James W. Buehler, MD Director, Public Health Surveillance Program Office, OSELS, CDC CSTE Annual...
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Transcript of James W. Buehler, MD Director, Public Health Surveillance Program Office, OSELS, CDC CSTE Annual...
James W. Buehler, MDDirector, Public Health Surveillance Program Office,
OSELS, CDC
CSTE Annual ConferenceJune 13, 2011Pittsburgh, PA
Public Health Surveillance Program Office:
Surveillance Challenges & Opportunities
Office of Surveillance, Epidemiology, and Laboratory Services
Public Health Surveillance Program Office
Public Health Surveillance Program Office (PHSPO)
Who we are What we do Surveillance challenges &
opportunities
PHSPO: Established in 2010Part of the Office of Surveillance,
Epidemiology & Laboratory Services (OSELS)
From the (former) National Center for Public Health Informatics National Notifiable Diseases Surveillance
System• NEDSS, NETSS, NBS
BioSense Program CDC lead for Distribute Assessment Initiative
From the National Center for Chronic Disease Prevention & Health Promotion Behavioral Risk Factor Surveillance System
(BRFSS)
PHSPO: Established in 2010
From the (former) COTPER now Office of Public Health Preparedness & Response BioSurveillance Coordination Unit
• National Biosurveillance Advisory Subcommittee • National Biosurveillance Strategy for Human Health• Federal & SLTT workgroups• Surveillance & Biosurveillance Registry
From the CDC Office of the Associate Director for Science Surveillance Science Advisory Committee
(SurvSAG)
Activity & Division Leads
Partnerships & Planning Activity: Dr. Pamela Meyer
Biosurveillance Coordination Activity: Dr. Pamela Diaz
Division of Behavioral Surveillance: Dr. Frederic Shaw (Acting)
Division of Notifiable Diseases & Healthcare Information Dr. Kathleen Gallagher
What We Do
Mission: To advance the science & practice of public health surveillance
Manage several large surveillance systems with cross-CDC utility Two broad perspectives: Information arising from
• Healthcare encounters• Population health surveys
Most surveillance activities/systems & resources elsewhere at CDC
“Home” for surveillance at CDC Address surveillance issues of concern &
interest to epidemiologists and users of surveillance information
What We Do Fulfill expectations in creation of OSELS
Add epidemiologic & statistical capacity Establish new identity, cohesion, & culture
Keep the trains running Address unfinished business & unfulfilled
expectations Adapt to, embrace, & anticipate changing
landscape How we use telephones and other media to communicate Expanding use of electronic health records Advances in information technology & discipline of
informatics New expectations
Mental health surveillance (inc. Gulf survey) Surveillance of the use of preventive healthcare services
How should we involve city/county epidemiologists in conversations about the future of surveillance ? Often have front-line responsibility for public health
surveillance Substantial expertise & interest in surveillance Substantial contributions to innovation NACCHO role
0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 480
5,000,00010,000,00015,000,00020,000,00025,000,00030,000,00035,000,00040,000,000
Population of States & 50 Largest US Counties
States (smallest to largest) 50 Counties (largest to smallest)
Popula
tion
Source: 2009 mid-year population estimates, www.census.gov
Meaningful Use & Healthcare ReformOpportunity & Challenges
Opportunity: Strong alignment of clinical & public health objectives
Challenge: Will public health be ready? Population health measures
Laboratory test results Immunizations Syndromic surveillance
• What is need & use beyond current SS capacity• Least familiar to physicians• New option for BioSense support to states capacity to
absorb & use
Defining future PH measures What is our role in healthcare services
monitoring? How will we know if meaningful use is
working?
Where’s the Meaningful Use Train?
Image source: www.tripadvisor.com and Eurostar
Mosaic of surveillance: Role & intersection of complementary surveillance systems
Relevance of nationally notifiable condition paradigm?
Indicators, Indicators, Indicators Accreditation Community health assessments ACA mandate to non-profit hospitals
Health Data Community: www.healthdata.gov
Make effective use of our $s Demonstrate & communicate the value of
what we do
Issues here & now & on horizon
What doesn’t change
Meeting a need for information Making effective use of that
information CSTE-CDC Partnership
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Thank you
Office of Surveillance, Epidemiology, and Laboratory Services
Public Health Surveillance Program Office