| Indicator 1.1 Surveillance Information Systems |
 | - The SPH Laboratory System identifies sentinel health events and trends through interoperable laboratory information systems. |
| - The SPH Laboratory System participates in national surveillance systems for state and national linkage |
| - SPH Laboratory System partners collaborate to strengthen surveillance systems |
| Indicator 1.2 Monitoring of Community Health Status 55.4% |
 | - The SPH Laboratory System has a comprehensive system to gather data, organisms and samples to support evaluating community and environmental health |
| - The SPH Laboratory System identifies and detects infectious diseases and contributes to a statewide surveillance system |
| - The SPH Laboratory System provides information to support monitoring of congenital, inherited, and metabolic diseases of public health significance |
 | - The SPH Laboratory System generates reliable information about chronic diseases of public health significance |
| - SPH Laboratory System has a secure, accountable and integrated information management system for data storage, analysis, retrieval, reporting and exchange |
Next Steps for Action, Essential Service #1:
- Preserve current strengths – keep pushing the bar (high priority)
- Gold standard is here : promote and communicate that to the whole system so that interaction occurs within the state (high)
- Increase scope of collaboration between state and local levels (high)
- Develop a Joint Information Center to assure clear, consistent messages (high)
- Clarify CDC role – make sure PH and clinical do not interact with CDC completely independently
- Evaluate other surveillance systems and consider partnerships and improvements
- Incorporate formal/systematic needs assessment, gap analysis, and follow-up via quality assurance/improvement program (high)
- Develop policies and procedures for specimen storage and use (i.e., bio-monitoring work plan)
- Continue to obtain isolates
- Consider the impact on all partners of non-culture methods on disease surveillance
- Assure knowledge of users on test capability (sensitivity, specificity, decision tiers)
- Provide greater access to data registry of diseases and patterns
- Assure staff capacity to implement existing and new surveillance systems
- Assure sustainability of existing strong programs and establish advocacy process across system partners to achieve sustainability (including protecting against privacy claims)
- Establish stronger and less territorial coordination across state agencies that will assure implementation of model standards. (Barriers: Conflicting agency missions, legislative)
- Get people on board - raise knowledge and awareness of need for monitoring community health status (high)
- Develop programs to track risk factors for chronic disease (NHANES) and create a registry to track connections
- Partner with health plans to ID ways to collect/aggregate data (chronic disease)
- Establish testing standards to include parent and child compounds
- Address “threat” of non-culture
- Continue to develop systems for emerging pathogens
- Address/study future needs: link toxins to diseases, genetics, gene/environment interactions, identify vulnerabilities relative to bio terrorism
- With respect to information systems, encourage self-assessment of core functions using best practice tools and conduct survey of system regarding electronic transfer and use of information
- Establish common vision for information systems use and interoperability (high)
- Survey the system to assess readiness for exchange and create system wide agreements and policies for exchange of information (high)
- Establish plan for implementation of HIT vision; achieve interoperability and connect to other states and CDC
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= Moderate Activity 
= No Activity