Cloud Computing Federal Perspective. Desiree Mustaquim Surveillance Epidemiologist Centers for Disease Control and Prevention Influenza Division

Transcription

1 Cloud Computing Federal Perspective Desiree Mustaquim Surveillance Epidemiologist Centers for Disease Control and Prevention Influenza Division

2 Outline for this portion Flu story HL7 messaging NGS CDC Challenges CDC initiatives related to cloud AMD SDP Other exploration of cloud

3 The Flu Story: Brief Background New vaccine developed each year (for northern and southern hemispheres) Extensive surveillance system to support this and monitor influenza activity

4 The Flu Story: PHLIP Public Health Lab Interoperability Project HL7 messaging of lab results To CDC for Surveillance State-to-state for Surge capacity Infrastructure challenges Transport needed assistance - RnR Evolved into AIMS AIMS became cloud-based Other programs now using this model VPD-RC Rabies processed in cloud

5 General Message Flow AIMS now with more capabilities than just RnR

6 PHLIP Influenza: ELSM from PHLs to CDC Current Influenza Laboratory Reporting Methods* NYC District of Columbia SLO Co. DoD NHRC PHLIS2 *As of 4/2017 PHLIP Houston Influenza testing information and all results for ~80% of specimens tested in PHLs ~75,000 specimens/year). Used for a variety of purposes, including reagent monitoring, specimen submission monitoring, but mainly published each week in FluView and NREVSS.

7 PHLIP Vaccine Preventable Disease Reference Centers Four reference centers Wadsworth Center (NY State Department of Health) California Department of Public Health Wisconsin State Laboratory of Hygiene Minnesota Department of Health, Public Health Laboratory NYC submits data not as an RC Test for a variety of vaccine preventable pathogens serving 52 state and county PHLs Started with measles, mumps, rubella, varicella, meningitis (S. pneumoniae, N. meningitidis, H. influenza) and B. pertussis Expanded to several others in subsequent years Developed to provide PHLs with access to reliable testing for these now rare pathogens without having to maintain proficiencies locally Slide Credit: Linda Cohen, APHL, and Sang Kang, CDC

8 Rabies Proposed dataflow/architecture bite Provider Sick animal Specimen / Test Order (paper) Test Result (paper) PHL / USDA-L Bite Report (Electronic /paper) AIMS Test Result (paper) CDC- Lab Specimen / Test Order (paper) PHA View / Download View / Download CDC- EPI

9 The Flu Story (cont.) Next Gen Sequencing Increased need in season Drifted Influenza A(H3N2) Severe flu season Difficult to grow, decreasing ability to perform HI testing Infrastructure not able to support the need for moving/storing data if this size Answer = cloud/aims

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11 CDC Initiatives around cloud Challenges: Security policy still evolving Costs/sustainability Negotiating contracts Evaluating best uses Example projects: Advanced Molecular Detection (AMD) Surveillance needs Routing data back to state and local partners (and other partners)

12 AMD Why cloud technology should be considered Very large data sets Need for storage Need for data transport AMD systems being built with cloud *Please visit some of the sessions on AMD for more specific information on non-flu AMD projects

13 Surveillance Data Platform Need to Improve existing surveillance infrastructure Too many siloed systems Need to update technology Mandate from funders (Congress) and request from partners Surveillance Strategy: Lays out strategies for improving surveillance, including: Improving use/reuse of data Taking advantage of new technology (like cloud) More cross-cutting initiatives

14 Collaboration Vision for Surveillance Data Flow Health Data Networks Healthcare providers Laboratories Other Sources Public Health Partners State Territorial, Local, and Tribal State Agencies APHL, CSTE, ASTHO, NACCHO, NAPHSIS Community Platforms (e.g. AIMS,PHCP, HIE) Shared Services Surveillance Data Platform Shared Services Definitions: - Shared Services are specific business, science and IT functions that are standardized and built for reuse by multiple parts of an organization - AIMS is the Association of Public Health Labs Informatics Messaging Services - PHCP is the Public Health Community Platform - HIE is Health information Exchange CDC Public Health Program Systems

15 Other applications of cloud Exploring for routing of ELR from CDC Emergency response uses New ideas every day

16 Take-home points Use cloud when it makes sense evaluation important Essential infrastructure for some of our current needs

17 Contact Information Desiree Mustaquim Epidemiologist CDC Influenza Division