1. Public Health Surveillance Vital Records are Vital! Chesley Richards, MD, MPH, FACP Deputy Director for Public Health Scientific Services Centers for Disease Control and Prevention NAPHSIS Conference April 29, 2014 Office of Public Health Scientific Services Office of the Director

2. What are CDC’s priorities?

3. Improve health security at home and around the world Better prevent the leading causes of illness, injury, disability, and death Strengthen public health/ health care collaboration CDC strategic directions Health Care Public Health

5. CDC’s funding to state and local governments is increasing Source: Tracking Accountability on Government Grants System. http://taggs.hhs.gov.

6. CDC staff throughout the world Staff of 1,600+ located in 60+ countries Budget of >$1.7 Billion Broad portfolio of programs CDC HQ CDC staff Global Disease Detection Immunization Influenza Malaria Field Epidemiology Training Programs Global AIDS Program As of January 2014

7. Data and health information are at the heart of everything CDC does and will do…

8. The world of health information is transitioning…

9. ..from periodic health measurement to real time, integrated electronic data

10. …from a focus on individual health care to population health management

11. …from slower, labor intensive organism identification to rapid, automated whole genome characterization

12. …from professional interpretation to informed consumers

13. …from individual, small data to distributed, big data analytics

14. …from periodic, organized news updates to instant access to raw information

15. Key takeaways For health data and information More of it Faster More integrated Better, hopefully Quicker action

16. and why am I here? What’s the Office of Public Health Scientific Services

17. Cross cutting role as Deputy Director for Public Health Scientific Services

18. OPHSS has cross cutting responsibility for… Epidemiology Health Statistics Informatics Laboratory Quality Scientific Workforce Surveillance Data for public health action

19. CDC Resources in OPHSS EIS/PHPS Fellowships

20. The CDC Surveillance Strategy …and the role of Vital Statistics

21. Current challenges with CDC surveillance efforts CDC operates, funds or works with > 100 surveillance systems Silos often function, but at a cost  interconnections, interdependencies and efficiencies not realized  local/state health departments with a plethora of systems and requirements HI Policy issues  EHR/Meaningful use Slow adoption of technology advances Interoperability Insufficient workforce with the right skills in right places Have not learned from previous failures, or successes

22. FY 2014 Omnibus Appropriations CDC Director to provide report by July 2014 that outlines  Opportunities for consolidating the various data collection systems in CDC including: opportunities and costs advantages and barriers projected timeline to such a consolidated data reporting system, along with recommendations for adoption  Full consideration of a single Web-based data collection information technology platform The CDC Surveillance Strategy will, in part, respond to the Congressional request

23. CDC Director’s Charge: Develop a strategy that will 1. Improve surveillance data availability/timeliness 2. Advance effective use of emerging HIT tools 3. Retire redundant or ineffective systems 4. Maximize the effectiveness of agency resources

24. CDC Surveillance Strategy Goal 1: Enhance the accountability, resource use, workforce and innovation Goal 2: Accelerate the utilization of emerging tools and approaches Goal 3: Demonstrate substantive progress through agency wide, cross cutting initiatives

25. Goal 1: Enhance the accountability, resource use, workforce and innovation CDC Surveillance Leadership Board Surveillance and Informatics Workforce Plan CDC Health Information Innovation Consortium

26. Goal 2: Accelerate the utilization of emerging tools and approaches to improve the availability, quality, and timeliness of surveillance data Enhance HIT policy engagements Vendor Forum Innovative informatics project funding

27. Goal 3. Improve surveillance through cross-cutting initiatives Modernize National Notifiable Diseases Surveillance System BioSense Enhancement Initiative Accelerate Electronic Laboratory Reporting Accelerate Electronic Mortality Reporting

28. Success on the surveillance strategy will… At CDC, improve  CDC leaders engagement on cross cutting surveillance issues  national policy effectiveness  new informatics and technology adoption  strategic relationships with vendors  cross-cutting platforms or data streams, especially healthcare For STLT agencies,  reduce the burden on STLT health agencies  increase the range of data and tools for local public health decision makers Set the stage for strengthening, consolidating and improving our surveillance activities and systems

29. For Vital Statistics Vital statistics our a state and local function with many uses, one of which could be public health surveillance Our earliest wins in the strategy are going to come with mortality reporting, because of the work you are already doing We have already prioritized investments to accelerate electronic mortality reporting We should look together for additional opportunities

30. CDC 24/7: Saving Lives, Protecting People