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Information Infrastructure to Support Public Health

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Public Health Informatics and Information Systems

Part of the book series: Health Informatics ((HI))

Abstract

To monitor and protect communities, societies create public health infrastructures. A capable, prepared public health infrastructure consists of robust information and communications technologies (ICT), a skilled public health workforce, and effective organizations. Yet there are numerous challenges facing public health agencies that seek to update and evolve the public health infrastructure, including rapidly changing ICT, increased demands on public health workers, and budget constraints. To meet the challenges facing public health, organizations must implement an information architecture that enables integration across information silos in public health. Organizations must also redesign work processes and system interfaces to support changing work patterns in public health. Finally, public health informaticians must emerge as leaders who can implement and support the evolving public health infrastructure. This chapter defines the public health infrastructure, the challenges facing its implementation, and the core components that will help drive public health organizations to meet current and future information needs.

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References

  1. Centers for Disease Control and Prevention. Public health’s infrastructure: a status report. Atlanta: Department of Health and Human Services; 2001.

    Google Scholar 

  2. Medicine Io. The future of the public’s health in the 21st century. Washington, DC: The National Academies Press; 2003.

    Google Scholar 

  3. Buehler JW, Whitney EA, Smith D, Prietula MJ, Stanton SH, Isakov AP. Situational uses of syndromic surveillance. Biosecur Bioterror. 2009;7(2):165–77. https://doi.org/10.1089/bsp.2009.0013.

    Article  PubMed  Google Scholar 

  4. Lober WB, Karras BT, Wagner MM, Overhage JM, Davidson AJ, Fraser H, et al. Roundtable on bioterrorism detection: information system-based surveillance. J Am Med Inform Assoc. 2002;9(2):105–15.

    PubMed  PubMed Central  Google Scholar 

  5. Lazarus R, Kleinman KP, Dashevsky I, DeMaria A, Platt R. Using automated medical records for rapid identification of illness syndromes (syndromic surveillance): the example of lower respiratory infection. BMC Public Health. 2001;1:9.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Devore S, Champion RW. Driving population health through accountable care organizations. Health Aff. 2011;30(1):41–50. https://doi.org/10.1377/hlthaff.2010.0935.

    Article  Google Scholar 

  7. The American Recovery and Reinvestment Act of 2009, House of Representatives, 111th Congress Sess. 2009.

    Google Scholar 

  8. Medicare and Medicaid Programs. Electronic health record incentive program--stage 3 and modifications to meaningful use in 2015–2017. Final rules with comment period. Fed Regist. 2015;80(200):62761–955.

    Google Scholar 

  9. Lenert L, Sundwall DN. Public health surveillance and meaningful use regulations: a crisis of opportunity. Am J Public Health. 2012;102(3):e1–7. https://doi.org/10.2105/AJPH.2011.300542.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Foldy S, Grannis S, Ross D, Smith T. A ride in the time machine: information management capabilities health departments will need. Am J Public Health. 2014;104(9):1592–600. https://doi.org/10.2105/ajph.2014.301956.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Dixon BE, Gibson PJ, Grannis SJ. Estimating increased electronic laboratory reporting volumes for meaningful use: implications for the public health workforce. Online J Public Health Inf. 2014;5(3):225. https://doi.org/10.5210/ojphi.v5i3.4939.

    Article  Google Scholar 

  12. Williams KS, Shah GH. Electronic health records and meaningful use in local health departments: updates from the 2015 NACCHO informatics assessment survey. J Public Health Manag Pract. 2016;22(Suppl 6):S27–33. https://doi.org/10.1097/PHH.0000000000000460.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Olson D, Lamb M, Lopez MR, Colborn K, Paniagua-Avila A, Zacarias A, et al. Performance of a mobile phone app-based participatory syndromic surveillance system for acute febrile illness and acute gastroenteritis in rural guatemala. J Med Internet Res. 2017;19(11):e368. https://doi.org/10.2196/jmir.8041.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Whiteside U, Richards J, Huh D, Hidalgo R, Nordhauser R, Wong AJ, et al. Development and evaluation of a web-based resource for suicidal thoughts: NowMattersNow.org. J Med Internet Res. 2019;21(5):e13183.

    PubMed  PubMed Central  Google Scholar 

  15. Massoudi BL, Goodman KW, Gotham IJ, Holmes JH, Lang L, Miner K, et al. An informatics agenda for public health: summarized recommendations from the 2011 AMIA PHI conference. J Am Med Inform Assoc. 2012;19(5):688–95. https://doi.org/10.1136/amiajnl-2011-000507.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Yasnoff WA, Overhage JM, Humphreys BL, LaVenture M, Goodman KW, Gatewood L, et al. A national agenda for public health informatics. J Public Health Manag Pract. 2001;7(6):1–21.

