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Toward Integrated DoD Biosurveillance: Assessment and Opportunities.
Rand Health Quarterly
|January 14, 2017
Summary
The Department of Defense
Area of Science:
- Public Health and Biodefense
- National Security and Defense
- Health Systems Management
Background:
- The Department of Defense (DoD) was tasked by the Office of Management and Budget (OMB) to review its biosurveillance programs in alignment with the 2012 National Strategy for Biosurveillance.
- This review aimed to prioritize missions, define desired outcomes, evaluate program contributions, and assess the stability of the biosurveillance funding system.
- External analytic support was provided by the RAND Arroyo Center to address the OMB's request.
Purpose of the Study:
- To evaluate the Department of Defense's (DoD) biosurveillance programs against strategic missions and desired outcomes.
- To assess the current funding mechanisms and identify areas for improvement within the DoD biosurveillance enterprise.
- To provide recommendations for enhancing the effectiveness and stability of DoD biosurveillance efforts.
Main Methods:
- Analysis of current DoD biosurveillance programs and their alignment with strategic missions and desired outcomes.
- Evaluation of existing funding systems and their adequacy for supporting biosurveillance goals.
- Review of recent policy guidance and its impact on DoD biosurveillance priorities.
Main Results:
- DoD biosurveillance supports three key missions: force health protection (highest priority), biological weapons defense, and global health security.
- Four desired outcomes are supported: early warning/detection, situational awareness, improved decision-making, and impact forecasting.
- Improvements are needed in doctrine, organization, governance, staffing, and facilities for the Armed Forces Health Surveillance Center (AFHSC), along with a unified funding mechanism.
Conclusions:
- Prioritization of programs supporting force health protection and other key missions/outcomes is recommended.
- Enhanced near-real-time analysis and integration are crucial for improving the biosurveillance enterprise.
- Significant improvements in enablers, including policy, organization, and funding, are necessary for effective DoD biosurveillance.
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