[ Music ]
Hello. I'm Chesley Richards, CDC's Deputy Director
for Public Health Scientific Services and thank you
for joining us for this installment of Conversations
on Public Health Surveillance.
Today we're joined by Peter Briss and Jason Bonander.
Welcome. Peter, what do you do at CDC
and how did you get to CDC?
>> Good morning, Chesley.
I'm Peter Briss.
I'm the medical director in the National Center
for Chronic Disease Prevention
and Health Promotion here at CDC.
I've been here for nearly 25 years.
I'm an internal medicine physician by original training
and later took training in epidemiology and public health
and I've been working for many years
at bridging important health care
and public health interest-- issues here at CDC.
>> Terrific.
And Jason, what about you?
What do you do here at CDC and how did you get here?
>> Yeah, good morning, Chesley.
So, I'm the associate director for informatics
at the National Center
for Chronic Disease Prevention and Health Promotion.
Been at CDC for about 15 years, though I have about 25 years
of experience in technology.
Interestingly, my training is as a cultural anthropologist
and I think what that affords-- both the anthropology,
the technology, and the health really make a nice connection
for thinking about informatics
and its application to public health.
>> And how did you get interested in surveillance?
Let's start with Peter.
>> So, Chesley, as you know, chronic diseases are a large
and increasing problem in the United States, so they affect
about one out of every two people.
They account for about seven out of every 10 deaths
and they account for more than 80% of health care spending
and so it's really important to be able
to measure how we're doing on those diseases,
how they're trending, and whether we're making progress.
>> Terrific.
And, Jason, what's your role in terms of surveillance?
>> Sure. So, by definition, as an informatician,
my role is around the platforms, the technologies,
and the standards that support our surveillance systems
within the center.
>> What do you think are some of the big challenges--
let me start with Jason first--
in terms of informatics and technology?
>> So, probably some
of the biggest challenges right now have to do
with the rapid change in technology in general.
So, keeping up with that change is a significant challenge,
but also as more and more of our chronic disease conditions
and risk factors are being monitored in clinical settings,
the adoption of electronic health records--
utilizing that data for our surveillance is critical.
But how we do that is a challenge today.
>> Yeah. Peter, how does-- how do these challenges relate
to other challenges in surveillance?
What are some of the other challenges?
>> So, the bigger picture that electronic health records fit
into is that we're doing a really good job at knowing
where we are on chronic disease surveillance
at the national level and to a lesser extent
at the state level.
We have more challenges drilling
down into really knowing what's happening in local communities
and in getting faster and more real-time surveillance data.
>> It sounds like that's really important in terms of being able
to take action at the local level.
Can you say a little bit more about that
from a chronic disease perspective?
>> Well, again, these are the leading causes of death,
disability, and morbidity in the United States and especially
in a health care reform world, people are hungry
for information that will let them make improvements
in health care quality, in public health outcomes,
and in health care costs.
>> Terrific.
>> If I could add--
>> Yeah.
>> One of the signatures of our surveillance program has to do
with behavioral surveys.
That's primarily what our surveillance is built on
and with the need or the importance of having a state
and local data, helping our state
and local partners pivot toward the clinical sector
and utilizing that data is absolutely critical.
>> That sounds really important and it's also exciting
because it sounds like there are real opportunities
for the future in improving chronic disease surveillance.
Can you say a little bit more about--
from the informatics perspective, Jason,
about what those opportunities might look like?
>> Yeah, you bet.
So, there are significant opportunities, right?
So-- and many of those opportunities have to do
with building capacity in the state
and local health department area.
Both informatics capacity as well as data analytic capacity.
The ability to utilize really clinical data,
but also opportunities in leveraging
or utilizing novel data sources
or non-traditional health data sources
to ensure a much fuller picture of the health context locally.
>> And do you think those richer data sets would provide
opportunities in terms of the epidemiologist doing some
of the analyses and visualizations
and taking action, Peter?
Do you have more--
>> Yes. And not just epidemiologists, Chesley.
The, you know, decision-makers in health care
and in communities, epidemiologists,
and other actors will all--
all should be able to make better use
of their own local data for decision-making
and for taking public health action.
>> This sounds really exciting and I really appreciate both
of you joining us today on Conversations
in Public Health Surveillance
and thank you for joining us today.
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