North Star Architecture Redraws the “Blueprint” for Public Health Data

CDC and its partners are driving to make data available for decision-makers when they need it, not days or weeks later

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For decades, public health staff have struggled under the weight of too many different processes, hard-to-use tools that aren’t scalable or reusable, and systems that can’t “speak the same language.” As we move together to modernize, we need a common framework for providing data – and the access to that data – in ways that work for everyone.

The North Star Architecture is a core component of CDC’s approach for making public health data work better. When we have common technologies in place, CDC and our state and local partners will spend less time managing data, and more time doing the lifesaving work of public health.

In 2022, we worked with partners to outline the vision for what this new framework will look like and began the first steps towards concrete implementation. For example, we’ve been working to make it easier to share data across the public health community. We’re developing a common “front door” for data being sent to CDC, eliminating the need for jurisdictions to send the same data in multiple formats to multiple places at CDC. We’re also expanding the functionality of CDC’s “universal data router” beyond COVID-19 and mpox diagnostic test results.

And beyond just data sharing, we’re investing in the modernization of CDC’s flagship integrated information system that helps local, state, and territorial public health departments manage reportable disease data, and beginning to build and test a set of flexible and secure digital tools, or “building blocks,” that can be used by CDC and public health partners alike.

While the specifics of the North Star Architecture are still in development, these ideas are already moving us faster toward a response-ready public health ecosystem.

What are people saying?

In February 2022, CDC and the Office of the National Coordinator for Health IT (ONC) shared the initial ideas for the North Star Architecture with partners from across public health at a CDC Foundation Summit. Here’s are some notable quotes from the event:

“Health departments are burdened by too much time spent on data wrangling, which leaves too little time for actionable intelligence.”

– Micky Tripathi, PhD, MPP,
national coordinator for Health Information Technology in the HHS Office of the Secretary

“We need to know where we’re going and how we’re going to get there. Architecture and design matter. Context matters. Equity matters.”

– Judy Monroe, MD,
president and CEO of the CDC Foundation

“Having these systems in place can help us solve problems before they happen and reduce the harm caused by the problems that do happen, whether it’s addressing longstanding issues like health equity or preparing our nation for the next infectious or non-infectious threat.”

– Daniel B. Jernigan, MD, MPH,
former CDC deputy director for Public Health Science and Surveillance

Where we’ve been, where we’re going:

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    August 2021

    CDC and ONC brainstormed on early iterations during the process of establishing joint priorities

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    September 2021

    CDC began meeting with the Council for State and Territorial Epidemiologists (CSTE) and member states to share ideas and further develop concepts

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    December 2021

    CDC and ONC presented an early set of concepts to thought leaders in healthcare technology and public health and incorporated feedback

  • Timelineicon
    February 2022
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    ONC presented an initial overview at the CDC Foundation Summit to share these ideas more broadly with our partners

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    March 2022

    CDC presented an initial overview at the PHII DMI Learning Community to begin the process of gathering broader state and local feedback

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    September 2022

    CDC launched its Building Blocks focus groups, engaging state and local health departments in targeted feedback gathering to inform the identification, prioritization, and design of future Building Blocks

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    October 2022
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    CDC completed a pilot project with Virginia Department of Health in which a prototype data processing pipeline aligned with the North Star Architecture blueprint was created and tested

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    November 2022

    CDC’s IT Data and Governance Executive Committee voted to endorse the North Star Architecture

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    Ongoing
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    We continue to gather input as we develop the architecture and improve our data pipelines