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Jan 22 2025
Cloud

5 Lessons from Modernizing a Public Health Database System

CDW experts share their experiences working with a federal health agency on a modernization project.

A large federal health agency wanted to modernize its complex public health database system to a new cloud-based database, but the IT team faced an uphill battle. Stakeholders on the project told them, “You’re never going to change the way public health operates.” There were issues with low user adoption, aging technology and user experience, and unwieldy complexity due to individual workarounds.

Once the agency found a partner, the two parties got to work on the digital transformation project, starting with building trust with stakeholders, including epidemiologists, case investigators, managers and IT staff across the country who were disillusioned by previous attempts.

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Through this project, team members uncovered five lessons on how to transform a national public health database:

1. Create Buy-in with Stakeholders

 Making sure that stakeholders are heard and understood is a critical first step. The team then recommended a human-centered design methodology.

2. Diagnose the Problem

Epidemiologists and public health workers will be familiar with this step: You need to go into the field and understand the issues firsthand. So, the team held workshops, focus groups, testing sessions and engaged in fly-on-the-wall observations. They identified four major obstacles: cost and maintenance; extracting, transforming and loading performance and lag time; nonstandard workflows impacting productivity; and maintaining individual and local privacy.

READ MORE: Reimagine tracking and surveillance of diseases in the cloud.

3. Map the Stakeholders

The team built out user journey maps, user personas, workflow diagrams, stakeholder maps and a service blueprint, which allows stakeholders to visualize the relationships between different service components. Two epidemiologists directly from public health departments joined the team.

4. Start Small and Use the Agile Methodology

The team identified patient search, data entry and nonstandard workflows as entry points for making positive change.

5. Move to the Cloud

Centrally governing the system from the cloud will allow the agency to deploy and standardize database processes to improve the user experience, and any upgrades can be pushed out across the entire system with the click of a mouse.

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