NAVIGATING THE PATH FROM COMMAND AND CONTROL TO MANAGEMENT AND INFLUENCE

Carl TaylorCenter for Strategic Health

Innovation

AIMS like most situational awareness tools is never really a full view of the operating environment, and does not look ahead.

AIMS creates reliance on public health based upon user perception that by inputting needs those can and will be met, without knowing whether the ESF structure can meet those needs.

AIMS is an excellent situational awareness data colection tool but a poor transaction system except for patient transfers.

Many of the resources are hard coded-SNS stockpile, ventilators and may not match the real needs of patients or the healthcare providers.

Resource databases including ESARVHP etc are not linked to situational awareness tools.

ESF handoffs are no assurance of a fullfilment of a request.

Faith based and commercial support often occurs outside of our awareness.

We need to recognize that there is a gap between that which we can do and that which needs to be done

We need to fill in that gap by creating greater resliency in our health care providers and giving them the tools that promote that resliency

We can do that by moving from command and control to management and influence with emergent coherence

By Creating a new kind of medical and public Health information sharing environment on the EDGE

E - ExtensibleD - DevelopedG - GlobalE - Event driven

Xtreme Collaboration Hub

In any disaster there will be self forming knowledge networks that seemingly are random at the beginning but that make themselves and their resources known over time

Volunteers who show up. Companies who donate goods.  Faith based groups and social networks.

Any situational awareness information from any source

An ability to share thoughts before events occur.

And to use discussions for specific information sharing realizing we may never be the first site to experience the event.

The ability to ask for anything from anyone

The ability to find the right resource and to close the transaction

Crowdsourcing as an effective surveilance tool

Extensible inclusion of emerging tools with the ability to connect any cell phone to any laptop anywhere in the world.

While still connecting to our legacy tools

Connecting patients with their records no matter where treated and using data to prioritize care.

An Instant ability to surgest workarounds when your plan fails

The need for subject matter experts, patient centric health information and tools to manage today and see tomorrow.

Inherent ability to help you with answers before you ask the questions.