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Developing an Open Source Asynchronous Communication Framework for Public Health - PHAccess

This study presents PHAccess, an innovative open source framework designed to address communication challenges in public health. With increasing demands for more efficient communication methods, PHAccess facilitates secure, asynchronous interactions among public health professionals. Key findings from a 2008-2009 communication survey reveal preferences for asynchronous methods over costly synchronous communication. Built using open-source tools, PHAccess empowers users with secure access to public health information and enhances collaboration among diverse stakeholders. Next steps include expanding user bases and increasing agency adoption.

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Developing an Open Source Asynchronous Communication Framework for Public Health - PHAccess

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

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

  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/phaccess • PHAccess Demo/Code • http://www.rockymountaincoe.org/phaccess • 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.

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