1. Global Public Health Informatics Partnerships: Vision, Challenges and Progress Sherrilynne Fuller, Ph.D;* Debra Revere, MLIS, MA;* Ann Marie Kimball MD, MPH, FACPM;* Bill Lober, MD* Mark Oberle, MD, MPH* Tadesse Wuhib, MD, MPH** *Center of Excellence in Public Health Informatics University of Washington, Seattle, Washington ** National Center for Public Health Informatics, CDC, Atlanta

2. Overview Key Events – Time line Global Partners in PHI – The Vision Rockefeller Foundation funds Global Partners Planning & E-Health/PHI Meeting CDC Global Public Health Informatics Plan Center for Public Health Informatics University of Washington cphi.washington.edu

3. Summary of Key Events BioHealth 2006 international conference (Manchester, UK, December, 2006), Chaired by Dr. Iain Buchan, Manchester University –Recognition of the challenges and opportunities across the world –International Steering Committee formed to explore strategic opportunities in applying health informatics in under-resourced environments across the world PHI2007 held, September 2007, Seattle WA –The Vision: Need for Global Partnerships to bring about convergence and collaboration in applying ICT in low-resource settings globally Rockefeller Foundation Funds UW Center for Public Health Informatics to plan the development of the Global Partners in Public Health Informatics and host invitational meeting in Bellagio, Italy CDC Global Public Health Informatics Plan Center for Public Health Informatics University of Washington cphi.washington.edu

5. PHI2007 Multi-type coalition of sponsors and attendees: –Foundations –Corporate and Research Orgs. (Microsoft Research, IBM, Northrop Grumman –Governmental (CDC and WHO) –Non-governmental –Academic researchers and Universities (World- wide Universities Network) –Health Practitioners –From countries across the world Center for Public Health Informatics University of Washington cphi.washington.edu

6. PHI2007 Findings Growing penetration of Internet accessibility in developing world Great potential for applying information and communications technologies to address global health challenges New drugs, vaccines and other interventions drive need for common information, methods, taxonomies, standards, strategies Funder focus on program effectiveness and treatment efficacy requires accurate health outcomes data Need to promote sharing of “success stories” Global Partners in PHI – creation should be a priority Center for Public Health Informatics University of Washington cphi.washington.edu

7. Rockefeller Foundation E-Health/PHI Meeting Bellagio, Italy July 2008- Call to Action Capacity for Today and Tomorrow Build a Network of Regional Centers of Excellence in Public Health Informatics based in lead health sciences universities in resource constrained countries (6 to 10) with a minimum 10 year funded program of public health informatics research, development and training  This requires new partnerships (public/private) and relationships between the Centers and Ministries of Health, NGOs, and Foundations and the private sector as well as with other Centers for Public Health Informatics throughout the world  An architecture is required for a national health information system to guide countries in strengthening their own health system and for developers to provide effective tools to help them do it. Center for Public Health Informatics University of Washington cphi.washington.edu

8. United States Regional Centers of Excellence in Public Health Informatics Japan Europe CCC C CCC South America E. EuropeAfrica Pacific Asia A B B B A B B B A B B B A B B B A B B B A: Primary Focal Point (Universities) +Expertise + Infrastructure +Curriculum + Mentorship +Research +Training +Development +Bridging academics to governments (Ministries of Health, District Health offices etc. B: Satellite +Recruitment +Apply curriculum +Learn from Primary C: Technical Assistance +Universities (US, Europe, Japan etc.) + Funding collaboration +Knowledge transfer + CDC, WHO, NGOs, private sector

9. 7/31/20089 Global Public Health Informatics Program: Purpose 6/21/20169 Coordinate NCPHI’s global efforts Contribute to internal CDC coordination, and development of vision, strategy, and framework for CDC's global informatics investments Facilitate leveraging of resources and sharing of experiences across CDC-supported initiatives and countries; overall increase efficiency and effectiveness of the agency's investment in global informatics Facilitate alignment of CDC with global informatics vision and strategies and coordinated support with global efforts Contribute and address global informatics strategies, frameworks, and challenges Develop collaborations with internal and external partners in global informatics

10. 7/31/200810 Global Public Health Informatics Program: Goals 6/21/201610 1.Create and develop a global informatics team with skills, experiences, and foreign service proficiency supported by roster of internal and external informatics experts 2.Develop global informatics partnerships and alignments and support the development and application of global strategies, frameworks, and standards. 3.Provide country or sub-country level health information systems development, application, and management support 4.Work towards a suite of interoperable epidemiologic tools on a global grid through open source collaborative development 5.Provide appropriate informatics solutions customized to specific situations and settings 6.Contribute to global short and long-term informatics capacity development 7.Enhance the science of informatics through global scientific exchange and learning forums

11. 7/31/200811 Global Public Health Informatics Program: Structure 6/21/201611 Proposed World Health Organization Collaborating Center for Public Health Informatics (WHO CC) work on aligning CDC’s global informatics efforts with global efforts support development of global strategies and frameworks and application of standards Internal CDC coordination, representation, participation, and ownership through Advisory Board chaired by the Coordinating Office for Global Health Technical Working Groups

12. Global Partners in Public Health Informatics: Next Steps PHI2008: Envisioning Options for Integrated Public Health Information Systems for Low Resource Settings: Components, Connections, Partners, Strategies – September 18-19, 2008, Seattle Washington PHI2008 Satellite Meeting: New Delhi, India November 3-4, 2008, Sponsored by World Health Organization Framework for Action in Global Public Health Informatics in Coordination w. CDC & WHO Center for Public Health Informatics University of Washington cphi.washington.edu

14. You’re Invited!! PHI2008:Envisioning Options for Public Health Information Systems for Low Resource Settings Seattle, Washington September 18-19,2000. www.gpphi.org/conferences

15. University of Washington Center of Excellence in Public Health Informatics UW Center of Excellence in Public Health Informatics Administrative Core A Epidemiology & Biostatistics Core Informatics Technology Core C Informatics Technology Core C Decision Support Research Decision Support Research Surveillance Integration Research WA State Dept of Health Regional, National and International Partners WA State Local Health Agencies Technology & Design Core “Improving the public’s health through information integration research”