Information Sharing and Collaboration Applications to Integrated Biosurveillance: Workshop Summary (2012) / Chapter Skim
Currently Skimming:
6 Concept of Operations
6 Concept of Operations
Pages 57-68
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 57... ...
A FOCUS ON PERFORMANCE IMPROVEMENT1 As standardized by the Institute of Electrical and Electronics Engineers, a CONOPS document has seven components, said Leslie Lenert, University of Utah School of Medicine: 1. Scope 2.
|
From page 58... ...
Goals and Outcomes The goal of NBIS was to create a system where all relevant information was collected into a central fusion center, Lenert observed. There the information would be analyzed, producing a common operations picture that can inform decisions in partner agencies and the National Operating Center.
|
From page 59... ...
2009 investigation: "A related issue that came to light during the tabletop exercise and was a theme in interviews with NBIS officials is the extent to which NBIS partners trust NBIC to use their information and resources appropriately. According to the exercise after-action memo, participants repeatedly raised concerns about trusting NBIC with data, and participants also expressed concern that NBIC would reach the wrong conclusions or disseminate erroneous data or reports" (GAO, 2009)
|
From page 60... ...
It could capture and save the information state of each participating agency in NBIS on a daily basis, help other people monitor processes, find when processes are going astray, and alert the appropriate management. In essence, it could produce a metadata picture of the response process that would make it possible to identify process failures and communications, retrace the steps of diagnostic errors, and bring new people up to speed.
|
From page 61... ...
Stephens focused on the fourth item in this list: the opportunity for quality improvement to satisfy not only current needs but new needs. The revised system, from this perspective, would function primarily as a quality improvement engine to collect information in a central repository to capture the sequence of events, the timing of decisions, and response outcomes for system and provider utilization and improvement plans.
|
From page 62... ...
State and local health department data are critical, and these data depend on the people at the state and local levels. Decisions that are being made at the top level need to flow down to state and local health departments in a timely fashion.
|
From page 63... ...
"Despite some of the challenges that it will represent, it gives a strong motivation for proceeding this way." OPERATIONAL REALITIES3 Today's biosurveillance system is built on several assumptions, said biodefense consultant Bob Kadlec. The first is that relevant data exist in the public health, medical, food, veterinary, and environmental arenas.
|
From page 64... ...
"A bureaucratic impediment is that knowledge is power," said Kadlec, and "it impacts our budget." An additional complication is that the data do not necessarily reside in the federal government. They can reside at the state and local levels or in the private sector.
|
From page 65... ...
The government attempts to get ahead of a story and set policy before the media send the public in a different direction. Also, the orientation phase of an OODA loop involves existing cultural traditions, bureaucratic procedures, previous experiences, and other factors, some of which act in opposition to information that is currently coming in.
|
From page 66... ...
A CONOPS also involves proposed concepts for the system being analyzed, which requires a description of the modified system and of the motivation for change. With the CONOPS process in mind, Wagner proposed that a biosurveillance data integration center should function as a regional data integration center for one or two cities, counties, or states.
|
From page 67... ...
For that reason, fusion centers are just as useful at the local level as at the federal level. Maillard, too, observed that local public health departments create the instruments needed to gather data on the fly and share information with others rather than raw data.
|
From page 68... ...
Ackelsberg also emphasized the possibility of catastrophic events -- a "bio-Katrina type of situation." The needs in such a situation would be extraordinarily different. "I don't think any local entity, any local jurisdiction, or any combination of the agencies in a local setting is going to be able to immediately address the analytic requirements for that." The analytic capacity still needs to be built at the local level to assess what would be needed in such a situation.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.