Infectious Disease Surveillance in the 21st Century: An Integrated Web-Based Surveillance and Case Management System

• Published in: Public health reports (1974) Vol. 129; no. 2; pp. 132 - 138
• Main Authors: Troppy, Scott, Haney, Gillian, Cocoros, Noelle, Cranston, Kevin, DeMaria, Alfred
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA Association of Schools and Programs of Public Health 01.03.2014; SAGE Publications; SAGE PUBLICATIONS, INC; Association of Schools of Public Health
• Subjects: 21st century; Case management; Case Management - organization & administration; Case Management - standards; Case Management - trends; Communicable Disease Control - methods; Communicable diseases; Communicable Diseases - epidemiology; Computer surveillance; Disease control; Disease Notification - methods; Disease Notification - standards; Disease outbreaks; Disease prevention; Diseases; Epidemiology; Health care policy; Health policy; Health surveillance; Humans; Infectious diseases; Internet; Intervention; Investigation; Jurisdiction; Laboratories; Local government; Management; Massachusetts; Massachusetts - epidemiology; Medical personnel; Networks; Notifiable diseases; Occupational health; Population Surveillance - methods; PRACTICE; Preventive medicine; Public health; Public health departments; Public Health Informatics - methods; Public Health Informatics - standards; Public Health Informatics - trends; Regulation; State government; State regulations; Streamlining; Surveillance; Temporal currency; Tuberculosis; Massachusetts; United States > US
• ISSN: 0033-3549; 1468-2877
• DOI: 10.1177/003335491412900206

The Massachusetts Virtual Epidemiologie Network (MAVEN) was deployed in 2006 by the Massachusetts Department of Public Health, Bureau of Infectious Disease to serve as an integrated, Web-based disease surveillance and case management system. MAVEN replaced program-specific, siloed databases, which were inaccessible to local public health and unable to integrate electronic reporting. Disease events are automatically created without human intervention when a case or laboratory report is received and triaged in real time to state and local public health personnel. Events move through workflows for initial notification, case investigation, and case management. Initial development was completed within 12 months and recent state regulations mandate the use of MAVEN by all 351 jurisdictions. More than 300 local boards of health are using MAVEN, there are approximately one million events, and 70 laboratories report electronically. MAVEN has demonstrated responsiveness and flexibility to emerging diseases while also streamlining routine surveillance processes and improving timeliness of notifications and data completeness, although the long-term resource requirements are significant.