STEP 1 Inform and Engage
• Inform and engage government/local government/relevant stakeholders
• Where possible, form an advisory committee
• Schedule time for regular meetings of all parties involved

STEP 2 Setting up the Surveillance System
• Prepare a realistic budget
• Consider primary and secondary funding options, keeping in mind sustainability of the surveillance system
• Consider stepped implementation, including pilot phase and scaling up to the national level
• Appoint key function staff
• Develop standard operating procedures

STEP 3 Ethics and Data Protection
• Obtain ethical approval and formal written permission for data collection from hospital management
• Verify requirements from national data protection legislation

STEP 4 Implementation
• Enhance and refine standard operating procedures
• Conduct training in data collection (see Module 3)
• Develop data registration form
• Meet and fully brief hospital management and relevant staff from whom data will be obtained (e.g. emergency room staff and medical records staff)
• Coding and data entry
• Data compilation and data cleaning
• Data analysis and data interpretation
• Ensure all key staff are adequately trained

STEP 5 Review and Evaluate
• Annual reporting and other formal reviews
• Review all aspects of the implementation of the surveillance system with all relevant parties
• Based on review, make necessary changes to management or standard operating procedures of the surveillance system
• Where appropriate, expand to additional regions/hospitals
• Ensure the maintenance and sustainability of the surveillance system