Practice ReportsImproving Childhood Lead Poisoning Surveillance and Data Management in Arizona Through an Evaluation of the Transition to a New Surveillance SystemAsburry, Amber MPH; Blatt, Miyuki MPHAuthor Information Childhood Lead Poisoning Prevention Program, Arizona Department of Health Services, Phoenix, Arizona. Correspondence: Amber Asburry, MPH, Childhood Lead Poisoning Prevention Program, Arizona Department of Health Services, 150 N 18th Ave, Ste 140, Phoenix, AZ 85007 ([email protected]). The authors express their sincere appreciation to the MEDSIS transition team, Teresa Jue, Sara Johnston, Eli Price, Joe Enos, Srinivasa Venkatesan, Amy Lai, Campbell Pendleton, Kaleb Tsang, Brian Heise, Ephrance Kalungi, Nita Surathu, S. Robert Bailey, and others at the Arizona Department of Health Services for their tireless efforts and contributions to the evaluation, the manuscript, and successful transition of lead surveillance to MEDSIS. The authors also express their sincere appreciation to Eric Thomas, Ken Komatsu, and Jennifer Botsford for providing early feedback on the manuscript.Disclaimers: This publication and evaluation efforts were supported by the Cooperative Agreement Number NUE1EH001251, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.The authors declare no conflicts of interest. Journal of Public Health Management and Practice: January/February 2019 - Volume 25 - Issue - p S58-S62 doi: 10.1097/PHH.0000000000000873 Buy Metrics Abstract The Arizona Childhood Lead Poisoning Prevention Program (CLPPP) worked with internal teams to identify opportunities for improvement in data quality and data management processes during the transition of lead poisoning surveillance into Arizona's communicable disease surveillance system. A pretransition review led to the determination of key strategies based on feasibility to implement and potential for impact on program operations. The strategies included standardizing reporting methods, automating data processing, and centralizing data management. The Childhood Lead Poisoning Prevention Program evaluated pre- and posttransition data management processes to determine whether improved efficiency was achieved. To evaluate the key strategies, indicators regarding data flow, data capture, and surveillance capacity were used. The key strategies were successful in improving data quality and efficiency. In addition, the implementation of these strategies has increased engagement among reporters, expanded surveillance capacity, and established a foundation to better understand lead poisoning challenges affecting Arizonan children. © 2019 Wolters Kluwer Health, Inc. All rights reserved.