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Accepted for/Published in: Online Journal of Public Health Informatics

Date Submitted: May 12, 2025
Date Accepted: Mar 4, 2026

The final, peer-reviewed published version of this preprint can be found here:

Building Enhanced Public Health Data Systems With a Situational Awareness and Learning Tool: Focus Group Study

Brokamp C, Hartlage C, Mattingly T, Kuhnell P, Vancil A, Beck AF, Hartley D

Building Enhanced Public Health Data Systems With a Situational Awareness and Learning Tool: Focus Group Study

Online J Public Health Inform 2026;18:e77379

DOI: 10.2196/77379

PMID: 42054647

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Building Enhanced Public Health Data Systems: A Situational Awareness and Learning Tool (SALT)

  • Cole Brokamp; 
  • Carson Hartlage; 
  • Tiffany Mattingly; 
  • Pierce Kuhnell; 
  • Andrew Vancil; 
  • Andrew F Beck; 
  • David Hartley

ABSTRACT

Background:

Situational awareness is the accurate and timely perception of factors in the environment, comprehension of their meanings, and projection of their future states.

Objective:

We aimed to develop a cloud-based Situational Awareness and Learning Tool (SALT) that generates near real-time analytic content from multi-modal data, enabling public health and hospital professionals to make informed decisions during complex population health challenges.

Methods:

Several focus groups were conducted with representatives from local health departments, hospitals, and emergency agencies. A first round identified data needs and requirements to inform SALT’s design. SALT was developed as a secure, cloud-based platform featuring automated deployment, role-based access, and version-controlled content publishing. A second round of focus groups evaluated the SALT prototype’s utility and gathered feedback for improvements.

Results:

Participants highlighted the need for integrated data from multiple sources, tailored dashboards for specific audiences, and legal frameworks to guide timely data sharing. SALT met these requirements by providing interactive visuals, secure access levels, and a collaborative content management system. The second focus group affirmed SALT’s effectiveness in enhancing decision-making and strategic planning, suggesting enhancements like clearer data labeling, expanded data coverage, and forecasting capabilities.

Conclusions:

SALT addresses limitations exposed by the COVID-19 pandemic in public health data systems by offering a scalable platform for data sharing, rapid analysis, and situational awareness. It fulfills user needs for integrated, timely data and customized analytic products. SALT represents a viable solution for enhancing public health data systems in preparation for future pandemics and other complex, multisector population health challenges.


 Citation

Please cite as:

Brokamp C, Hartlage C, Mattingly T, Kuhnell P, Vancil A, Beck AF, Hartley D

Building Enhanced Public Health Data Systems With a Situational Awareness and Learning Tool: Focus Group Study

Online J Public Health Inform 2026;18:e77379

DOI: 10.2196/77379

PMID: 42054647

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