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Table of Contents
Acknowledgements ...............................................................................................................................4
Public Health Subject Matter Experts ....................................................................................................5
Acronyms...............................................................................................................................................6
Glossary of Terms ..................................................................................................................................7
Executive Summary...............................................................................................................................9
Introduction “The Public Health Enterprise”
Public Health Surveillance: Moving Data to Action ......................................................................12
Core Pillars of Public Health Surveillance ...................................................................................13
Building the Interoperable Public Health Data Superhighway .....................................................14
Examining the Barriers of the Current Public Health Surveillance System .................................16
Infographics: The Public Health Data Superhighway ..................................................................18
Case Studies “Challenges of Today’s Public Health Surveillance System”
Opioid Overdose ..........................................................................................................................24
Foodborne Outbreak....................................................................................................................26
Measles Resurgence ...................................................................................................................27
Natural Disasters .........................................................................................................................29
Key Findings “Progress Made, but Silos Remain”
Improvements: Paving the Way ...................................................................................................34
Challenges: Stuck in the Slow Lane ............................................................................................36
Recommendations “Changing from the Slow Lane to the Fast Lane”
Recommendation 1: ENTERPRISE Approach to Data Systems Modernization .........................42
Recommendation 2: INTEROPERABLE Data Systems ..............................................................43
Recommendation 3: SECURITY to Protect Patient Data ............................................................44
Recommendation 4: WORKFORCE that is Prepared for the Information Age ...........................44
Recommendation 5: PARTNERSHIP & INNOVATION with the Public & Private Sectors ...........45
Conclusion “The Future of Public Health is Now” ............................................................................47
Appendix A: Core Pillars of Public Health Surveillance .........................................................................48
Appendix B: Questions to Frame Focus Group Discussions.................................................................53
Testimonials
Anne Schuchat, MD (RADM, USPHS, RET) ...............................................................................8
Walter G. Suarez, MD, MPH ........................................................................................................22
John Wiesman, DrPH, MPH ........................................................................................................32
Christine Steward, MPH ..............................................................................................................40
Chris Alban, MD, MBA, and James Doyle ...................................................................................46
Driving Public Health in the Fast Lane 3

