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Stefaan Verhulst

Article by Stephanie Chin and Caitlin Chin: “To improve data sharing during global public health crises, it is time to explore the establishment of a common data space for highly infectious diseases. Common data spaces integrate multiple data sources, enabling a more comprehensive analysis of data based on greater volume, range, and access. At its essence, a common data space is like a public library system, which has collections of different types of resources from books to video games; processes to integrate new resources and to borrow resources from other libraries; a catalog system to organize, sort, and search through resources; a library card system to manage users and authorization; and even curated collections or displays that highlight themes among resources.

Even before the COVID-19 pandemic, there was significant momentum to make critical data more widely accessible. In the United States, Title II of the Foundations for Evidence-Based Policymaking Act of 2018, or the OPEN Government Data Act, requires federal agencies to publish their information online as open data, using standardized, machine-readable data formats. This information is now available on the federal data.gov catalog and includes 50 state- or regional-level data hubs and 47 city- or county-level data hubs. In Europe, the European Commission released a data strategy in February 2020 that calls for common data spaces in nine sectors, including healthcare, shared by EU businesses and governments.

Going further, a common data space could help identify outbreaks and accelerate the development of new treatments by compiling line list incidence data, epidemiological information and models, genome and protein sequencing, testing protocols, results of clinical trials, passive environmental monitoring data, and more.

Moreover, it could foster a common understanding and consensus around the facts—a prerequisite to reach international buy-in on policies to address situations unique to COVID-19 or future pandemics, such as the distribution of medical equipment and PPE, disruption to the tourism industry and global supply chains, social distancing or quarantine, and mass closures of businesses….(More). See also Call for Action for a Data Infrastructure to tackle Pandemics and other Dynamic Threats.

To mitigate the costs of future pandemics, establish a common data space

Good Governance Paper by Rebecca Ingber:”…Below I offer four concrete recommendations for deploying Intentional Bureaucratic Architecture within the executive branch. But first, I will establish three key background considerations that provide context for these recommendations.  The focus of this piece is primarily executive branch legal decisionmaking, but many of these recommendations apply equally to other areas of policymaking.

First, make room for the views and expertise of career officials. As a political appointee entering a new office, ask those career officials: What are the big issues on the horizon on which we will need to take policy or legal views?  What are the problems with the positions I am inheriting?  What is and is not working?  Where are the points of conflict with our allies abroad or with Congress?  Career officials are the institutional memory of the government and often the only real experts in the specific work of their agency.  They will know about the skeletons in the closet and where the bodies are buried and all the other metaphors for knowing things that other people do not. Turn to them early. Value them. They will have views informed by experience rather than partisan politics. But all bureaucratic actors, including civil servants, also bring to the table their own biases, and they may overvalue the priorities of their own office over others. Valuing their role does not mean handing the reins over to the civil service—good governance requires exercising judgement and balancing the benefits of experience and expertise with fresh eyes and leadership. A savvy bureaucratic actor might know how to “get around” the bureaucratic roadblocks, but the wise bureaucratic player also knows how much the career bureaucracy has to offer and exercises judgment based in clear values about when to defer and when to overrule.

Second, get ahead of decisions: choose vehicles for action carefully and early. The reality of government life is that much of the big decisionmaking happens in the face of a fire drill. As I’ve written elsewhere, the trigger or “interpretation catalyst” that compels the government to consider and assert a position—in other words, the cause of that fire drill—shapes the whole process of decisionmaking and the resulting decision. When an issue arises in defensive litigation, a litigation-driven process controls.  That means that career line attorneys shape the government’s legal posture, drawing from longstanding positions and often using language from old briefs. DOJ calls the shots in a context biased toward zealous defense of past action. That looks very different from a decisionmaking process that results from the president issuing an executive order or presidential memorandum, a White House official deciding to make a speech, the State Department filing a report with a treaty body, or DOD considering whether to engage in an operation involving force. Each of these interpretation catalysts triggers a different process for decisionmaking that will shape the resulting outcome.  But because of the stickiness of government decisions—and the urgent need to move on to the next fire drill—these positions become entrenched once taken. That means that the process and outcome are driven by the hazards of external events, unless officials find ways to take the reins and get ahead of them.

And finally, an incoming administration must put real effort into Intentional Bureaucratic Architecture by deliberately and deliberatively creating and managing the bureaucratic processes in which decisionmaking happens. Novel issues arise and fire drills will inevitably happen in even the best prepared administrations.  The bureaucratic architecture will dictate how decisionmaking happens from the novel crises to the bread and butter of daily agency work. There are countless varieties of decisionmaking models inside the executive branch, which I have classified in other work. These include a unitary decider model, of which DOJ’s Office of Legal Counsel (OLC) is a prime example, an agency decider model, and a group lawyering model. All of these models will continue to co-exist. Most modern national security decisionmaking engages the interests and operations of multiple agencies. Therefore, in a functional government, most of these decisions will involve group lawyering in some format—from agency lawyers picking up the phone to coordinate with counterparts in other agencies to ad hoc meetings to formal regularized working groups with clear hierarchies all the way up to the cabinet. Often these processes evolve organically, as issues arise. Some are created from the top down by presidential administrations that want to impose order on the process. But all of these group lawyering dynamics often lack a well-defined process for determining the outcome in cases of conflict or deciding how to establish a clear output. This requires rule setting and organizing the process from the top down….(More).

