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.). Here the data is summarised and can be analysed in reports. Registered state, public health authorities and hospitals can access reports or data relevant to their specific location or region. The diagrams below outlines the process involved.

Question 3: Discuss the pros and cons of adopting BioSense for public health surveillance. Should all hospitals and public health agencies switch to BioSense? Why or why not?

The major pro for BioSense is its ability to help CDC/public health authorities and epidemiologists quickly detect disease or bio-terrorist attacks and provide public health and government decision makers with the information much quicker than traditional methods would allow. It also allows CDC/public health authorities build up valuable data broken down into geographical regions.

The only major con to BioSense is the potential cost in terms of resources which may be in scarce supply, particularly in small or regional hospitals or health authorities, to implement the changes or integration required for a hospitals information system to engage with the BioSense system.

I believe all hospitals should switch to BioSense. The traditional approach to reporting is a slow manual process relying on person-to-person communication, which could be prone to error and potentially lead to delays in the identification and response to a major public health emergency. Timely and actuate management information is the key to success today whether in business or health care. It enables decision makers to take appropriate action when required in time, plan/model for future events and project potential tends over time. Decreasing the time to effectively identify causes, risk factors, and implement appropriate interventions is vital in this industry as it can save lives.

Question 4: Put yourself in the role of the hospital director at a large urban hospital. Would you support joining up with BioSense system? Why or why not? What factors would you want to take into account before joining?

Yes I would support joining up with BioSense. The system ultimately allows all hospitals and health authorities benefit from a much larger data set (removing the reliance on ones own data which is viewed in isolation), benefiting from profiled/analysed data regarding occurrences of diseases or health risks all which improve the decision making process allowing this hospital and authorities to take the necessary measures to proactively prevent, rather than reactively treat, serious health risks. By removing the potential over-reliance of the traditional manual approach, which is prone to error or delayed response the hospital also improves it risk management process.

Factors which must be consider before joining are;

1) Financial concerns; It is vital that a cost benefit analyse is preformed. It may be difficult to reflect the tangible benefits of joining such a system, as they are not immediately measureable in monetary value. But integration with such a system will have a resource impact on what may be an existing limited resource.

2) Data Requirement; What is the data requirement of BioSense.

3) Confidentiality; The security of sensitive patient health information is of the utmost importance. Has BioSense the ability or capacity to deal