    CAS  PubMed  Google Scholar 

  17. Dixon BE, Alzeer AH, Phillips EO, Marrero DG. Integration of provider, pharmacy, and patient-reported data to improve medication adherence for type 2 diabetes: a controlled before-after pilot study. JMIR Med Inform. 2016;4(1):e4. https://doi.org/10.2196/medinform.4739.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Dixon BE, Zou J, Comer KF, Rosenman M, Craig JL, Gibson PJ. Using electronic health record data to improve community health assessment. Front Public Health Serv Syst Res. 2016;5(5):50–6.

    Google Scholar 

  19. Centers for Disease Control and Prevention US. Understanding the epidemic. Department of Health and Human Services, US, Atlanta, GA. 2018. https://www.cdc.gov/drugoverdose/epidemic/index.html. Accessed 17 Sept 2019.

  20. Del Fiol G, Crouch BI, Cummins MR. Data standards to support health information exchange between poison control centers and emergency departments. J Am Med Inform Assoc. 2015;22(3):519–28. https://doi.org/10.1136/amiajnl-2014-003127.

    Article  PubMed  Google Scholar 

  21. Centers for Disease Control and Prevention. Progress in immunization information systems--United States, 2011. MMWR Morb Mortal Wkly Rep. 2013;62(3):48–51.

    Google Scholar 

  22. Grannis S, Dixon BE, Brand B. Leveraging immunization data in the e-health era: exploring the value, tradeoffs, and future directions of immunization data exchange. Atlanta: Public Health Informatics Institute; 2010.

    Google Scholar 

  23. Savage R. HL7 version 2.5.1 Implementation guide for immunization messaging. Atlanta: Centers For Disease Control and Prevention; 2012.

    Google Scholar 

  24. Centers for Disease Control and Prevention (CDC). Progress in immunization information systems - United States, 2012. MMWR Morb Mortal Wkly Rep. 2013;62(49):1005–8.

    Google Scholar 

  25. Effler P, Ching-Lee M, Bogard A, Ieong MC, Nekomoto T, Jernigan D. Statewide system of electronic notifiable disease reporting from clinical laboratories: comparing automated reporting with conventional methods. JAMA. 1999;282(19):1845–50.

    CAS  PubMed  Google Scholar 

  26. Overhage JM, Grannis S, McDonald CJ. A comparison of the completeness and timeliness of automated electronic laboratory reporting and spontaneous reporting of notifiable conditions. Am J Public Health. 2008;98(2):344–50.

    PubMed  PubMed Central  Google Scholar 

  27. Panackal AA, M'Ikanatha NM, Tsui FC, McMahon J, Wagner MM, Dixon BW, et al. Automatic electronic laboratory-based reporting of notifiable infectious diseases at a large health system. Emerg Infect Dis. 2002;8(7):685–91.

    PubMed  PubMed Central  Google Scholar 

  28. Nguyen TQ, Thorpe L, Makki HA, Mostashari F. Benefits and barriers to electronic laboratory results reporting for notifiable diseases: the New York City Department of Health and Mental Hygiene experience. Am J Public Health. 2007;97(Suppl 1):S142–5.

    PubMed  PubMed Central  Google Scholar 

  29. Lombardo JS, Buckeridge DL, editors. Disease surveillance: a public health informatics approach. Hoboken: Wiley; 2007.

    Google Scholar 

  30. Doyle TJ, Glynn MK, Groseclose SL. Completeness of notifiable infectious disease reporting in the United States: an analytical literature review. Am J Epidemiol. 2002;155(9):866–74.

    PubMed  Google Scholar 

  31. Turner K, Ferland L. State electronic disease surveillance systems --- United States, 2007 and 2010. MMWR Morb Mortal Wkly Rep. 2011;60(41):1421–3.

    Google Scholar 

  32. McDonald CJ, Huff SM, Suico JG, Hill G, Leavelle D, Aller R, et al. LOINC, a universal standard for identifying laboratory observations: a 5-year update. Clin Chem. 2003;49(4):624–33.

    CAS  PubMed  Google Scholar 

  33. Value Proposition for SNOMED CT. International Health Terminology Standards Organization. http://www.ihtsdo.org/snomed-ct/value-proposition-for-snomed-ct/. Accessed 28 Nov 2011.

  34. Public Health Informatics Institute. Digital bridge. 2017. http://www.digitalbridge.us/. Accessed 24 Feb 2017.

  35. Digital Bridge. Implementation overview. 2019. https://digitalbridge.us/infoex/implementation/. Accessed 1 Jul 2019.

  36. Black J, Hulkower R, Suarez W, Patel S, Elliott B. Public health surveillance: electronic reporting as a point of reference. J Law Med Ethics. 2019;47(2_suppl):19–22.