How to Use the Bureaucracy to Govern Well

Essay by Jeff Malpas in AI and Society: “In 2016, the Australian Government launched an automated debt recovery system through Centrelink—its Department of Human Services. The system, which came to be known as ‘Robodebt’, matched the tax records of welfare recipients with their declared incomes as held by Ethe Department and then sent out debt notices to recipients demanding payment. The entire system was computerized, and many of those receiving debt notices complained that the demands for repayment they received were false or inaccurate as well as unreasonable—all the more so given that those being targeted were, almost by definition, those in already vulnerable circumstances. The system provoked enormous public outrage, was subjected to successful legal challenge, and after being declared unlawful, the Government paid back all of the payments that had been received, and eventually, after much prompting, issued an apology.

The Robodebt affair is characteristic of a more general tendency to shift to systems of automated decision-making across both the public and the private sector and to do so even when those systems are flawed and known to be so. On the face of it, this shift is driven by the belief that automated systems have the capacity to deliver greater efficiencies and economies—in the Robodebt case, to reduce costs by recouping and reducing social welfare payments. In fact, the shift is characteristic of a particular alliance between digital technology and a certain form of contemporary bureaucratised capitalism. In the case of the automated systems we see in governmental and corporate contexts—and in many large organisations—automation is a result both of the desire on the part of software, IT, and consultancy firms to increase their customer base as well as expand the scope of their products and sales, and of the desire on the part of governments and organisations to increase control at the same time as they reduce their reliance on human judgment and capacity. The fact is, such systems seldom deliver the efficiencies or economies they are assumed to bring, and they also give rise to significant additional costs in terms of their broader impact and consequences, but the imperatives of sales and seemingly increased control (as well as an irrational belief in the benefits of technological solutions) over-ride any other consideration. The turn towards automated systems like Robodebt is, as is now widely recognised, a common feature of contemporary society. To look to a completely different domain, new military technologies are being developed to provide drone weapon systems with the capacity to identify potential threats and defend themselves against them. The development is spawning a whole new field of military ethics-based entirely around the putative ‘right to self-defence’ of automated weapon systems.

In both cases, the drone weapon system and Robodebt, we have instances of the development of automated systems that seem to allow for a form of ‘judgment’ that appears to operate independently of human judgment—hence the emphasis on this systems as autonomous. One might argue—and typically it is so argued—that any flaws that such systems currently present can be overcome either through the provision of more accurate information or through the development of more complex forms of artificial intelligence….(More)”.

The necessity of judgment

CRS Report: “Public health surveillance, or ongoing data collection, is an essential part of public health practice. Particularly during a pandemic, timely data are important to understanding the epidemiology of a disease in order to craft policy and guide response decision making. Many aspects of public health surveillance—such as which data are collected and how—are often governed by law and policy at the state and sub federal level, though informed by programs and expertise at the Centers for Disease Control and Prevention (CDC). The Coronavirus Disease 2019 (COVID-19) pandemic has exposed limitations and challenges with U.S. public health surveillance, including those related to the timeliness, completeness, and accuracy of data.

This report provides an overview of U.S. public health surveillance, current COVID-19 surveillance and data collection, and selected policy issues that have been highlighted by the pandemic.Appendix B includes a compilation of selected COVID-19 data resources….(More)”.

Tracking COVID-19: U.S. Public Health Surveillance and Data

Paper by Lauren Rhue and Anne L. Washington: “Artificial intelligence promises predictions and data analysis to support efficient solutions for emerging problems. Yet, quickly deploying AI comes with a set of risks. Premature artificial intelligence may pass internal tests but has little resilience under normal operating conditions. This Article will argue that regulation of early and emerging artificial intelligence systems must address the management choices that lead to releasing the system into production. First, we present examples of premature systems in the Boeing 737 Max, the 2020 coronavirus pandemic public health response, and autonomous vehicle technology. Second, the analysis highlights relevant management practices found in our examples of premature AI. Our analysis suggests that redundancy is critical to protecting the public interest. Third, we offer three points of context for premature AI to better assess the role of management practices.

AI in the public interest should: 1) include many sensors and signals; 2) emerge from a broad range of sources; and 3) be legible to the last person in the chain. Finally, this Article will close with a series of policy suggestions based on this analysis. As we develop regulation for artificial intelligence, we need to cast a wide net to identify how problems develop within the technologies and through organizational structures….(More)”.

