Assessing the Roles of Brokerage

The North Carolina Division of Public Health established an innovative program in 2003 that placed public health epidemiologists (PHEs) in hospitals around the state to improve communication between hospitals and local public health departments (LHDs) and bolster public health surveillance and response.

The objective of this program was to use social network analysis to assess how the hospital-based PHE program in North Carolina facilitates the exchange of public health surveillance information.