Assessing Core Capacity for Infectious Diseases Surveillance
November 2000
DHHS, Office of the Assistant Secretary for Planning and Evaluation (ASPE)
The Lewin Group worked with The Office of the Assistant Secretary for Planning and Evaluation in the Department of Health and Human Services to develop an investment plan to improve the nation's core capacity for infectious diseases surveillance. This project came in light of recent challenges to disease surveillance including bioterrorism, emerging infections, the rapid pace of technological development, and changes in the health care delivery system. The Lewin Group conducted extensive research, including a literature review, interviews and site visits, and convened a panel of experts to assist in plan development. Drawing on the literature and the experience of the expert panelists, the report identified eight goals for infections disease surveillance. Lewin's research identified three types of gaps in performance that have resulted in poor performance across the eight goals: gaps in the core capacity of the key entities involved in conducting surveillance of infectious diseases; gaps in the flow of data and information among the entities involved in surveillance of infectious diseases; and gaps in the structures that support surveillance.