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ESSENCE A System of Systems Discussion Wayne Loschen

ESSENCE A System of Systems Discussion Wayne Loschen. ESSENCE. Early Event Detection & Situational Awareness for Outbreaks of Naturally Occurring and Man-Made Disease. Temporal Algorithms. Spatial Algorithms. Data Fusion. CDC & Other Algorithms. Use of Independent Systems.

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ESSENCE A System of Systems Discussion Wayne Loschen

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  1. ESSENCE A System of Systems Discussion Wayne Loschen

  2. ESSENCE Early Event Detection & Situational Awareness for Outbreaks of Naturally Occurring and Man-Made Disease

  3. Temporal Algorithms Spatial Algorithms Data Fusion CDC & Other Algorithms Use of Independent Systems Indicators of Health ER Chief MTF Encounters Family Physician HMO Calls Over-the-Counter School Lab Tests Animal Complaint ICD-9 Codes ICD-9 Codes Triage & Prescription Meds Absenteeism Requests Diseases Archive ESSENCE Visualization Users

  4. Physician Physician Physician Tri-Service Outpatient Visits Fully Identified Records De-Identified Records De-Identified Data Sharing Absenteeism Over the Counter Sales Hospitals Hospitals Hospitals Animal Health Diagnostic Labs Diagnostic Labs Diagnostic Labs Environmental Samples EPA Integration of Multiple Systems Pharmacy Data District of Columbia Surveillance System ESSENCE NCR Military Data ESSENCE NCR Integrated Surveillance Virginia Surveillance System Maryland Surveillance System

  5. Geographic Distribution ESSENCE Locations • Washington • Oregon • Milwaukee, WI • Stanislaus County, CA • Santa Clara County, CA • Cook County, IL • Indiana • Indianapolis, IN • Missouri & St. Louis, IL • Aggregate NCR • Maryland • District of Columbia • Virginia • Florida • Miami-Dade County, FL • Oklahoma City, OK • Tarrant County, TX • Texas Veterans Affairs DoD May 2011

  6. Evolutionary Development • Develop the idea • Algorithms to provide early event detection • System to show off the algorithms • Prove the value of the idea • Y2K surveillance & demonstration • 9/11 – Operationalizing the prototype • Expand the system • New datasources • New users types • New installations • New features • Expand the domain • Information system vs. detection system • Information sharing • Regional systems • Re-examine and refine • Data quality • User efficiency

  7. Emergent Behavior Bio-Terrorism Detection Specific Algorithm Development Avian Influenza Infectious Disease Detection General Algorithm Development SARS Disease Surveillance System Dynamic System Development H1N1, Katrina, Haiti Public Health Situational Awareness System Flexibility & Robustness HITECH Act Big Data Analysis & Visualization utilizing Full EMR Cloud Technology & Severity Algorithms ?

  8. Questions? Wayne Loschen wayne.loschen@jhuapl.edu Joe Lombardo joe.lombardo@jhuapl.edu

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