T: 206.221.7444 F: 206.616.5249 1100 NE 45th Street, Ste 405 Seattle, WA 98105 www.cphi.washington.edu Piloting a Customizable Knowledge Management System to Support Public Health Practice Debra Revere Liz Dahlstrom Center for Public Health Informatics University of Washington Seattle, WA

Funding: CDC Award Number 1 P01 CD000261-01 Project Team Paul Bugni – Lead Software Engineer Liz Dahlstrom, Will Mengarini – Programmers Ann Marie Kimball, John Kobayashi – Epidemiologists Anne Turner – Workflow Consultant Yuki Durham, Ann Madhavan – Key Personnel Svend Sorenson – Systems Administrator Parmit Chilana – Graduate Student RA Steve Helgerson – Lead, MT State Collaboration Debra Revere – Co-Investigator/Research Coordinator Sherrilynne Fuller – Principal Investigator Funding: CDC Award Number 1 P01 CD000261-01 2

Outline Background: why myPublicHealth? User-collaboration Methodology and Implementation Piloting myPublicHealth in Montana What we Learned (the short story = a lot)

1. Why myPublicHealth? 4

Scenario: You need to find the most recent state school immunization regulations ASAP. How do you find them? Do you… Rummage around on your bookshelf, floor or in your file cabinets for a copy of the regulations (didn’t you print them out a few weeks ago?) Sort through a list of 527 sites in your browser’s bookmark folder (you think that they are there) Use google to search on your state DOH site (and get 3 million hits—ACK!!) Ignore the Internet and file cabinets—there’s too much there—and find a colleague to ask for the information

PROBLEM Neither the creation nor the distribution of the materials* upon which public health practitioners largely depend is managed in any systematic or comprehensive way at the present time *data, guidelines, research findings, maps, policies, laws, evaluation metrics, teaching materials, etc. Source: Revere D, Turner AM, Madhavan A, Rambo N, Kimball AM, Bugni P, Fuller SS. Understanding the information needs of public health practitioners: a literature review to inform design of an interactive digital knowledge management system. J Biomedical Informatics 2007;40(4):410-21. 6

A Knowledge Management Approach Knowledge Management is a planned approach to collecting, evaluating, cataloging, integrating, sharing, improving, and generating value from intellectual and information-based assets Provide a means to: deliver the right information to the right person and place at the right time

Knowledge Management includes but is not just IT Source: Bhatt D. "Excellence model and knowledge management implications." eknowledgecenter.com

myPublicHealth KM Goals Understand the challenges for PH practitioners to meet their information needs Improve access to & use of digital information resources in support of evidence-based PH practice Provide an end-user interface with optimal interoperability & the capability to provide timely access to public health information in support of decision making at the point & time of need 9

2. User-Collaborative Methodology & Implementation 10

myPH Tasks Research workflow and information needs of public health practitioners for decision support Identify relevant information resources and tools by observation, interview and survey Create requirements definition document in collaboration with public health practitioners, administrators, researchers Design a system to support iterative refinement of an interface to decision support tools

System Design OBJECTIVE: Develop and optimize a knowledge management portal to support iterative refinement of a set of retrieval and information management tools for public health practitioners Iterative Prototyping: System architecture Interface design Software components Testing plans Source: Revere D, Fuller S. Building a customizable knowledge management environment to support public health practice: design strategies. In Proc of Hawaii International Conference on System Sciences (HICSS), Jan 2008. Honolulu, HI.

Prototype Toolkits Role-based resources Searching Version 2.3 http://myph.org/

Content Management Solution What is a Web Content Management System? Web CMSs streamline the process of creating, managing & delivering content, & put processes in place to manage & control information as it is moved & changed Publishing Web delivery Portal delivery Content distribution & syndication Streaming Real-time content Content intelligence Collaboration services Transformation Renditions Process automation Library services Repository services Manage Manage Manage Deliver Deliver Deliver Content Management Solution Create / Capture Create / Capture Archive / Retire Archive / Retire Archive / Retire Authoring Importing Aggregation Imaging Records management Final form storage Review / Approve Review / Approve Review / Approve

3. Piloting myPH in MT 17

Goals of Piloting Will public health practitioners adapt and customize myPublicHealth for their own knowledge management purposes? What content is most needed by users in varying public health roles that will in turn inform continuing design of the customizability features? How can myPublicHealth be seamlessly incorporated into the users' work environment?

Thank you, Dave Ross

Thank you, Dave Ross

4. Lessons Learned 21

YOUR FEEDBACK IS WELCOME Thank You! USE myPublicHealth IT’S FREE YOUR FEEDBACK IS WELCOME http://myph.org Debra Revere drevere@u.washington.edu 22