    PubMed  PubMed Central  Google Scholar 

  37. Dixon BE, Taylor D, Duke JD. Integration of FHIR to facilitate electronic case reporting: results from a pilot study. Stud Health Technol Inform. 2019;264:940–4.

    PubMed  Google Scholar 

  38. Dixon BE. The perceived and real value of health information exchange in public health surveillance. Indianapolis: Indiana University; 2011.

    Google Scholar 

  39. Dixon BE, Gamache RE, Grannis SJ. Towards public health decision support: a systematic review of bidirectional communication approaches. J Am Med Inform Assoc. 2013;20(3):577–83. https://doi.org/10.1136/amiajnl-2012-001514.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Gamache R, Stevens KC, Merriwether R, Dixon BE, Grannis S. Development and assessment of a public health alert delivered through a community health information exchange. Online J Public Health Inf. 2010;2(2):3214.

    Google Scholar 

  41. Lurio J, Morrison FP, Pichardo M, Berg R, Buck MD, Wu W, et al. Using electronic health record alerts to provide public health situational awareness to clinicians. J Am Med Inform Assoc. 2010;17(2):217–9.

    PubMed  PubMed Central  Google Scholar 

  42. Lombardo JS, Garrett N, Loschen W, Seagraves R, Nichols B, Babin S. An informatics solution for informing care delivery of immediate public health risks to their patients. Online J Public Health Inf. 2009;1(1):1–15.

    Google Scholar 

  43. IOM. The future of public health. Washington: National Academy Press; 1988.

    Google Scholar 

  44. Chen D, Doumeingts G, Vernadat F. Architectures for enterprise integration and interoperability: past, present and future. Comput Ind. 2008;59(7):647–59. https://doi.org/10.1016/j.compind.2007.12.016.

    Article  Google Scholar 

  45. McHugh LA, Sorhage FE, Tan CG, Langer AJ. Effect of electronic laboratory reporting on the burden of lyme disease surveillance--New Jersey, 2001-2006. MMWR Morb Mortal Wkly Rep. 2008;57(2):42–5.

    Google Scholar 

  46. Public Health Informatics Institute. Taking care of business: a collaboration to define local health department business processes. Decatur: Public Health Informatics Institute; 2008.

    Google Scholar 

  47. Public Health Informatics Institute. Defining functional requirements for immunization information systems. Decatur: Public Health Informatics Institute; 2012.

    Google Scholar 

  48. Public Health Informatics Institute. Redesigning public health surveillance in an eHealth world. Decatur: Public Health Informatics Institute; 2012.

    Google Scholar 

  49. Dixon BE, Grannis SJ. Why “what data are necessary for this project?” and other basic questions are important to address in public health informatics practice and research. Online J Public Health Inf. 2011;3(3):3792.

    Google Scholar 

  50. Russ AL, Weiner M, Russell SA, Baker DA, Fahner WJ, Saleem JJ. Design and implementation of a hospital-based usability laboratory: insights from a department of veterans affairs laboratory for health information technology. Jt Comm J Qual Patient Saf. 2012;38(12):531–40.

    PubMed  Google Scholar 

  51. Dixon BE. Enhancing the informatics evaluation toolkit with remote usability testing. AMIA Annu Symp Proc. 2009;2009:147–51.

    PubMed  PubMed Central  Google Scholar 

  52. LaVenture M, Brand B, Baker EL. Developing an informatics-savvy health department: from discrete projects to a coordinating program part II: creating a skilled workforce. J Public Health Manag Pract. 2017;23(6):638–40. https://doi.org/10.1097/phh.0000000000000658.

    Article  PubMed  Google Scholar 

  53. Kulikowski CA, Shortliffe EH, Currie LM, Elkin PL, Hunter LE, Johnson TR, et al. AMIA board white paper: definition of biomedical informatics and specification of core competencies for graduate education in the discipline. J Am Med Inform Assoc. 2012;19(6):931–8. https://doi.org/10.1136/amiajnl-2012-001053.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Centers for Disease Control and Prevention. Competencies for public health informaticians. Atlanta: CDC; 2009.

    Google Scholar 

  55. McFarlane TD, Dixon BE, Grannis SJ, Gibson PJ. Public health informatics in local and state health agencies: an update from the public health workforce interests and needs survey. J Public Health Manag Pract. 2019;25(Suppl 2):S67–77. https://doi.org/10.1097/PHH.0000000000000918.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Dixon BE, McFarlane TD, Dearth S, Grannis SJ, Gibson PJ. Characterizing informatics roles and needs of public health workers: results from the public health workforce interests and needs survey. J Public Health Manag Pract. 2015;21(Suppl 6):S130–S40. https://doi.org/10.1097/phh.0000000000000304.

