of how the integration of public health
workforce data can aid continuity of operations data analysis (CODA) during a disaster will also be discussed.
Moderator: Jeanne Tropper
Presentations:
CODA: A Continuity of Operations Data Analysis System for Public Health
James C. Wallace, BS, Core Computing Manager, Center for Public Health Informatics, University of Washington,
Seattle, Washington
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Wednesday
NC DETECT Disaster Modules Facilitate Efficient Population Monitoring
Amy Ising, MSIS, NC DETECT Program Director, Department of Emergency Medicine, University of North Carolina at
Chapel Hill, Chapel Hill, North Carolina
Development of Epidemiologic Tools for Radiological Emergency Preparedness and Response through Partnerships
Colleen Martin, MSPH, Epidemiologist, National Center for Environmental Health, Centers for Disease Control and
Prevention, Chamblee, Georgia
Session I-5
Location: Baker
Title: Collaboration, Communication, and Credibility: Open Source Solutions for Public Health Informatics
Description: Public health agencies have traditionally operated in a top-down communications structure. However,
in today’s increasingly participatory information ecosystem, such one-way controlled communication strategies are
losing their impact. This session will highlight ways the governmental public health community can meet its governance
and policy needs within a collaborative framework. Examples of cross-sector open source and community sourcing
methodologies will be explored.
Moderator: Lourdes Martinez-Cox
Presentations:
A Public-Private Partnership to Develop and Deploy Open Source Disease Surveillance and Management System
David S. Jackson, MPH, Product Manager, Division of Epidemiology and Laboratory Services, Utah Department of
Health, Salt Lake City, Utah
Collaborating for the Good of Public Health: Developing Open Source Software to Accelerate Innovation
Mike Herrick, BS, Program Manager, Collaborative Software Initiative, Portland, Oregon
Using Gov 2.0: Collaboration, Communication, and Credibility
Adam B. Arthur, Health Communication Specialist, National Center for Public Health Informatics, Centers for Disease
Control and Prevention, Atlanta, Georgia
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Session I-6
Location: Dunwoody
Title: Strategies for Interoperable Health IT Architectures
Description: The Enterprise Architecture CoP will identify and illustrate how key National Health IT architecture
initiatives such as the NHIN, PHIN, HHS EA, CCHIT, etc., connect with public health informatics initiatives. The EA
CoP and industry experts will discuss possible common points of interest and develop next steps for future engagement.
Moderator: Margo Edmunds
Presentations:
Strategies for Interoperable Health IT Architectures
Paul Aneja, MS, Enterprise/Information Architect, Department of Human Services, State of Oregon, Portland, Oregon,
PHIN enterprise Architecture CoP Co-Leader, and PHIN CoP Council Representative
Session I-7
Location: Hanover F/G
Title: Uses of SNOMED and LOINC
Description: In this presentation, speakers will describe the rationale for using CDA to meet the technical requirements
for Hospital Acquired Infections (HAI) data exchanges, explore the operational challenges of using CDA for public health
reporting purposes, and review lessons learned and successes of bringing the new emerging standard of CDA to the public
health domain. This session will also report on an evaluation of the reliability of biosurveillance case definitions creation
by multiple clinicians using the Health Archetype Language (HAL-42) and user interface. The session will conclude with
an examination of how VA Compensation and Pension Examination (C&P) report documents were used as a platform for
the development and testing of concept-based indexed natural language processing.
Moderator: Jennifer McGehee
Presentations:
The Implementation of Clinical Document Architecture for the Electronic Submission of Healthcare-Associated
Infection Data to the National Healthcare Safety Network
Marla Albitz, PMP, Project Manger, National Health Information Network, Lockheed Martin Information Technology
contractor for the Centers for Disease Control and Prevention, Atlanta, Georgia
Interface Considerations Regarding Authorship of Computable Ph Case Definitions
Peter L. Elkin, MD, Professor of Medicine, Internal Medicine, Mount Sinai School of Medicine, New York, New York
Utilizing Concept-Based Informatics for the Indexing and Surveillance of PTSD Signs and Symptoms From
Narrative Reports
Brett E. Trusko, PhD, Deputy Director, Mt. Sinai School of Medicine, New York, New York
5:00 PM – 7:00 PM: Ancillary Meeting
AM-21
Location: Hanover E
Title: Epi-X for Mobile Devices Workgroup
Description: This session is intended for persons who want to know how to install a digital certificate on their own
Blackberry or who may need to support persons in their health department who need Blackberry access to Epi-X.
Refreshments will be provided.
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Wednesday
5:30 PM – 8:00 PM: Ancillary Meetings
AM-11
Location: Hanover AB
Title: CACoP (Communications and Alerting Community of Practice) Business Organizational Meeting
Description: The Communications and Alerting Community of Practice (CACoP) ancillary meeting is recommended
for any HAN coordinator or PHEP program staff responsible for emergency communications and alerting in their
jurisdiction. This meeting is held every year at the PHIN conference (formerly the HAN coordinators session). This
years’ primary topics will be: (1) Status updates on direct alerting certification (2) The year ahead: cascade alerting, radio
communications, other (3) Updates from CDC programs to the CACoP.
AM-17
Location: Hanover FG
Title: Electronic Laboratory Reporting Working Group: Annual Community Working Session
Description: The Electronic Laboratory Reporting (ELR) Working Group traditionally holds a working session at the
annual PHIN Conference. The 2009 meeting will address topics including:
• Continued promotion of national collaboration in ELR
• Identification and inclusion of new ELR participants
• Updates and discussion of ongoing projects, e.g., HL7 balloting of the 2.5 Implementation Guide, the
most recent annual national ELR survey, and the 2009 CSTE position paper.
