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Coordinating the Functions, Uses and Activities of
Systems and Organizations Involved in Public Health
SurveillanceJohn W. Loonsk, M.D.
Director Information Resources Management OfficeCenters for Disease Control and PreventionU.S. Department of Health and Human ServicesAtlanta, GA
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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.
Preparedness IT Functions
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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
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State and LocalPublic HealthDepartments Centers For
Disease Controland Prevention
(CDC)
State/LocalResponse
Team
Other FederalResponse
Team
ContractorResponse
Team
FBI
Contaminated Bldg.
Regular Lab(non-LRN)
2.1
Person
1
2N
34N
4.11
4P 4.12
4.1r
56N6P
6.1
4.13
4.2
6.11
6.12
6.2
6.13
0 - specimen
2P
OtherFederal
Agencies
7
8
1011
12
13
Public Health Partners Messaging Information FlowsTed Klein
10
16
161717
15
15
15
14
14
14
Affected Community
LRN Labs (may beseparate or
combined A/B/C)
20
18
19
LocalResponders
(police, f ire, etc.)
22
23
Clinical Site
Hospital Clinic
24 25
26
27
27
CDC ResponseTeam
30
29
31
3233
4.3
2.2
4.4
4.1q
35
8
8
8
89
37
39
2836
4.5
40
41
14
15
43
44
4538
38
42
Treatment/InterventionCenter
21
46
47
48
49
50
51
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Early Event DetectionBioSense
SurveillanceNEDSS
Secure Communications
Epi-X
Analysis & Interpretation
BioIntelligenceCenter Technology
Information Dissemination & KM
CDC WebsiteHealth alerting
PH ResponseLab, Outbreak
Management, Vaccine administration, etc.
Federal Health Architecture & Consolidated
Health Informatics
Public Health Information Network
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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 now6. Encourage partners and private sector to implement
the specifications7. Support conformance testing
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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?
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www.cdc.gov/phin
