Control of the Public Health IT Physical Infrastructure: Findings From the 2015 Informatics Capacity and Needs Assessment Survey.
BACKGROUND
Despite improvements in information technology (IT) infrastructure in public health, there is still much that can be done to improve the adoption of IT in state and local health departments, by better understanding the impact of governance and control structures of physical infrastructure.


OBJECTIVE
To report out the current status of the physical infrastructure control of local health departments (LHDs) and to determine whether there is a significant association between an LHD's governance status and control of the physical infrastructure components.


METHODS
Data came from the 2015 Informatics Capacity and Needs Assessment Survey, conducted by Georgia Southern University in collaboration with the National Association of County and City Health Officials.


METHODS
A total of 324 LHDs from all 50 states completed the survey (response rate: 50%).


METHODS
Outcome measures included control of LHD physical infrastructure components. Predictors of interest included LHD governance category.


RESULTS
The majority of the control of the physical infrastructure components in LHDs resides in external entities. The type of governance structure of the LHD is significantly associated with the control of infrastructure.


CONCLUSIONS
Additional research is needed to determine best practices in IT governance and control of physical infrastructure for public health.
C3 Informatics, LLC, Milton, Georgia (Dr Chester); eHealth, Quality Measurement and Health Data Analytics Division, RTI International, Atlanta, Georgia (Dr Massoudi); and Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia (Dr Shah).
Kelley
K
Chester
Barbara L
BL
Massoudi
Gulzar H
GH
Shah
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