AI’s Wide Open: A.I. Technology and Public Policy

Trace Labs is a nonprofit organization whose mission is to accelerate
the family reunification of missing persons while training members in
the trade craft of open source intelligence (OSINT)….We crowdsource open source intelligence through both the Trace Labs OSINT Search Party CTFs and Ongoing Operations with our global community. Our highly skilled intelligence analysts then triage the data collected to produce actionable intelligence reports on each missing persons subject. These intelligence reports allow the law enforcement agencies that we work with the ability to quickly see any new details required to reopen a cold case and/or take immediate action on a missing subject.(More)”

Trace Labs

Essay by Sunyoung Pyo, Luigi Reggi and Erika G. Martin: “…There is one tool for the COVID-19 response that was not as robust in past pandemics: open data. For about 15 years, a “quiet open data revolution” has led to the widespread availability of governmental data that are publicly accessible, available in multiple formats, free of charge, and with unlimited use and distribution rights. The underlying logic of open data’s value is that diverse users including researchers, practitioners, journalists, application developers, entrepreneurs, and other stakeholders will synthesize the data in novel ways to develop new insights and applications. Specific products have included providing the public with information about their providers and health care facilities, spotlighting issues such as high variation in the cost of medical procedures between facilities, and integrating food safety inspection reports into Yelp to help the public make informed decisions about where to dine. It is believed that these activities will in turn empower health care consumers and improve population health.

Here, we describe several use cases whereby open data have already been used globally in the COVID-19 response. We highlight major challenges to using these data and provide recommendations on how to foster a robust open data ecosystem to ensure that open data can be leveraged in both this pandemic and future public health emergencies…(More)” See also Repository of Open Data for Covid19 (OECD/TheGovLab)

The Potential Role Of Open Data In Mitigating The COVID-19 Pandemic: Challenges And Opportunities

Open Infrastructure Map is a view of the world’s hidden infrastructure mapped in the OpenStreetMap database.

By and large, this data isn’t exposed on the main OSM map, so I built Open Infrastructure Map to visualise it…(More).”

Open Infrastructure Map

Paper by Eva M. Krockow et al: “Antibiotic overprescribing is a global challenge contributing to rising levels of antibiotic resistance and mortality. We test a novel approach to antibiotic stewardship. Capitalising on the concept of “wisdom of crowds”, which states that a group’s collective judgement often outperforms the average individual, we test whether pooling treatment durations recommended by different prescribers can improve antibiotic prescribing. Using international survey data from 787 expert antibiotic prescribers, we run computer simulations to test the performance of the wisdom of crowds by comparing three data aggregation rules across different clinical cases and group sizes. We also identify patterns of prescribing bias in recommendations about antibiotic treatment durations to quantify current levels of overprescribing. Our results suggest that pooling the treatment recommendations (using the median) could improve guideline compliance in groups of three or more prescribers. Implications for antibiotic stewardship and the general improvement of medical decision making are discussed. Clinical applicability is likely to be greatest in the context of hospital ward rounds and larger, multidisciplinary team meetings, where complex patient cases are discussed and existing guidelines provide limited guidance….(More)

Harnessing the wisdom of crowds can improve guideline compliance of antibiotic prescribers and support antimicrobial stewardship

Book by Tim Harford: “…When was the last time you read a grand statement, accompanied by a large number, and wondered whether it could really be true? Statistics are vital in helping us tell stories – we see them in the papers, on social media, and we hear them used in everyday conversation – and yet we doubt them more than ever.

But numbers – in the right hands – have the power to change the world for the better. Contrary to popular belief, good statistics are not a trick, although they are a kind of magic. Good statistics are not smoke and mirrors; in fact, they help us see more clearly. Good statistics are like a telescope for an astronomer, a microscope for a bacteriologist, or an X-ray for a radiologist. If we are willing to let them, good statistics help us see things about the world around us and about ourselves – both large and small ­- that we would not be able to see in any other way.

In How to Make the World Add Up, Tim Harford draws on his experience as both an economist and presenter of the BBC’s radio show ‘More or Less’. He takes us deep into the world of disinformation and obfuscation, bad research and misplaced motivation to find those priceless jewels of data and analysis that make communicating with numbers worthwhile. Harford’s characters range from the art forger who conned the Nazis to the stripper who fell in love with the most powerful congressman in Washington, to famous data detectives such as John Maynard Keynes, Daniel Kahneman and Florence Nightingale. He reveals how we can evaluate the claims that surround us with confidence, curiosity and a healthy level of scepticism.

Using ten simple rules for understanding numbers – plus one golden rule – this extraordinarily insightful book shows how if we keep our wits about us, thinking carefully about the way numbers are sourced and presented, we can look around us and see with crystal clarity how the world adds up….(More)”.

How To Make The World Add Up

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