1. TM Data Needs for Public/Population Health Going Beyond Surveillance Steven J Steindel, Ph.D. Senior Advisor, Data Standards and Vocabulary Centers for Disease Control and Prevention Public Health Data Standards Consortium 3/18/04

2. TM Infectious Disease Surveillance View

3. TM CDC’s View of Public Health: Our Centers Chronic Disease (NCCDPHP) Environmental Health (NCEH) Health Statistics (NCHS) Infectious Disease (NCID) Injury (NCIPC) Birth Defects (NCBDDD) Immunization (NIP) Occupational Safety and Health (NIOSH)

4. TM Leading Causes of Death: 2000 CauseNumberRate/100K Heart Disease710 760258.2 Cancer553 091200.9 Stroke167 66160.9 Chronic Respiratory122 00944.3 Unintentional Injury97 90035.6 Diabetes69 30125.2 Influenza/pneumonia65 31323.7 Alzheimer49 55818 Renal failure37 25113.5 Septicemia31 22411.3 Other499 283181.4 Total2 403 351873.1

5. TM Actual Causes of Death: 2000 CauseNumber 1990Number 2000 Tobacco400 000435 000 Poor diet/activity300 000400 000 Alcohol100 00085 000 Microbial agents90 00075 000 Toxic agents60 00065 000 Motor vehicle25 00043 000 Firearms35 00029 000 Sexual behavior30 00020 000 Illicit drug use20 00017 000 Total1 060 0001 159 000 AH Mokad, JS Marks, DF Stroup, JL Gerberding. Actual Causes of Death in the United States, 2000. JAMA. 2004;291:1238-1245

6. TM Mission of Consortium Find and Fill Missing data gaps With reproducible standards

7. TM HL7 RIM PH Domain Information Model PH Logical Data Model Specificity Other Industry Data Models Physical Database Implementations Messages Environmental Health Tracking, BT, etc. Data

8. TM CDC and the Consortium Founding Membership All intentions of being active in BOD Decision on leadership position on hold Wants Consortium to: Augment not compete with other partners Help identify and implement needed data standards for population health Serve as a unifying body to state's data standards needs