Local public health agencies in the development of standards for informatics in healthcare

Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare. For this question, I would like you to discuss how the standards for informatics in healthcare have evolved, and been developed, particularly the roles of public health agencies, at the local, federal and state levels. Why is this necessary? What might some of these standards be? Do you feel that these standards are carried out in your local healthcare facility? Why or why not?