Integrated Health Alerting And Notification

A Case Study in New York State
  • Linh H. Le
  • Debra L. Sottolano
  • Ivan J. Gotham
Part of the Integrated Series in Information Systems book series (ISIS, volume 27)

Chapter Overview

This chapter describes the evolution, design and operation of an integrated health alerting and notification system. Although modern information and communication technologies have evolved rapidly in the last decade and significantly improved the technical foundation for health alerting and notification, published literature to communicate lessons learned, best practices, system design, development and operation from real-world experiences is still limited. In this chapter, we outline the functional and technical requirements as well as architecture and components of the New York State (NYS) Integrated Health Alerting and Notification System (IHANS), address issues that affect the effectiveness and timeliness of health alerting, discuss the concept of unified messaging and the current standard alert message distribution framework, and present case studies of health alerting in emergency events and exercises. Experience from development and operation of this system has shown the important role of an integrated health alert system in public health arising from both changes in information and telecommunication technologies and new demands on the public health and healthcare systems.


Health alert Notification Public health preparedness Public health informatics Interoperability Unified communication Messaging Telecommunication 


  1. ASTHO (2005). Association of State and Territorial Health Officials, Public Health Alerting System;
  2. Auf der Heide, E. (1989). Principles of preparation and coordination, The Center of Excellence in Disaster Management and Humanitarian Assistance;
  3. Baker, E. L. (2005). The public health infrastructure and our nation’s health. Annual Review of Public Health 26:303–18.PubMedCrossRefGoogle Scholar
  4. Baker, E. L., and Porter, J. P. (2005). The Health Alert Network: partnerships, politics, and preparedness, Journal of Public Health Management & Practice 11(6):574–576.Google Scholar
  5. Beatty, M., Phelps, S., Rohner, C, et al. (2006). Blackout of 2003: public health effects and emergency response. Public Health Reports 121: 36–44.PubMedGoogle Scholar
  6. CDC Health Alert Network; CDC (1999). Health Alert Network cooperative agreement guidance document.
  7. CDC (2000). National electronic disease surveillance system cooperative agreement guidance document.Google Scholar
  8. CDC (2002). Public health information network functions and specifications, version 1.2;
  9. CDC (2005). Partner communications and alerting functional requirements, version 1.0;
  10. CDC (2007a). Public health emergency response guide for state, local, and tribal public health directors;
  11. CDC (2007b). Public health information network requirements, version 2.0;
  12. CDC (2008a). Key performance measures, version 1.0 (Apr. 12, 2008);
  13. CDC (2008b).Public health preparedness:mobilizingstate bystate (Apr. 12, 2008);
  14. Gotham, I. J., et al. (2001). West Nile virus: a case study in how NY State health information infrastructure facilitates preparation and response to disease outbreaks. Journal of Public Health Management and Practice 7:75–86.PubMedGoogle Scholar
  15. Intel Corporation (2007). International 2- and 4-port voice processing boards (Mar. 21, 2007);
  16. International Engineering Consortium (2005). Unified messaging;
  17. Koblentz, G. (2003). Biological terrorism: understanding the threat and America’s response. In Countering Terrorism: Dimensions of Preparedness, eds. A. M. Howitt and R. L. Pangi. Cambridge: The MIT Press.Google Scholar
  18. Loonsk, J. W., McGarvey, S. R., Conn, L. A., et al. (2005). The public health information network (PHIN) preparedness initiative. Journal of the American Medical Informatics Association 13(1):1–4, M1815.PubMedCrossRefGoogle Scholar
  19. Mitch, A. (2006). XML Problem-Design - Solution. New York: Wiley Publishing, Inc.Google Scholar
  20. NACCHO (2003). National association of county and city health officials, local public health agencies better equipped to handle bioterrorist attacks. Res. Brief No. 8 (Jan. 2003). Washington, DC.Google Scholar
  21. National Science and Technology Council (2000). Effective disaster warnings;
  22. OASIS (2002).Organization for the advancement of structured information standards. Directory Services Markup Language (DSML) (Apr. 12, 2002);
  23. OASIS (2005a). Organization for the advancement of structured information standards, common alerting protocol 1.1, OASIS Standard (Oct. 1, 2005);
  24. OASIS (2005b). Organization for the advancement of structured information standards, EDXL-DE 1.0. OASIS Standard (Oct. 1, 2005);
  25. Salinsky E. (2002). Public Health Emergency Preparedness: Fundamentals of the System, National Health Policy Forum Background Paper. Washington, DC: George Washington University.Google Scholar
  26. Trust for America’s Health (2007). Ready or Not? Protecting the public’s health from disease, disasters, and bioterrorism;
  27. U.S. Department of Homeland Security (2004). National incident management system (Mar. 1, 2004);
  28. World Wide Web Consortium (1999). Extensible markup Language (XML);
  29. Yasnoff, W. A., Overhage, J. M., Humphreys, B. L., et al. (2001). A national agenda for public health informatics: summarized recommendations from the 2001 AMIA spring congress. Journal of the American Medical Informatics Association 8(6):535–545.PubMedCrossRefGoogle Scholar

Suggested Reading

  1. Bates, R. (2006). Voice & Data Communications Handbook, 5th ed. Osborne: McGraw-Hill.Google Scholar
  2. Mitch, A. (2006). XML Problem - Design - Solution. New York: Wiley Publishing, Inc.Google Scholar
  3. O’Carroll, P. (2002). Public Health Informatics and Information Systems. New York: Springer.Google Scholar
  4. Song, I. (2003). Conceptual Modeling - ER 2003. Berlin/Heidelberg: Springer.CrossRefGoogle Scholar
  5. Whitten, J. (2005). Systems Analysis and Design Methods, 7th ed. New York: McGraw-Hill/Irwin.Google Scholar

Online Resources

  1. Public Health Information Network.
  2. World Wide Web Consortium, Extensible Markup Language (XML).
  3. National Incident Management System.
  4. OASIS Emergency Management Technical Committee.

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Linh H. Le
    • 1
  • Debra L. Sottolano
    • 1
  • Ivan J. Gotham
    • 1
    • 2
  1. 1.Bureau of Healthcom Network Systems Management, New York State Department of HealthEmpire State PlazaAlbanyUSA
  2. 2.School of Public HealthState University at AlbanyAlbanyUSA

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