1. Integration Project Team Tom Starcher, NCCDPHP Scott Danos, NCHSTP Dan Jernigan, NCID Henry Rolka, NIP Roseanne English, HISSB Exec. Sec. Kim Marsh, HISSB Exec. Sec. Denise Koo (Team Leader), EPO Meade Morgan, EPO Integration Project

2. City/County Health Department State Health Department TIMSSTD*MISHARS STD*MISTIMSNETSSEIP Systems NETSS STD*MIS (Optional at the Clinic) TIMS (Optional at the Clinic) PHLISEIP Systems* PHLIS HARS STD*MISTIMSNNDSSEIP SystemsPHLIS *EIP Systems (ABC, UD, Foodnet) CDC Data Sources Physicians Varied communications methods and security - specific to each system- including paper forms, diskettes, e-mail, direct modem lines, etc. Varied communications methods and security - specific to each system - including diskettes, e-mail, direct modem lines, etc. Chart Review MMWR Weekly TablesMMWR Annual SummariesProgram Specific Reports and Summaries Lab Reports Reporting by Paper Form, Telephone and Fax Figure 1 - Current Situation Statistical Surveys for Chronic Diseases, Injuries and Other Public Health Problems Integration Project

3. The Vision Complementary electronic information systems that: - automatically gather health data from a variety of sources on a real-time basis, - monitor the health of communities, - assist in the on-going analysis of trends and detection emerging public health problems, and -provide information for setting public health policy. Integration Project Long-term ^

4. City/County Health Department State Health Department HIV/AIDS STD Clinics TB Clinics HIV/AIDS STDs TB Notifiable Disease Reports EIP Systems Lab Surveillance CDC Data Sources Physicians Electronic data interchange (EDI) using HL7 or other standardized format Chart Review Lab Reports Secure Internet Electronic data interchange (EDI) using HL7 or other standardized format Shared Facilities and Services, e.g. common interface, software components, terminologies and data files Shared Facilities and Services, e.g. common interface, software components, terminologies, and data files Secure Server Vital Statistics Emergency Departments Medicaid, Medicare Encounters Hospital Discharge Data Secure electronic reporting Paper Forms, Telephone and FAX Figure 2 - Proposed Integrated Surveillance Systems Solution Integration Project

5. The Solution A common “framework” for surveillance information systems: –Common data architecture (model, definitions, coding) –Automated electronic reporting of data, e.g. electronic laboratory reporting –Consistent user interface –Secure Internet pipeline for reporting to CDC –Reusable software components –Shared analysis and dissemination methods Integration Project