ohio digital government summit

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


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


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


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


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.

7


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


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


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


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


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


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


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


Benefits

•Faster reporting and investigation cycle

•Comprehensive and consistent data collection

•Secure and accurate communication


Future

Has challenges but is also promising …

•Comprehensive public health network

•Extensive and reliable communication mechanism

Thank you.

17

ohio digital government summit

Documents

deloitte development

public health partners

disease outbreakscopyright

discussion of health

disease control cdcvision

confidentiality of information

information systemscopyright

nedss objectivesfacilitate