• Discussion and planning of new group projects, prioritization of ELR concerns
• Discussion of the role of the ELR group in the newly-formed Laboratory Messaging Community of Practice
AM-3
Location: Hanover CD
Title: Public Health Information Technology in the 21st Century
Description: The workgroup will be focused on addressing public health needs in electronic health information
exchanges. The roles of public health professionals and public health information technology specialists in building these
exchanges will be discussed. Attendees will participate in formulating the NAPHIT-PHDSC strategy towards assuring
public health needs in meaningful HIT products.
5:30 PM – 9:30 PM: International Reception: Panel Discussion
and Sit-Down Dinner (Invite Only)
Location: Centennial Ballroom
Description: Global Partners in Public Health Informatics (University of Washington) in collaboration with National
Center for Public Health Informatics (NCPHI) Global Public Health Informatics Program will host an International
Night. Speakers include: Dr. Ties Boerma, Head, Department of Health Statistics and Informatics (HSI), World Health
Organization (WHO), Geneva; Dr. Sally Stansfield, Executive Secretary, Health Metrics Network Secretariat, WHO,
Geneva; Karl Brown, Associate Director, Rockefeller Foundation; and Mark Landry, Senior Informatics Specialist,
PEPFAR, Office of the Global AIDS Coordinator, USA. International Posters will be presented and food will be provided.
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Thursday, September 3, 2009
PHIN Tutorials and Ancillary Meetings
8:00 AM – 12:00 PM
TT-3
Location: Inman
Title: Design and Conduct of Evaluation Studies in Public Health Informatics
Description: It is now generally accepted that evaluation is one of the fundamental activities of informatics. Evaluation
studies can address a wide range of questions using a wide range of methods. Studies can focus on the structure and
function of information resources themselves, the ways in which they are used, and their impact on practice. Studies
are carried out before, during, and following the deployment of information resources. This tutorial is designed to
support persons or groups who are designing, carrying out, or critically appraising an evaluative study of a public health
information resource. The tutorial will offer an introduction to the rigorous scientific methods underlying evaluation, in
such a manner that they are understandable and practical to apply. The tutorial starts by defining evaluation and describing
why we do it, and then discusses alternative approaches and how to select between them. A case study, addressing issues
specific to public health informatics, is used to introduce evaluation techniques and examine their strengths
and weaknesses.
Learning objectives:
•
•
•
•
Define the process and role of evaluation within the field of public health informatics.
Given an evaluation study, identify the approach that it employs.
State specific evaluation questions, appropriate to an informatics project setting in public health.
Analyze evaluation studies with attention to issues of measurement and demonstration study design.
TT-10
Location: Hanover A
Title: Using PHIN VADS Web Application and Web Services
Description: Participants will learn vocabulary content available in PHIN VADS, how to search and download content, as
well as using vocabulary content in real time using VADS Web services.
TT-11
Location: Hanover B
Title: Leading Practices in Online Collaboration
Description: This tutorial will teach the principles of online collaboration, including practical tips and tricks for working
within a geographically distributed community and working across communities. In addition, attendees will learn about
the collaborative features of the phConnect Community Platform and how to use the space as a tool to accomplish
collaborative work.
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Thursday
TT-12
Location: Hanover C
Title: A Technique for Data Repurposing and Configuration Through Web-Based Software
Description: Data repurposing is critical to public health research. It offers the benefits of being less intrusive to subjects,
is less expensive, and often contains more extensive data. This tutorial will introduce the concepts and technology that
assists researchers in linking multiple and disparate data sources, extracting data in a useful configuration, and exporting
data to statistical analysis tools. Sample data will be used to illustrate how the program can be used to extract, configure,
and present data. This educational opportunity is targeted to a wide range of public health researchers, including, but not
limited to, health and social scientists and epidemiologists.
TT-13
Location: Hanover D
Title: Interoperability Activity Update: Focused Review of the Current Relevant Domestic Health IT
Interoperability Activities
Description: In today’s dynamic healthcare environment, “interoperability” has become a frequent buzzword, but how do
the current activities impact public health and more specifically PHIN stakeholders? This tutorial will provide a focused
review of current relevant health IT interoperability activities primarily in the United States and will touch on relevant
activities globally.
TT-14
Location: Hanover E
Title: Acquiring and Implementing Public Health IT Systems: The Public Health Professional in the Drivers’ Seat
Description: This tutorial will provide practical advice and guidance, as well as lessons learned, for public health
professionals who find themselves involved in the acquisition, implementation, and support of information systems.
Topics covered include:
•
•
•
•
•
•
•
Buy or Build;
RFP—help or disaster;
Other choices for acquisition;
To use open source or not to use open source—that is the question;
The Role of Project Management;
The three most important keys to success: Communication, communication, communication;
“Cat Herding” 101.
AM-16
Location: Hanover G
Title: Global Public Health Informatics/ NCPHI-GPHIP
Description: During this Workgroup, three international panels, one hour each, on key and hot global public informatics
topics will be presented. Each panel will consist of three speakers with time allotted for discussion. Candidate topics range
from country perspectives, framework, strategies and implementation challenges, enterprise architecture, information
exchange, capacity building, mobile health, open source tools, interoperability, and an update on major e-health
international initiatives to the pandemic Novel Influenza A (H1N1). Final selected topics and presenters will be circulated
at the beginning of the PHIN conference.
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Public Health Information Network
[email protected]
www.cdc.gov/phin