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Biosurveillance. Core Information Needs for Situational Awareness and Response 6 November 2013. What is biosurveillance?. Definition.

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  1. Biosurveillance Core Information Needs for Situational Awareness and Response 6 November 2013

  2. What is biosurveillance?

  3. Definition Biosurveillance. The collection, management and integration of health-related data for the purpose of improving detection, characterization, prevention and management of health hazards.

  4. What type of health-related datado you need? Before, during and after a hurricane …

  5. Before, during and after a mass gathering, such as a National Convention or the Boston Marathon …

  6. Or if an unknown outbreak or pandemic occurs, or zombies attack …

  7. The point is Public health leaders need information systems in place to capture and gather data that will inform the decisions they make.

  8. Intro to Biosurveillance When it works, biosurveillance provides decision-makers with information to help with: • Early warning and detection of health threats • Situational awareness • Consequence management

  9. How data are gathered and monitored A current challenge of a national, or even local, biosurveillance approach is integrating and managing health-related data gathered through various information systems.

  10. Systems used to gather data Examples of information systems include: • NC EDSS & NC DETECT in North Carolina • ESSENCE in the National Capital Region • ED-based in New York City • SendSS in Georgia

  11. Other challenges • Interoperability between systems • Information systems vary state to state • Epidemiological and technical capabilities vary within health departments • Systems that are flexible enough to meet information needs during an event

  12. Core Information • The type of data leaders have is important. • Public health leaders need core information, including health status, health risks and health services to support decision-making during a public health threat.

  13. Core Information Qualities In addition, these data should be: • Useful • Timely • Accessible As well as provide detail on: • Sensitivity • Specificity • Predictive value

  14. Core Information Sources • Electronic Lab Reporting • Emergency Department Reporting • Electronic Disease Surveillance Systems • Health System Utilization Information It is important to remember there are a wide range of additional information sources that may prove useful to decision-makers.

  15. DecisionPoint Framing public information messages to help people stay safe.

  16. Decision Point Using ED data to track patient information and system access.

  17. Decision Point When to prioritize populations and how to allocate resources during times of scarce supply.

  18. Getting to Situational Awareness In an ideal world, biosurveillance systems: • Collect core information, pertinent to health status, risk and resources • Gather information that is useful, timely and accessible • Integrate and analyze data from a variety of information sources

  19. Guiding Principles • Biosurveillance systems should be used everyday, not just during a response. • These systems require ongoing investment and support. • Must be designed to support workflow at all levels. • A formal business process analysis can help guide design and development.

  20. Guiding Principles • Systems should comply with applicable messaging and data standards in order to be scalable and operable. • Systems should be flexible and able to adapt to the context of an event. • Public health agencies should be adequately staffed and resourced to design, manage and optimize core information system capabilities.

  21. More Information Final report, submitted by UNC and PHII to CDC September 2013 Improving Public Health Preparedness: Strengthening Biosurveillance Systems for Enhanced Situational Awareness

  22. Next: Providing Assistance to States • Create a peer assistance network to share best practices and lessons learned across jurisdictions. • Create a knowledge repository of best practices in biosurveillance for major national events. • Provide opportunities for CDC grantees to engage and learn more from experts on how to continuously improve their biosurveillance systems.

  23. Discussion

  24. Contact Info Jessica Southwell, MPH Research Associate NC Institute for Public Health UNC Gillings School of Global Public Health jessica.southwell@unc.edu

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