Linking better surveillance to better outcomes.

摘要: Syndromic surveillance aspires to achieve rapid outbreak detection and response, but stand-alone systems not integrated into local business processes might fail offer better health outcomes. To describe how can most directly serve action, the author presents a model of public work as series outcome-driven consisting information input, processing, actions, This report derives lessons for improving each these elements from emergencies occurring in Milwaukee, Wisconsin. Lessons input include 1) creatively mining internal or readily accessible information; 2) integrating flow routine practices before an emergency; 3) reusing multiple processes, ensuring that information-management enable such recycling; 4) fostering relationships with providers by reducing burde?is meeting their needs; 5) using agile tools focus surveil lance on pressing problems. processing combining diverse well-organized visual displays ("surveillance dashboards"); creating alerts warn unusual patterns; Internet view share demand; expertise interpret complex assembling so be scalable (from global); 6) sufficient environmental, laboratory, clinical capacity confirmation response. linking more efficient action building response plans; feeding respotise systems; employing those communications used daily practice greatest extent possible. Using systematically improve emergency while day-to-day organizational effectiveness.