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Amy Gleason: “There were point to point interfaces from everybody to…”

Featuring: Amy Gleason, Acting Administrator, United States Department of Government Efficiency | National

Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service

Published July 13, 2021 | Video Starts at 19:52

And so the process to add new entrants into healthcare and public health is not a very easy one. We also found that There were point to point interfaces from everybody to public health. They had thousands of people managing these connections for, so they needed to make one change to what they were asking for. They had to validate that across thousands of point to point interfaces. (19:52–19:57)

CLAIM

Asserts that data reporting involved numerous direct connections to public health systems.

This is an excerpt from a raw transcript. The assertions have not been audited or verified. Tap the video to view the source footage and understand the context.

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Amy Gleason

“We took that data from 0% in March to 99% of the hospitals reporting the required data elements every single day.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 25:24-25:32
“The US Digital Service, or USDS, is a group of technologists from diverse backgrounds that work across the federal government to transform…”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 05:13-05:24
“These are mainly people from the private sector that come in for tours of civic duty.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 05:23-05:29
“You can come for anywhere from a few months to up to four years maximum.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 05:28-05:34
“Through Covid, we've actually also been able to work with states, which is a new experience working at the local level.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 05:43-05:49
“Our mission is really to do the greatest good for the greatest number of people in the greatest need.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 05:49-05:54
“We use these small responsive groups of designers, engineers, product managers and bureaucracy specialists to really work with and empower…”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 05:54-06:09
“On March 12th of 2020, I got detailed over to Dr. Birx's team on the White House Task Force.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 11:34-11:41
“Dr. Birx had us do in the White House Task force is really to create a team of people and a common place to put the data.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 11:37-12:49
“In the beginning, mostly every federal agency and then all the states and counties all were keeping their own counts.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 12:19-12:27
“You could get one set of counts from the White House and a different set from the CDC and a different set from HHS.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 12:27-12:34
“It ended up being called HHS Protect, which is a platform where all of the COVID data could come in together.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 12:49-12:56
“We actually brought in subject matter experts from across the federal government to work together side by side every day on the data.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 13:17-13:26
“Project Greenlight took in data like case data, lab data, hospital data, supply tracking data, and staffing needs.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 14:16-14:31
“A team of data specialists would reach out to hospitals or state or local health departments to find out the local ground truth.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 14:30-14:54
“Requests would get funneled into the federal system that manages when states have needs.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 14:57-15:04
“We actually did what U.S. Digital Service calls a discovery sprint last May of 2020.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 16:32-16:38
“We traveled around the country last May and June when everybody else was staying home.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 17:03-17:09
“Public health usually doesn't get negative results, but it was important to get both positive and negative results reported.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 17:36-17:46
“The systems that were in place were fine for everyday average public health needs but overwhelmed by the pandemic.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 17:53-17:59
“There was a massive increase of new people collecting data and reporting data to public health.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 18:13-18:23
“We are working on helping to improve that process and make reporting easier in a more complete and accurate way.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 18:38-18:58
“The process to add new entrants into healthcare and public health is not a very easy one.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 19:44-19:51
“There were new reporting requirements all the time and things changing.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 20:11-20:16
“It became really important to give a lot of examples and to do FAQs and webinars.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 20:39-20:45
“Electronic lab reporting led to faster public health reporting but with less detail.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 21:24-21:33
“In March 2020, we didn't have any data on how the hospitals were doing.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 24:43-24:51
“The PRIME project is Pandemic ready interoperable modernization effort.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 26:13-26:27
“Simple Report is a web-based tool free to anyone doing any kind of testing for Covid.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 26:33-26:42
“Report Stream is a data hub free to senders and states.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 27:12-27:21
“Healthcare moves pretty slowly in general for healthcare interoperability.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 28:08-28:13
“This allows people that are ready to start sending in FHIR and people that are newer need help to still send in a CSV.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 28:13-28:21
“The health department gets it in the format that they want on the other side, whether that's FHIR, HL7 or CSV.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 28:21-28:27
“In the past, you know, we've done a lot of everybody move to this version of HL7 and then five to seven years later, it's like we finally…”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 28:32-28:43
“The third part of that project is called Data Automation, which is really providing technical assistance to the different centers and the…”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 28:45-28:54
“I would make sure that every patient always has access to their information and that they're in control of where it goes in the system.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 29:54-30:03
“The patient record actually is at the patient.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 30:05-30:09
“Our usds.gov website is the United States Digital Service website.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 30:58-31:03
“The Simple Report has a site simplereport.gov and the Report Stream product has a website that's reportstream.cdc.gov.”
Tell Me Where IT Hurts: Amy Gleason, a project lead at US Digital Service | Uploaded July 13, 2021 | 31:07-31:18