Les Lenert, NCPHI, CDC kenote speech slides for PHI2008, Seattle, WA, USA

1. Rockefeller Foundation Bellagio Workshop Week One: Enterprise Public Health Informatics (and Pathway to Interoperability)

3. Bellagio: On hill above a lake and a picture-perfect hill-country town

6. National Health System in Context Internal Audit Hospital & Lab Services Management Services Medical Services Nursing Services Human Resources for Health Financial Resources Disease Control & Prevention Drug & Medical Supplies Support Services Planning & Information Primary Health Care Governorate South Governorate West Governorate North Governorate East District N1 District N2 District N3 District N4 District E1 District E2 District E3 District E4 District W1 District W2 District W3 District W4 District S1 District S2 District S3 District S4 Justice Tourism and Culture Transportation Marine Resources Social Welfare Labor Energy and Power Trade & Industry Internal Affairs Local Government Lands Public Works-Housing Public Affairs Agriculture Health Natural Resources Information & Media Foreign Affairs Finance A National Goverment

7. People that would benefit from technology often have a difficult time imaging how a technology might change what they do, Scott Adams captured it brilliantly… June 5, 2009

10. The National Health System as an Enterprise Internal Audit Hospital & Lab Services Management Services Medical Services Nursing Services Human Resources for Health Financial Resources Disease Control & Prevention Drug & Medical Supplies Support Services Planning & Information Primary Health Care Governorate South Governorate West Governorate North Governorate East District N1 District N2 District N3 District N4 District E1 District E2 District E3 District E4 District W1 District W2 District W3 District W4 District S1 District S2 District S3 District S4 A National Health System

12. What Common Architecture Building Blocks are Needed First? 06/05/09 Common HIS Architecture 6 5 4 3 1 2 12 11 10 9 7 8 National HIS Architecture 1 11 7 2 National HIS Solutions B B A A HIS Solutions A A A A A A B B B B B B

14. Conceptual Model of an Architecture Data Sources Integrated Health Information System Policies, Resources and Processes Routine and Non-Routine Data Collection Activities Extract and Integrate Data

16. Health Protection Framework Foundation EDUCATION POLICY EVALUATION RESEARCH APPLICATIONS & SERVICES STANDARDS Actions Plans Decisions Knowledge Information Data HEALTH THREAT

17. Changing the Rules: IBM NHIN Prototype Architecture

18. Clinical Document Architecture

20. An SOA Enterprise Architecture Patient ID Document ID Encounter ID User authentication and security Vocabulary modeling and cross mapping Storage and retrieval Population summarization Data entry Decision Support Work flow management Collaboration tools Health services Laboratory Pharmacy Finance Planning Environmental Monitoring

23. Lab System Complexity

24. Pharmaceutical Management

25. Pharmaceutical Care is Disease Specific

26. Emergency Response and Emerging Methods

28. Silo Oriented Funding Issues

32. The National Health System Internal Audit Hospital & Lab Services Management Services Medical Services Nursing Services Human Resources for Health Financial Resources Disease Control & Prevention Drug & Medical Supplies Support Services Planning & Information Primary Health Care Governorate South Governorate West Governorate North Governorate East District N1 District N2 District N3 District N4 District E1 District E2 District E3 District E4 District W1 District W2 District W3 District W4 District S1 District S2 District S3 District S4 A National Health System

33. Design and Build Open Source Components Based on EA Map 06/05/09 Common HIS Architecture 6 5 4 3 1 2 12 11 10 9 7 8 National HIS Architecture 1 11 7 2 National HIS Solutions B B A A HIS Solutions A A A A A A B B B B B B

34. Design and Build the Components Needed to for Country Applications and Systems Patient ID Document ID Encounter ID User authentication and security Vocabulary modeling and cross mapping Storage and retrieval Population summarization Data entry Decision Support Work flow management Collaboration tools Health services Laboratory Pharmacy Finance Planning Environmental Monitoring

35. Tailor Comprehensive Systems to Program Needs Core Comprehensive System (San Paulo) V1 tailored for HIV V2 tailored for immunizations V3 Tailored for malaria Synergies And health benefits Synergies And health benefits Incremental expansion to a national system

37. Thanks to And to PHI ….