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APHL-Association of Public Health Laboratories
Laboratory System Improvement Program (L-SIP)

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Essential Service #1 - Monitor Health Status to Identify Community Health Problems


Key = Optimal Activity = Significant Activity = Moderate Activity = Minimal Activity = No Activity

ES #1 ES #2 ES #3 ES #4 ES #5 ES #6 ES #7 ES #8 ES #9 ES #10

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:
  1. Preserve current strengths – keep pushing the bar (high priority)
  2. Gold standard is here : promote and communicate that to the whole system so that interaction occurs within the state (high)
  3. Increase scope of collaboration between state and local levels (high)
  4. Develop a Joint Information Center to assure clear, consistent messages (high)
  5. Clarify CDC role – make sure PH and clinical do not interact with CDC completely independently
  6. Evaluate other surveillance systems and consider partnerships and improvements
  7. Incorporate formal/systematic needs assessment, gap analysis, and follow-up via quality assurance/improvement program (high)
  8. Develop policies and procedures for specimen storage and use (i.e., bio-monitoring work plan)
  9. Continue to obtain isolates
  10. Consider the impact on all partners of non-culture methods on disease surveillance
  11. Assure knowledge of users on test capability (sensitivity, specificity, decision tiers)
  12. Provide greater access to data registry of diseases and patterns
  13. Assure staff capacity to implement existing and new surveillance systems
  14. Assure sustainability of existing strong programs and establish advocacy process across system partners to achieve sustainability (including protecting against privacy claims)
  15. Establish stronger and less territorial coordination across state agencies that will assure implementation of model standards. (Barriers: Conflicting agency missions, legislative)
  16. Get people on board - raise knowledge and awareness of need for monitoring community health status (high)
  17. Develop programs to track risk factors for chronic disease (NHANES) and create a registry to track connections
  18. Partner with health plans to ID ways to collect/aggregate data (chronic disease)
  19. Establish testing standards to include parent and child compounds
  20. Address “threat” of non-culture
  21. Continue to develop systems for emerging pathogens
  22. Address/study future needs: link toxins to diseases, genetics, gene/environment interactions, identify vulnerabilities relative to bio terrorism
  23. 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
  24. Establish common vision for information systems use and interoperability (high)
  25. Survey the system to assess readiness for exchange and create system wide agreements and policies for exchange of information (high)
  26. Establish plan for implementation of HIT vision; achieve interoperability and connect to other states and CDC


Updated Tuesday, November 22, 2011 at 08:27AM