Tom Savel, MD, Director

Brian Lee, Acting Deputy Director

Informatics Research & Development Activity

Public Health Surveillance & Informatics Program Office

Office of Surveillance, Epidemiology and Laboratory Services

CDC

Wednesday, March 7, 2012

CDC’s Informatics Research andCDC’s Informatics Research and Development Activity (IRDA) Development Activity (IRDA)

and and R&D LabR&D Lab

Informatics Research & Development Informatics Research & Development Activity (IRDA)Activity (IRDA)

A resource to CDC and the public health community that studies, prototypes, and tests new and innovative technology-based tools and resources to maximize programmatic public health impact.

Our philosophy is, “Better, faster, low-cost experiments for how technology can improve public health.”

The R&D Lab: The R&D Lab: History & CurrentHistory & Current

Physical space created in 2007 Within NCPHI’s Division of Informatics Shared Services Predominantly a resource for NCPHI Focused on R&D Activities

Testing and Hosting hardware and software solutions Responding to Public Health Emergencies

Created with a separate network from CDC Unit/Activity organized in January 2010 Security C&A in October 2010 Agency resource in October 2010

R&D Lab WebsiteR&D Lab Website

http://www.phiresearchlab.org

Web address for R&D LabWeb address for R&D Lab

Lab ServicesLab Services

Applied Public Health Informatics Research Cloud – lab provides 1+ virtual machines for 3+ months, accessed remotely (for free) Test and profile non-CDC supported software Community Engagement (UAT, JAD, Social Media) Open Source Development

Prototype – gain insight by building software to test concepts and refine requirements

Consultation – explore innovation options Evaluation – structured review of technology for

public health audience

Lab OrganizationLab Organization

Brian LeeActing Deputy Director

InfrastructureInfrastructure Consultation & Evaluation

Consultation & Evaluation

Tom Savel, MDDirector

PrototypingPrototyping

Dale LaValleySenior Infrastructure

Engineer

Greg LedbetterDeveloper (SRA)

Sara BrownUX Designer (SRA)

IRDA TeamsIRDA Teams

Research and Innovation Team• Provides consultation; develops guidelines, evaluations,

recommendations to CDC & public health community• e.g., evaluating new open source data mining, GIS, and visualization

tools

Prototype Development Team• Expertise in hardware and software design and development• e.g., MMWR for iPad , STD Guidelines for iPhone, & web apps….

Laboratory Infrastructure and support team• Develops and maintains secure, dynamic environment in which to

experiment and carry out research• (i.e., R&D sandbox hosting, aka…. R&D Lab Research cloud)

The Public Health Informatics Research CloudThe Public Health Informatics Research Cloud

Lab ManagerLab Manager

The R&D Lab: The R&D Lab: InfrastructureInfrastructure

Internet Connectivity: Dedicated 10 MB Fiber & DSL backup

Cloud: Infrastructure: VMWare™ - based VM Capacity- ~5000 Live, simultaneous VMs – 400

Environments: Windows, Linux, Mac OS X, SQL Server, Oracle, MySQL, and others.

Hardware Architecture Dell, HP, Wyse Thin Client, Apple Mobile devices (Apple iPad, Motorola Xoom, Blackberry

Playbook, Barnes & Noble Nook) 19 Computers – Physical Lab

The R&D Lab: The R&D Lab: SecuritySecurity

Enclave network isolated from CDC using physical controls

Rules of Behavior: No PHI/PII – Synthetic Data Only No interdependence with production systems No SLA

R&D Lab Cloud vs. Amazon CloudR&D Lab Cloud vs. Amazon Cloud

Granularity of control (performance, etc.) Degree of Customization offered (VLAN creation,

etc.) Relationship to CDC Subject Matter Expertise Physical Location

– CDC Campus

Terremark example…

Project OverviewProject Overview

Total Projects*: 67 Under Review: 0 Approved: 46 Completed/Retired: 17 Engagement Types:

Internal: 6 External: 48 Collaborative:13

* as of 2/21/12

Research Project Management SystemResearch Project Management System

Selected Prototype EngagementsSelected Prototype Engagements PTT Advisor PHTweet Public Health News STD Treatment Guide eBook / iPhone App MMWR for iPad SAMwise+ NHSN Central Line Insertion Practices iPhone App Situation Awareness Dashboard