    Article  PubMed  Google Scholar 

  57. Trustees of Indiana University. MPH – public health informatics. Fairbanks School of Public Health, Indianapolis. 2018. https://fsph.iupui.edu/academics/masters/mph/informatics/index.html. Accessed 2 Jul 2019.

  58. Joshi A. Population health informatics workforce, competencies, and training programs. In: Joshi A, Thorpe L, Waldron L, editors. Population health informatics: driving evidence-based solutions into practice. Burlington: Jones & Bartlett Learning; 2017. p. 31–62.

    Google Scholar 

  59. Biondich PG, Grannis SJ. The Indiana network for patient care: an integrated clinical information system informed by over thirty years of experience. J Public Health Manag Pract. 2004;Suppl:S81–6.

    PubMed  Google Scholar 

  60. Overhage JM. The Indiana health information exchange. In: Dixon BE, editor. Health information exchange: navigating and managing a network of health information systems. 1st ed. Waltham: Academic Press; 2016. p. 267–79.

    Google Scholar 

  61. Grannis SJ, Stevens KC, Merriwether R. Leveraging health information exchange to support public health situational awareness: the indiana experience. Online J Public Health Inf. 2010;2(2):3213. https://doi.org/10.5210/ojphi.v2i2.3213.

    Article  Google Scholar 

  62. Fidahussein M, Friedlin J, Grannis S. Practical challenges in the secondary use of real-world data: the notifiable condition detector. AMIA Annu Symp Proc. 2011;2011:402–8.

    PubMed  PubMed Central  Google Scholar 

  63. Gamache RE, Dixon BE, Grannis S, Vreeman DJ. Impact of selective mapping strategies on automated laboratory result notification to public health authorities. AMIA Annu Symp Proc. 2012;2012:228–36.

    PubMed  PubMed Central  Google Scholar 

  64. Kho AN, Lemmon L, Commiskey M, Wilson SJ, McDonald CJ. Use of a regional health information exchange to detect crossover of patients with MRSA between urban hospitals. J Am Med Inform Assoc. 2008;15(2):212–6. https://doi.org/10.1197/jamia.M2577.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Kho AN, Dexter PR, Warvel JS, Belsito AW, Commiskey M, Wilson SJ, et al. An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms. Int J Med Inform. 2008;77(3):194–8. https://doi.org/10.1016/j.ijmedinf.2007.02.005.

    Article  PubMed  Google Scholar 

  66. Kho A, Lemmon L, Dexter P, Doebbeling B. An operational citywide electronic infection control network: results from the first year. AMIA Annu Symp Proc. 2008;6:1222.

    Google Scholar 

  67. Kho AN, Dexter P, Lemmon L, Carey D, Woodward-Hagg H, Hare S, et al. Connecting the dots: creation of an electronic regional infection control network. Stud Health Technol Inform. 2007;129(Pt 1):213–7.

    PubMed  Google Scholar 

  68. Indiana University. Responding to the addictions crisis. Trustees of Indiana University, Bloomington, Indiana. 2018. https://addictions.iu.edu/. Accessed 17 Sept 2019.

  69. DeSalvo KB, O’Carroll PW, Koo D, Auerbach JM, Monroe JA. Public health 3.0: time for an upgrade. Am J Public Health. 2016;106(4):621–2. https://doi.org/10.2105/AJPH.2016.303063.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Healthcare Information and Management Systems Society. HIMSS co-leads effort to secure $100 million in house appropriations bill for CDC Public Health Infrastructure Modernization. HIMSS News, Chicago. 2019. https://www.himss.org/news/himss-co-leads-effort-secure-100-million-house-appropriations-bill-cdc-public-health-infrastructure. Accessed 2 Jul 2019.

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Author information

Authors and Affiliations

  1. Department of Epidemiology, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA

    Brian E. Dixon

  2. Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, IN, USA

    Brian E. Dixon & Shaun J. Grannis

  3. Department of Family Medicine, Indiana University School of Medicine, Indianapolis, IN, USA

    Shaun J. Grannis

Authors
  1. Brian E. Dixon
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  2. Shaun J. Grannis
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Correspondence to Brian E. Dixon .

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Editors and Affiliations

  1. Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA

    J.A. Magnuson

  2. Department of Epidemiology, Indiana University, Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA

    Brian E. Dixon

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Dixon, B.E., Grannis, S.J. (2020). Information Infrastructure to Support Public Health. In: Magnuson, J., Dixon, B. (eds) Public Health Informatics and Information Systems . Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-41215-9_6

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  • DOI: https://doi.org/10.1007/978-3-030-41215-9_6

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