Updated Guidelines for Evaluating Public Health ...

1 Inside: Continuing Medical Education for Physicians and NursesUpdated Guidelinesfor Evaluating Public HealthSurveillance SystemsRecommendations fromthe Guidelines Working DEPARTMENT OF Health AND HUMAN SERVICESC enters for Disease Control and Prevention (CDC)Atlanta, GA 30333 July 27, 2001 / Vol. 50 / No. RR-13 RecommendationsandReportsInside: Continuing Medical Education for Physicians and NursesInside: Continuing Medical Education for Physicians and NursesInside: Continuing Education ExaminationCenters for Disease Control and Prevention .. Jeffrey P. Koplan, , material in this report was prepared for publication byEpidemiology Program Office .. Stephen B. Thacker, , of Public Health Surveillanceand Informatics.

2 Daniel M. Sosin, , Center for HIV, STD, and TB Prevention .. Helene D. Gayle, , of HIV/AIDS Prevention surveillance and epidemiology .. Robert S. Janssen, Center for Injury Prevention and Control .. Suzanne Binder, Center for Chronic Disease Preventionand Health Promotion .. James S. Marks, , of Adult and Community Health .. Gary C. Hogelin, Center for Environmental Health .. Richard J. Jackson, , of Environmental Hazards and Health Effects .. Michael A. McGeehinDirectorThis report was produced as an MMWR serial publication inEpidemiology Program Office .. Stephen B. Thacker, , of Scientific and Health Communications .. John W. Ward, , MMWR SeriesRecommendations and Reports.

3 Suzanne M. Hewitt, A. McGeeProject M. HigginsVisual Information D. Renshaw and Erica R. ShaverInformation Technology Specialists he MMWR series of publications is published by the epidemiology Program Office,Centers for Disease Control and Prevention (CDC), Department of Health andHuman Services, Atlanta, GA CITATIONC enters for Disease Control and Prevention. Updated Guidelines forevaluating Public Health surveillance systems: recommendations from the guide-lines working group. MMWR 2001;50(No. RR-13):[inclusive page numbers].Vol. 50 / No. RR-13 MMWRiContentsIntroduction .. 1 Background .. 2 Organization of This Report .. 3 Task A. Engage the Stakeholders in the Evaluation.

4 4 Task B. Describe the surveillance System to be Evaluated .. 4 Task C. Focus the Evaluation Design .. 11 Task D. Gather Credible Evidence Regarding the Performanceof the surveillance System .. 13 Task E. Justify and State Conclusions, and Make Recommendations .. 24 Task F. Ensure Use of Evaluation Findingsand Share Lessons Learned .. 31 Continuing Education Examination .. CE-1iiMMWRJuly 27, 2001 Guidelines Working GroupGreg Armstrong, Center for Infectious DiseasesCDCG uthrie S. Birkhead, , of State and TerritorialEpidemiologistsNew York State Department of HealthAlbany, New YorkJohn M. Horan, , Center for Injury Preventionand Control, CDCG uillermo HerreraNational Immunization Program, CDCMEMBERSCHAIRMANADMINISTRATIVE SUPPORTR obert R.

5 German, Program Office, CDCD wight Westmoreland, Program Office, CDCLisa M. Lee, Center for HIV, STD and TBPrevention, CDCR obert L. Milstein, Center for Chronic DiseasePrevention and Health Promotion, CDCC arol A. Pertowski, Center for Environmental HealthCDCM ichael N. WallerNational Center for Chronic DiseasePrevention and Health Promotion, CDCVol. 50 / No. RR-13 MMWRiiiThe following CDC staff members prepared this report:Robert R. German, of Public Health surveillance and InformaticsEpidemiology Program OfficeLisa M. Lee, of HIV/AIDS Prevention surveillance and EpidemiologyNational Center for HIV, STD, and TB PreventionJohn M.

6 Horan, , of the DirectorNational Center for Injury Prevention and ControlRobert L. Milstein, of the DirectorNational Center for Chronic Disease Prevention and Health PromotionCarol A. Pertowski, of Environmental Hazards and Health EffectsNational Center for Environmental HealthMichael N. WallerDivision of Adult and Community HealthNational Center for Chronic Disease Prevention and Health Promotionin collaboration withGuthrie S. Birkhead, , of State and Territorial EpidemiologistsNew York State Department of HealthAlbany, New YorkivMMWRJuly 27, 2001 Additional CDC ContributorsOffice of the Director: Karen E. Harris, ; Joseph A. Reid, ; Gladys H. Reynolds, , ; Dixie E.

7 Snider, Jr., , for Toxic Substances and Disease Registry: Wendy E. Kaye, ;Robert Spengler, Program Office: Vilma G. Carande-Kulis, , ; Andrew G. Dean, , ; Samuel L. Groseclose, , ; Robert A. Hahn, , ;Lori Hutwagner, ; Denise Koo, , ; R. Gibson Parrish, , ;Catherine Schenck-Yglesias, ; Daniel M. Sosin, , ; Donna F. Stroup, , ; Stephen B. Thacker, , ; G. David Williamson, Center for Birth Defects and Developmental Disabilities: Joseph Mulnaire, , Center for Chronic Disease Prevention and Health Promotion: Terry F. Pechacek, ; Nancy Stroup, Center for Environmental Health : Thomas H.

8 Sinks, Center for Health Statistics: Jennifer H. Madans, Center for HIV, STD, and TB Prevention: James W. Buehler, ;Meade Morgan, Center for Infectious Diseases: Janet K. Nicholson, ; Jose G. Rigau-Perez, , Center for Injury Prevention and Control: Richard L. Ehrenberg, Immunization Program: H. Gay Allen, ; Roger H. Bernier, ;Nancy Koughan, , , ; Sandra W. Roush, , Institute for Occupational Safety and Health : Rosemary Sokas, , Health Practice Program Office: William A. Yasnoff, , and ContributorsScientific Workgroup on Health -Related Quality of Life SurveillanceSt. Louis University, St.

9 Louis, MissouriPaul Etkind, , Massachusetts Department of Public Health , Jamaica Plain,Massachusetts; Annie Fine, , New York City Department of Health , New York City, NewYork; Julie A. Fletcher, , candidate, Emory University, Atlanta, Georgia; DanielJ. Friedman, , Massachusetts Department of Public Health , Boston, Massachusetts;Richard S. Hopkins, , , Florida Department of Health , Tallahassee, Florida;Steven C. MacDonald, , , Washington State Department of Health , Olympia,Washington; Elroy D. Mann, , , Health Canada, Ottawa, Canada; S. Potjaman, , Government of Thailand, Bangkok, Thailand; Marcel E.

10 Salive, , , NationalInstitutes of Health , Bethesda, 50 / No. RR-13 MMWR1 Updated Guidelinesfor Evaluating Public Health surveillance SystemsRecommendations from the Guidelines Working GroupSummaryThe purpose of Evaluating Public Health surveillance systems is to ensure thatproblems of Public Health importance are being monitored efficiently andeffectively. CDC s Guidelines for Evaluating surveillance Systems are beingupdated to address the need for a) the integration of surveillance and healthinformation systems, b) the establishment of data standards, c) the electronicexchange of Health data, and d) changes in the objectives of Public healthsurveillance to facilitate the response of Public Health to emerging Health threats( , new diseases).