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Appendix B


            Questions to Frame Focus Group Discussions






            Focus groups of public health subject matter experts discussed four public health threats—an opioid
            overdose, a foodborne outbreak, a measles resurgence, and a natural disaster—and described how data is
            shared throughout the current public health surveillance system. The following discussion questions were
            developed to guide conversations:




                 1.  Explain how health data currently flows through this scenario to contribute to public health
                    surveillance.

                       • Are you relying on manual/paper-based processes to support some or all of the efforts?
                         Faxing? Phone calls?
                       • What, if any, systems are interoperable with each other?



                 2.  What are the barriers and challenges to current data flow?

                       • Where does the data get stuck with either sending or receiving? And why? For example, lack
                         of standards for sharing information effectively?
                       • How do these barriers and challenges make your job harder?

                       • What opportunities are lost because of antiquated systems?
                       • Are the data more vulnerable to breach? If so, why?



                 3.  How can integration or interoperability of the data systems be improved?



                 4.  What are the benefits of having a fully interoperable, integrated surveillance system?

                       • External: Patient outcomes? Health outcomes? Patient privacy?

                       • Internal: Workflow efficiencies? Cyber security?


                 5.  What are your workforce challenges?

                       • What skills will your workforce need to utilize electronic systems?













            Driving Public Health in the Fast Lane                                                                53
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