The authors found that data from this local ILI surveillance system were available several days sooner than data from the state and regional ILI systems, provided the ability to follow ILI rates at the individual clinics, and detected early onset of respiratory illness in the student health clinic. The authors concluded that the surveillance system was effective in providing real-time, useful, accessible, and accurate information that led to important organizational changes in resource allocation, including staffing of an influenza-specific clinic and implementing a telephone flu hotline.