Selected Partner EngagementsSelected Partner Engagements Chronic Kidney Disease Web Portal Evaluation – NCCDPHP –

Pre-release Partner Feedback Health Statistics Web Presentation Prototype – NCHS – Testing

new technology platform SDN Multi-Platform Certificate Testing – ITSO – Cross-browser

testing Universal Data Collection External User Acceptance Testing –

NCBDDD – External UAT Biosurveillance Registry Alternatives Analysis – PHSPO –

Multiple pilots of different software configuration Arctic Investigations Program Legacy Systems Testing –

NCEZID – Dynamic server and client environments

DemonstrationsDemonstrations

Central Line Insertion Practices (CLIP) Adherence Monitoring for iPad Submission of data to NHSN

Real-time data entry and submission using app Replacing / supplementing web-based data entry, usually at end of the day

HL7 Clinical Document Architecture (CDA) for Data Exchange REST Web Service API for App-NHSN communication

(Facility Location) Intuitive and simple UI

Demonstrations, CLIPDemonstrations, CLIP

Source: http://www.cdc.gov/nhsn/forms/57.125_CLIP_BLANK.pdf

Demonstrations, CLIPDemonstrations, CLIP

Source: http://www.cdc.gov/nhsn/forms/57.125_CLIP_BLANK.pdf

DemonstrationsDemonstrations

Situation Awareness Dashboard Redesign Visual Prototype Modular Approach - Widgets allow composability  Multi-Platform Support - Different Widgets written in

different technologies Widgets use/give off data as web API/web services

(JSON/XML) Leveraging HTML5, Web API Different views based on security & functional roles

Demonstrations, Situation Awareness Demonstrations, Situation Awareness DashboardDashboard

DemonstrationsDemonstrations

PTT Advisor Diagnostic algorithms Clinical Decision Support Embedded in iPhone platform

Demonstrations, Demonstrations, PTT AdvisorPTT Advisor

DemonstrationsDemonstrations

PHTweet Situational Awareness Tool Leveraging real-time Twitter data

Demonstrations, PHTweetDemonstrations, PHTweet

Demonstrations, PHTweetDemonstrations, PHTweet

Demonstrations, PHTweetDemonstrations, PHTweet

DemonstrationsDemonstrations

Public Health News Novel way to visualize Google News Treemap Algorithm

Demonstrations, Public Health NewsDemonstrations, Public Health News

DemonstrationsDemonstrations

CDC 2010 STD Guidelines for iPhone v1 vs. v2

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

Demonstrations, Demonstrations, STD GuidelinesSTD Guidelines

Source: 2010 CDC STD Treatment Guidelines, http://www.cdc.gov/std/treatment/2010/

DemonstrationsDemonstrations

MMWR for the iPad “MMWR Navigator” Standard method for displaying data on iPad Split-view controller

Demonstrations, MMWR NavigatorDemonstrations, MMWR Navigator

Demonstrations, MMWR NavigatorDemonstrations, MMWR Navigator

Demonstrations, MMWR NavigatorDemonstrations, MMWR Navigator

Demonstrations, MMWR Navigator

Demonstrations, MMWR Navigator

DemonstrationsDemonstrations

MMWR for iPad (prototype II) - Map Navigator

Demonstrations, MMWR Map Navigator

Demonstrations, MMWR Map Navigator

Demonstrations, MMWR Map Navigator

Demonstrations, MMWR Map Navigator

Demonstrations, MMWR Map Navigator

Demonstrations, MMWR Map Navigator

Demonstrations, MMWR Map Navigator

DemonstrationsDemonstrations

SAMwise+ (Suitability Assessment of Materials) Automating the process of assessing messages and

material for conformance with health literacy standards

Prototyped foundation for further development

Demonstrations, SAMwise+Demonstrations, SAMwise+

Demonstrations, SAMwise+Demonstrations, SAMwise+

Demonstrations, SAMWise+Demonstrations, SAMWise+

Demonstrations, SAMWise+Demonstrations, SAMWise+

Questions?

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

For more information, please contact Centers for Disease Control and Prevention

1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: www.atsdr.cdc.gov

Thank you