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Ohio Digital Government Summit

Ohio Digital Government Summit. Disease Surveillance (Homeland Security session) October 5, 2004 Rana Sen Deloitte Consulting LLP. Homeland Security Threats & Solutions. Public Health Disease Surveillance. Cornerstone for detecting epidemics and bio-terrorist events

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Ohio Digital Government Summit

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  1. Ohio Digital Government Summit Disease Surveillance (Homeland Security session) October 5, 2004 Rana Sen Deloitte Consulting LLP

  2. Homeland Security Threats & Solutions

  3. Public Health Disease Surveillance • Cornerstone for detecting epidemics and bio-terrorist events • Ongoing, systematic collection of public health data • Foundation for preventing and containing disease outbreaks

  4. Engaging Public Health Community Local & StateHealth Departments Public Health Infrastructure Physicians First Responders Investigators Point ofCare DataEntry Privacy Centric & Secure EDR App Integrated Data Collection, Management, Analysis, Transmission, and Dissemination Epi-X Rapid reporting and discussion of health events, 24/7 access to key officials and expert assistance Real-time Data Collection Health Alert Network Hospitals More Timely Intervention DOH Central Office More Complete Patient View Bio-terrorismRapid Detection Rapid Response Laboratories CDC

  5. Disease Surveillance Imperatives • Increase the frequency and timeliness of disease reporting by physicians, labs, and hospitals • Facilitate more timely statewide communication of disease outbreak and health alert information • Provide support for more comprehensive, integrated analysis of disease data to improve intervention strategies and reduce the severity of outbreaks • Safeguard the confidentiality of information and individual privacy

  6. Stovepipe Systems Non-integrated Databases Inconsistent data standards Manual data entry Mail and Fax Delays Long processing cycle Limited Analytics Incomplete patient data Limited security Incident Diagnosis Delays Outbreak Detection Delays Limited information sharing Data reliability issues Partial patient disease views Segmented pattern analysis Patient confidentiality risk Current Public Health Systems IMPACT TYPICAL CHARACTERISTICS

  7. Current public health systems may not be effective to meet new challenges. 6

  8. CDC & NEDSS • National Electronic Disease Surveillance System (NEDSS) established by the Center for Disease Control (CDC) • Vision, standards and guidelines established by the CDC and its public health partners for next generation pubic health surveillance and information systems

  9. NEDSS Objectives • Facilitate more accurate and timely reporting • Electronically link and integrate a wide variety of surveillance activities • Meet necessary confidentiality and security requirements • Provide comprehensive and consistent data for enhanced decision-making

  10. NEDSS Features • Vision for Common Data Standards • Public Health Conceptual Data Model (PHCDM) • Guidelines on NEDSS Systems Architecture - Eight Core Elements of NEDSS, e.g. • Web Browser-based Data Entry • Integrated Data Repository

  11. Pennsylvania’s NEDSS Implementation • Web based Provider Reporting • Integrated Data Repository • Cross-disease Patient History • Investigator Workflow • STD and TB Case Management • Electronic Lab Reporting • Patient de-duplication • Advanced Analytics Engine • Data Visualization / GIS Maps • Advanced Security • Health Alert Network • Diseases to diagnosis mapping Point-of-care Data Entry Hospital ICPs Laboratories Physicians

  12. Homeland Security Threats & Solutions

  13. Command Staff Schools Police Inspectors Hospitals LAWA/ Harbor Emergency Preparedness Public Telephone Directory Fire Stations City of Los Angeles Fire Department Community LADWP/ Public Works Admin Media Other City Departments Utility Companies Fire Fighters Mayor and Council Public Affairs State, County and Other Cities Support Services The need for communication … Notification Hub

  14. Lessons Learned • Recognize the significance of change management during implementation • Address the technological challenges of mission critical high impact Web-based applications • Efficiency and effectiveness is achieved from modification of business process and using technology as an enabler • Remarkable results can be achieved! • Remarkable achievements requires vision and coordination • Address the challenges of funding and spend

  15. Benefits • Faster reporting and investigation cycle • Comprehensive and consistent data collection • Secure and accurate communication

  16. Future Has challenges but is also promising … • Comprehensive public health network • Extensive and reliable communication mechanism

  17. Thank you. 16

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