1. Jon Reid, MBA, Susan Mottice, PhD, Theron Jeppson, MEd, Richard Kurzban, Wu Xu, PhD Developing an Open Source Asynchronous Communication Framework for Public Health - PHAccess

2. ‹#› Agenda Problems with communication in Public Health Need for an Open Source Framework Solution – PHAccess Next Steps

3. ‹#› Problems with Communication 2007 SPHERE action items: –Better internal communications –Better communications with partners –Consider adding asynchronous communication techniques Synchronous communication too costly and time consuming

4. ‹#› Communication Survey Conducted Dec 2008 – Jan 2009 –The value of sharing information –Identifying barriers that exist that may prevent them from receiving/sharing information –Satisfaction levels with current communication processes –Preferred communication methods for the receiving/sharing of information

5. ‹#› Survey Results (n=52) Preferred method of communication Preference for staying informed on routine communicable disease issues Own Time Personal Interaction

6. ‹#› Need for Open Source Framework Length of time to develop and implement software Most software applications have redundant code (Authentication, UI) Hard to build user base High cost of implementation Users don’t want another username and password

7. ‹#› Solution - PHAccess Secured Web-Site Able to host secure applications Portal to public health information Allows secure asynchronous communication within public health and external users Single sign-on using the Utah Master Directory Gives autonomy to users (Web 2.0)

8. ‹#› PHAccess Development Collaboration of Public Health Workers, Clinicians, IT, Informaticists Used modified Agile/RAD methodology Built using Open Source tools and resources Released to local and state public health and clinical workers

9. ‹#› Open Source Tools Used Linux (SUSE) Apache 2.0 PHP v. 4.4.9 MYSQL v. 4 TinyMCE YUI Tools 2.5 PHPMailer

10. ‹#› PHAccess Building Blocks

11. ‹#› Application Types Core Applications –Messaging –Calendar –Contacts –Wiki –File Library –User Management –Project Management Secure Applications –Issue Tracker –UT-NEDSS –Newborn Screening –Clinical Apps –ELR

12. ‹#› PHAccess Application Framework

13. ‹#› PHAccess Application Framework

14. ‹#› UMD Single Sign-on

15. ‹#› PHAcces Home Page

16. ‹#› Application Manager

17. ‹#› View Application Users

18. ‹#› Add Users to Application

19. ‹#› PHAccess Application Framework

20. ‹#› Example of Data Interfaces

21. ‹#› Case Study Needed to transmit lab test results to Epi through a secure method Easy to manage user rights through PHAccess application manager Fast turn around time Allows users to create custom queries

22. ‹#› PHAccess Application Framework

23. ‹#› User Interface Common Interface –Shared Menu, layout Seamless Integration –Hosted or external application –Portal of applications Functions/Classes –Auditing, File storage/retrieval –Secure Messaging

24. ‹#› Secure Mail System

25. ‹#› Secure Message Process

26. ‹#› Case Study PHAccess messaging used during H1N1 outbreak Easy group creation and management Send secure and insecure messages Clinical Infection Preventionists (IP) sending reports to state and local departments Reduces number of faxes and increase turn-around-time

27. ‹#› Wiki Workspace

28. ‹#› Next Steps Increase Clinical User Base –ELR –Clinical Web-Based Reporting (CMR) Roll out PHAccess to other agencies –EMS/Preparedness –LHD/Environmental Reporting Develop Open Source Community –COP –Facilitate Adoption

29. ‹#› For More Information Office of Public Health Informatics –http://health.utah.gov/phi/phaccesshttp://health.utah.gov/phi/phaccess PHAccess Demo/Code –http://www.rockymountaincoe.org/phac cesshttp://www.rockymountaincoe.org/phac cess Contact –Jon Reid – jon.reid@utah.edu

30. ‹#›Acknowledgements Dr. Matthew Samore, P.I. –University of Utah, Center of Excellence Dr. Robert Rolfs –Utah State Epidemiologist This study is supported by CDC Grant No. P01 CD000284, Utah Research Center for Excellence in Public Health Informatics.