Ohio Digital Government Summit
Disease Surveillance (Homeland Security session)October 5, 2004
Rana SenDeloitte Consulting LLP
Copyright © 2004 Deloitte Development LLC. All rights reserved. 2
Homeland Security Threats & Solutions
Border Integrity Communication
Financial Systems
Physical Infrastructure
IT/Communications
Public Health
Transportation
Natural Resources
Weapons of Mass Destructionand Disruption
Health Management
Information Assurance
Integration
Inventory Management
Physical Security
Privacy/Legal Services
Response Management
Surveillance and Intelligence
Training and Education
Solu
tion
Are
as
Th
reat
Are
as
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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
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Engaging Public Health Community
First Responders Investigators
Laboratories CDC
Local & StateHealth Departments
DOH Central Office
Physicians
Hospitals
EDR AppIntegrated Data Collection, Management, Analysis, Transmission, and Dissemination
Epi-XRapid reporting and discussion of health events, 24/7 access to key officials and expert assistance
Health Alert
Network
Public Health
Infrastructure
More Timely
Intervention
MoreComplete
Patient View
Privacy Centric & Secure
Bio-terrorismRapid Detection Rapid Response
Point ofCare Data
Entry
Real-timeData
Collection
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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
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Current Public Health Systems
• 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
TYPICAL CHARACTERISTICS IMPACT
Current public health systems may not be effective to meet new challenges.
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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
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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
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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
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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
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Homeland Security Threats & Solutions
Border Integrity Communication
Financial Systems
Physical Infrastructure
IT/Communications
Public Health
Transportation
Natural Resources
Weapons of Mass Destructionand Disruption
Health Management
Information Assurance
Integration
Inventory Management
Physical Security
Privacy/Legal Services
Response Management
Surveillance and Intelligence
Training and Education
Solu
tion
Are
as
Th
reat
Are
as
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The need for communication …
NotificationHub
CommandStaff
Fire Stations
Inspectors
FireFighters
Admin
SupportServices
FireDepartment
Police
EmergencyPreparedness
LAWA/Harbor
Other CityDepartments
LADWP/Public Works
Mayor and CouncilPublic Affairs
City of Los Angeles
Schools
Public Telephone Directory
Hospitals
UtilityCompanies
Media
State, Countyand
Other Cities
Community
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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
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Benefits
•Faster reporting and investigation cycle
•Comprehensive and consistent data collection
•Secure and accurate communication
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Future
Has challenges but is also promising …
•Comprehensive public health network
•Extensive and reliable communication mechanism
Thank you.
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