1. IBISAdmin Utah’s Web-based Public Health Indicator Content Management System

2. Outline What? (IBIS-PH) Why? (Public Health Assessment) Who? (IBIS Indicator Roles) How? (IBIS Admin site) Related Issues

3. WHAT?

4. Public site - http://ibis.health.utah.gov

5. Assessment Function of Public Health One of the core functions in public health, assessment is the systematic collection, assembly, analysis, and dissemination of information about the health of a community. Institute of Medicine (1988) The Future of Public Health

6. Assessment includes: Determining the health needs of the community by establishing a systematic process that periodically provides pertinent health information. Investigating adverse health events and health hazards by conducting timely investigations that identify the magnitude of health problems, including their duration, trends, location, and at-risk populations. Analyzing the determinants of identified health problems to determine the reasons why certain populations are at risk for adverse health outcomes.

7. WHY?

8. Importance of Assessment Without accurate information on the health status of a community and a clear understanding of the available resources, we cannot make informed decisions about which areas should have priority, which policies might be effective, or which interventions might be possible to implement.

9. Why “Indicator-Based?” GAO found that comprehensive key indicator systems had positive effects in four areas: enhanced collaboration to address public issues, tools to encourage progress, informed decision making and improved research, increased public knowledge about key issues Government Accountability Office (GAO). Informing Our Nation. Improving how to understand the USA’s position and Progress. November 2004. Accessed 1/5/2007 online at http://www.gao.gov/new.items/d051.pdf.

10. Utah’s IBIS-PH IBIS-PH was developed in the Utah Department of Health. We use IBIS Indicators to: publish data for priority health objectives promote better understanding of public health issues disseminate data and information on public health topics

11. WHO?

12. IBIS Indicator Roles IBIS Admin Team Indicator Owners Indicator Editors

13. IBIS Admin Team (IBISAdminTeam@utah.gov) Maintain infrastructure Set up new indicators and new graphs Provide training and technical assistance to indicator owners and editors Allow system access to indicator owners and editors assisting in updating indicator information Publish completed indicators to the public site

14. IBIS Indicator Owners Make decisions about measure inclusion, definitions, data display and presentation, Provide public health context, enter and update indicator Web content Assign indicator editors Provide feedback on training and on the IBIS Admin website and Approve indicators for publishing

15. IBIS Indicator Editors Assist the owners in maintaining the Web content for their indicator(s)

16. IBIS Indicator Roles In General: Owners make decisions Editors and IBISAdminTeam implement them

17. HOW?

18. IBIS Admin site - http://ibisadmin.health.utah.gov

19. IBIS 3-tiered Architecture Business Logic Tier - Application Server Dedicated IBIS resource. Processes requests from Web server according to relevant business logic, stores IBIS View System (Web page content for IBIS indicators, XML for query system interface pages), transmits HTML to Web server. Data Tier - SAS Server Shared UDOH resource. Stores IBIS-Q CGI application and SAS datasets. Processes requests from Application server. Presentation Tier - Web Server Shared UDOH resource: “proxy” server. Accepts requests from Internet, retrieves file or passes request to application server, transmits HTML to end user. HTTP Response (HTML) HTTP Request (URL) HTTP Response (HTML) HTTP Request (URL) HTTP Response (HTML, XML) HTTP Request (URL)

20. IBIS Indicator Reports System UDOH Web Server (Apache) IBIS-PH Application Server (Tomcat) Indicator Report Stylesheet (XSLT) Indicator Report Pages (HTML) (Stored on server for performance, search engine indexing) IBIS-View SystemIBIS-Admin System Indicator Page Content files (XML) Indicator Page Content Management Web Interface (JSPs) Indicator Page Content (MySQL DB)

23. How Are We Doing? Utah Versus U.S. What Is Being Done? Other Program Information Definition* Numerator* Denominator* Data Interpretation Issues Why Is This Important?* HP 2010 Objectives* Other Objectives IBISAdmin Indicator Main Page IBISAdmin Important Facts Page IBISAdmin HP2010 Objectives Page

29. Admin DB, Relational DB Entities (Tables) Indicator View Values

33. Indicator Attributes (Table Fields)

35. Indicator View Attributes (Fields)

37. Indicator View Value Attributes (Fields)

42. Vocabulary Data can be text. Text can be data. Anything in the IBISAdmin database is considered “data.” To be clear, we try to use the word “content” to refer broadly to your indicator Web page content, but we may slip up and call it data. Just so you know.

43. Vocabulary An indicator “View” is a graph Series and Category Category: Values along the X-axis Series: If there is more than one datapoint for a category, there is more than one series. e.g., male and female. The series labels are identified in the legend.

44. RELATED ISSUES

45. Utah’s Public Health Outcome Measures (PHOM) Report Legislators are notified every November. Shoot for all indicators updated by October 31 st. Available Online at: http://health.utah.gov/legislativereports/

46. SUMMARY WebReports

47. Auto-Update This is available now. It allows you to run a query in IBIS-Q and use the query URL to run data and “pump” it over to your IBIS indicator. This is a special topic we can cover if we have time.

48. As Always: Contact IBISAdminTeam@utah.gov if you have questions or need technical assistance.IBISAdminTeam@utah.gov Please update your indicators as soon as new data become available. (Look for Kim’s email reminder.) Email IBISAdminTeam@utah.gov when you have completed your changes and your indicator needs to be republished.IBISAdminTeam@utah.gov

49. And: Let us know how we can improve the site. Let us know if your group would like a hands-on training session. Thank you for using IBIS Admin to maintain your indicator page content!!

50. IBISAdminTeam@utah.gov IBISAdminTeam@utah.gov Kim Neerings 801-538-6465 Brian Paoli 801-538-6772 Lois Haggard, PhD 801-538-9455