1. Public Health Informatics: The Wisconsin Idea PHDSC Annual Meeting March 17, 2004 Lawrence P. Hanrahan PhD MS Senior Epidemiologist Wisconsin Department of Health & Family Services Adjunct Associate Professor Department of Population Health Sciences University of Wisconsin Medical School

2. "Education is not the filling of a pail, but the lighting of a fire." - W. B. Yeats

3. Topics What is the Wisconsin Idea? University of Wisconsin Perspective / Collaborations Public Health / Health System Modernization Drives Need for Public Health Informatics Training How do We Increase Interest in Public Health Informatics Training? Developing Curriculum

4. The Wisconsin Idea is Not About Cheese as Wearable Fashion While Clutching in the Play-offs

5. It Is – Rapid Technology Transfer UW - State - Global Economy

6. UW DoIT – PHIN Information Technology Transfer / Provider

7. Wisconsin PHIN Vision Detection and Monitoring Analysis Information Resources/Knowledge Management Alerting and Communications Response Create and Reinforce public health partnerships Support Entire Medical Informatics Spectrum

10. Medical Informatics Hierarchy Spectrum Bioinformatics Molecular Cellular Imaging Informatics Tissues, Organs Clinical Informatics Individual Patients Public Health Informatics Populations Adapted from Shortliffe

11. Diffusion Model Clinical and Public Health Informatics Data Interpretation Data Collection Data Analysis Information Dissemination Data Interpretation Data Analysis Data Collection Clinical Informatics Public Health Informatics Two Way Information Flow

12. UW Medical School Initiative The Wisconsin Partnership Fund for a Healthy Future

13. UW Medical School Wisconsin Partnership Fund for a Healthy Future (Blue Cross) Align Medical School with State Health Plan: –System Priorities Integrated Electronic Data and Information Systems Community Health Improvement Processes and Plans Coordination of State and Local Public Health System Partnerships Sufficient and Competent Workforce Equitable, Adequate, and Stable Financing –Health Priorities Access to Primary and Preventive Health Services Adequate and Appropriate Nutrition Alcohol and Other Substance Use and Addiction Environmental and Occupational Health Hazards Existing, Emerging, and Re-Emerging Communicable Diseases High Risk Sexual Behavior Intentional and Unintentional Injuries and Violence Mental Health and Mental Disorders Overweight, Obesity and Lack of Physical Activity Social and Economic Factors that Influence Health Tobacco Use and Exposure

14. UW Medical School Wisconsin Partnership Fund for a Healthy Future (Blue Cross) Integrated School of Medicine & Public Health Establish MPH Program / Leadership Institute / Fellowships Community – Academic Partnerships Aligned Medical Education & Research Innovating Education – Health Sciences Learning Center

15. Clinical Data Warehouse & Public Health: Practice Management, Quality Improvement, Research

16. Public Health Research & Education

17. Medical Informatics Training Demand Is At Every Level of Health Enterprise From Molecular to Population From Research to Application Leads Us Down the Long and Winding Road, But How to Collaborate….?

18. Create Electronic Research Networks

19. Increasing Public Health Informatics Training Interest PHI Sits Atop The Medical Informatics Hierarchy & is Part of Clinical Research Enterprise Every Clinical Action Taken Informed by Evidence Based, Population Level Information (e.g. Clinical Trials) Public Health Informatics Is Fundamental to Road Map

20. Public Health Informatics Curriculum Development Create Curriculum For Medical Informatics Domains, and linking Domains Public Health Informatics – Educate / Train to Competencies Establish linkages Between Domains

21. And So I Say to You, My Fellow Public Health Informaticians, Ask Not What The EHR Can do For You, But Ask What You Can do For the EHR.