- Founding director, CDC Public Health Informatics and Technology Program Office (2010-12) and created Wisconsin Division of Public Health Bureau of Health Informatics (2010)
- Co-chair Public Health FHIR Implementation Collaborative (CDC/ASTP) 2021-2025. Accelerating Data Exchange in Public Health: Insights from Public Health FHIR Pilots and Public Health FHIR Playbook
- Colorado Health Observation Regional Data Service (CHORDS) aggregate regional EHR query system for surveillance and research 2017-21
- Denver Fentanyl Early Warning System (NACCHO 2020 Model Practice) 2019-21
- Contributor, Denver Public Health Data Equity Commitment and Principles
- Chief clinical officer, Elli Health, Inc. (now Intellivisit) 2014-15
- Organizer and facilitator of Joint Public Health Informatics Taskforce (of multiple public health associations) 2004-10
- Team co-lead, USHHS/ONC Standards and Interoperability Framework Public Health Reporting Initiative (2011-12)
- Contributor Public Health Informatics Competencies 2009
- Physician decision support for lead poisoning, occupational and environmental risk, PDA risk-o-meter population risk tool
- Patient self-triage tool for pandemic influenza (Emory University/CDC) 2008
- National eHealth Collaborative, eHealth Initiative and Foundation, and State Consortium for eHealth board member and chair of local (NACCHO) and state health officers’ (ASTHO) association informatics committees