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Coordinating the Functions, Uses and Activities of Systems and Organizations Involved in Public Health Surveillance

Coordinating the Functions, Uses and Activities of Systems and Organizations Involved in Public Health Surveillance. John W. Loonsk, M.D. Director Information Resources Management Office Centers for Disease Control and Prevention U.S. Department of Health and Human Services Atlanta, GA.

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Coordinating the Functions, Uses and Activities of Systems and Organizations Involved in Public Health Surveillance

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  1. Coordinating the Functions, Uses and Activities of Systems and Organizations Involved in Public Health Surveillance John W. Loonsk, M.D. Director Information Resources Management Office Centers for Disease Control and Prevention U.S. Department of Health and Human Services Atlanta, GA

  2. Preparedness IT Functions • Detection and monitoring – support of disease and threat surveillance, national health status indicators • Analysis – facilitating real-time evaluation of live data feeds, turning data into information for people at all levels of public health • Information resources and knowledge management– reference information, distance learning, decision support • Alerting and communications – transmission of emergency alerts, routine professional discussions, collaborative activities • Response – management support of recommendations, prophylaxis, vaccination, etc.

  3. Beyond Early Detection • Case management – possible cases, possible environmental events, symptomology, travel history • Investigation and confirmation – person lab results, environmental results • Contact tracing – person-person, person-place, conveyance (plane, home, etc.) • Response coordination – quarantine management, stockpile dispensation, accelerated vaccination, prophylaxis • Adverse events and follow-up management – exposure registries, vaccination “take” recording, adverse reactions to treatment

  4. Public Health Information Network Early Event Detection BioSense Surveillance NEDSS Secure Communications Epi-X Analysis & Interpretation BioIntelligence Center Technology Information Dissemination & KM CDC Website Health alerting PH Response Lab, Outbreak Management, Vaccine administration, etc. Federal Health Architecture & Consolidated Health Informatics

  5. Public Health Information Network — Process 1. Capture the business requirements that support the public health mission 2. Identify relevant industry standards– technical and data 3. Develop specifications based on standards that are concrete enough to do work 4. Fund through the specifications 5. Develop “transitional software” that implements the specifications now 6. Encourage partners and private sector to implement the specifications 7. Support conformance testing

  6. Questions to ask of your systems… 1. Have you documented the specific requirements of the processes you want them to serve? 2. Do they meet the specific requirements of other organizations in public health have of you? 3. Were PHIN technical specifications written into your development and implementation contracts? Was there implementation assurance? 4. Can you make use of existing functional or commercial components that are standards based? 5. Are you prepared for compliance testing?

  7. www.cdc.gov/phin

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