Dr. Anna Waller is co-PI along with Dr. Pia MacDonald, Director of the NC Center for Public Health Preparedness, on a CDC-funded cooperative agreement. The project will systematically assess the strengths, weaknesses and areas for improvement of NC DETECT and the North Carolina Electronic Disease Surveillance System (NC EDSS), including research on each system to examine system capacity, processes, outputs and outcomes. Emphasis will be on assessment of user needs for surveillance, the characteristics of early and late adopters of electronic to surveillance systems, and the connections of NC DETECT with NC EDSS and with other preparedness activities in NC. The results of these investigations will yield recommendations for interventions to ensure the utility, use and sustainability of these systems; these recommendations will be disseminated and implemented with the assistance of key partnering practitioners. Finally, the research team will measure the effectiveness of the implemented interventions.