1. BioSense 2.0 IntroductionBuilding a Community-Controlled and Shared PH Surveillance Environment Patients Like Me Friday, September9th, from 11:30-1pm Taha A. Kass-Hout, MD, MS Deputy Director for Information Science and BioSense Program Manager Division of Notifiable Diseases and Healthcare Information (DNDHI, Proposed) Public Health Surveillance Program Office (PHSPO)Office of Surveillance, Epidemiology, and Laboratory Services (OSELS) Centers for Disease Control & Prevention (CDC) Any views or opinions expressed here do not necessarily represent the views of the CDC, HHS, or any other entity of the United States government. Furthermore, the use of any product names, trade names, images, or commercial sources is for identification purposes only, and does not imply endorsement or government sanction by the U.S. Department of Health and Human Services. Office of Surveillance, Epidemiology, and Laboratory Services Public Health Surveillance Program Office

2. Objectives Background BioSense Redesign Goals BioSense 2.0 Shared Environment Key players

3. Background

4. History of BioSense Mandated in the Public Health Security and Bioterrorism (BT) Preparedness and Response Act of 2002 Nationwide “integrated system” for early detection and assessment of potential BT-related illness Funding provided by Congress to CDC in 2003 Development of BioSense infrastructure started in 2003 Initially focused on collecting timely data directly from civilian hospital clinical information systems, VA and DoD In 2004, BioSense began recruiting hospitals to provide in-depth clinical data directly to CDC In 2006, BioSense started soliciting more limited data from health departments that had already established automated systems for ED-based syndromic surveillance

5. BioSense Redesign Goals

6. Nationwide and regional situation awareness for all hazards (health-related events beyond bioterrorism) 86% of stakeholders feel that there is value in viewing a regional or national view to achieve public health situation awareness Support national, state, and local responses to those events Multiple uses to support your public health situation awareness; routine public health practice; and improved health outcomes and population and public health BioSense Redesign Goals

7. BioSense 2.0 Distributed Environment

8. Distributed Environment Cloud technology is used to remove the need to physically manage storage locally, and also provide economies of scale States and Local Health Departments can elect to use the hardware, software, databases, and services within the enterprise and save cost while increasing capabilities Savings are realized by accessing low cost computing resources that do not require high up-front capital layout, ongoing recapitalization costs, or full-time computer administration personnel at each site Services and software are available and are proven, tested and available to all members of the enterprise

9. Distributed Data Sharing Co-locating data enables state and local authorities to share data with cooperating regions and jurisdictions by granting and receiving access data in the enterprise A common simple method of sharing and protecting data is provided by the enterprise Public Health Agencies (PHAs) are able to access data to which they are authorized and use system provided analysis tools (charts, tables, algorithms) in a consistent fashion Consistent tools and services makes analyzing and visualizing data common within the enterprise

10. Distributed Analytics Common analysis tools are shared across the community of PHAs Addition or modification of system provided analysis tools is done quickly and easily Partners in the enterprise will experience higher quality services and data because of the common nature of the tools. Improvements or fixes to tools and services are automatically available to all members of the enterprise. Algorithms, tools, and capabilities developed by users can be promoted to the system level and shared Enterprise users can develop their own tools and services

11. Value Add Meaningful-Use ready environment New capabilities developed by users can be promoted to the system level so that they will benefit all members of the enterprise Users are able to download data for which they are authorized for their own use All data that the user is approved to see can be easily downloaded from the enterprise database to their local machine for independent analysis and use in locally owned tools and software

13. Collaborative Space

14. Collaborative Space: ILI Example

15. Collaborative Space: ILI Example

16. Collaborative Space: ILI Example

17. Collaborative Space: ILI Example

18. Collaborative Space: ILI Example

19. Collaborative Space: ILI Example

20. Collaborative Space: ILI Example

21. Key players

22. Selected Stakeholders

23. Thank You! BioSense Redesign http://biosenseredesign.orgbiosense.redesign2010@gmail.com Any views or opinions expressed here do not necessarily represent the views of the CDC, HHS, or any other entity of the United States government. Furthermore, the use of any product names, trade names, images, or commercial sources is for identification purposes only, and does not imply endorsement or government sanction by the U.S. Department of Health and Human Services.