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Very useful when the pandemic started, strong workforce with skills and expertise in analytics and we were able to quickly establish a useable Covid Dashboard. (Epi)

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Existing lab, but no way to electronically collect from smaller facilities. We were able to quickly come up with solutions for electronic transfer of data into the existing system, rather than manually.

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Strong partnership between IT, Informatics and Epi to reduce manual work and automating manual processes. Worked well together to streamline and expedite processes.

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With modifications, have been used for monkeypox and can be adapted for use in the future. Used SNHD funding and federal funding to accomplish.

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Even before pandemic, worked with OPHP to maximize resources and efficiencies and apply new technologies and processes. Saved 50,000 manhours in 2020 by automating manual processes. Some processes were initially used in ebola and zika response timeframe.

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Covid Notification App developed, and can be used for other infectious diseases. IT team was amazing during pandemic. IT needs expanded 5x during pandemic, but were always on hand to increase capacity and keep systems running.

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At pandemic peak, we experienced staff shortage. Required significant overtime by existing staff. Became operational 24/7 to meet demands of leadership team and the public.

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Attempts to direct activities that they did not have a good understanding of. They did not have a grasp on IT capabilities, and made unrealistic demands and expectations at first. Some communication challenges at first. Funding was applied to equipment that was never used.

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Challenges with connectivity, technology issues for staff working from home, changes to work flow, expectations and availability of IT Support.

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Challenges with health literacy resulted in unintended consequences. Public and others reading reports often did not understand their content, or misrepresented their content.

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Constant changes to applications, user training with limited staff resources. Servers reached capacity, resulting in challenges to supporting applications.

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Servers crashed when public were trying to make appointments for testing and vaccines. Had to bring in supplemental servers to support volume.

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Records to support telemedicine, touchless check in, etc., working with vendor in a timely manner and making it available as soon as possible was a challenge.

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Federal funding allowed increase in workforce by 50%, and will remain in place for several years. Updated IT infrastructure, increase use of cloud, increase opportunities for innovation. Were able to use funding for additional cybersecurity protections (especially in working from home.) Updates to older infrastructure.

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Increase in staff and other resources for at least 5 more years. Opportunity to increase speed and efficiency of reporting. Created new applications, and new grant funds can help us identify additional applications that can be applied for future pandemics and infectious disease surveillance.

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Epi Team learned new technology skills, which can continue to increase and be passed on to future staff.

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Demonstrated the value of report work, the importance of technology investments, and how critical it is to have the infrastructure in place prior to a public health emergency.

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We have the ability to mass vaccinate, use technology for appointments at multiple locations, including pop-up clinics for vaccination.

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Challenge with hiring quality employees, quiet quitting, retirements, employees leaving.

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Once the supplemental funding is depleted, we do not have a sustainable funding source in place. Loss of funding will reduce capability, reduce staff, and lose opportunities to invest in advanced technologies.

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Employee burnout from long hours, demands for speed of work products requested. Will be a challenge to maintain IT workforce as grant funds expire.

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Phishing and other cyber attacks increased.