James W. Buehler, MD Director, Public Health Surveillance Program Office, OSELS, CDC CSTE Annual Conference June 13, 2011 Pittsburgh, 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 2010 Part 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 Source: 2009 mid-year population estimates,

Meaningful Use & Healthcare Reform Opportunity & 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: and Eurostarwww.tripadvisor.com

 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:  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 Prevention 1600 Clifton Road NE, Atlanta, GA Telephone, CDC-INFO ( )/TTY: Web: 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