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Meurer David

Description

Capital Health is a regional health care organization, which provides services for over one million inhabitants in the Edmonton area of Alberta, Canada. Traditionally, disease surveillance under its jurisdiction has been paper-based and records maintained by different departments in several locations. Before the Alberta Real Time Syndromic Surveillance Net (ARTSSN), there was no centralized database or unified approach to surveillance and automated reporting despite rich electronic health data in the region. The existing labor-intensive manual surveillance process is inefficient and inherently susceptible to human error. Its effectiveness is sub-optimal in detecting outbreaks of emerging infectious diseases, and clusters of injuries or toxic exposures. The ultimate objective of ARTSSN is to enhance public health surveillance through earlier and more sensitive detection of clusters and trends, with subsequent tracking and response through an integrated, automated surveillance and reporting system.

 

Objective

ARTSSN is a pilot public health surveillance project developed for the Capital Health region of Alberta, Canada and funded by Alberta Health and Wellness. This paper describes the advantages of using ARTSSN and comparing information derived from multiple electronic data sources simultaneously for real time syndromic surveillance.

Submitted by elamb on
Description

Screening for Influenza Like Illness (ILI) is an important infection control activity within emergency departments (ED). When ILI screening is routinely completed in the ED it becomes clinically useful in isolating potentially infectious persons and protecting others from exposure to disease. When routinely collected, ILI screening in an electronic clinical application, with real time reporting, can be useful in Public Health surveillance activities and can support resource allocation decisions e.g. increasing decontamination cleaning. However, the reliability of documentation is unproven. Efforts to support the adoption of ILI screening documentation in a computer application, without mandatory field support, can lead to long term success and increased adherence.

 

Submitted by uysz on
Description

Standardized electronic pre-diagnostic information is routinely collected in Alberta, Canada. ARTSSN is an automated real-time surveillance data repository able to rapidly refresh data that include school absenteeism information, calls about health concerns from Health Link Alberta; a provincial telephone service for health advice and information, and emergency department visits categorized by standardized chief complaint. Until recently, real-time ARTSSN data for public health surveillance and decision making has been underutilized.

Objective

We developed early warning algorithms using data from ARTSSN and used them to detect signatures of potential pandemics and provide regular weekly forecasts on influenza trends in Alberta during 2012-2014.

Submitted by rmathes on
Description

Traditionally, public health surveillance departments collect, analyze, interpret, and package information into static surveillance reports for distribution to stakeholders. This resource-intensive production and dissemination process has major shortcomings that impede end users from optimally utilizing this information for public health action. Often, by the time traditional reports are ready for dissemination they are outdated. Information can be difficult to find in long static reports and there is no capability to interact with the data by users. Instead, ad hoc data requests are made, resulting in inefficiencies and delays.

Use of electronic dashboards for surveillance reporting is not new. Many public health departments have worked with information technology (IT) contractors to develop such technically sophisticated products requiring IT expertise. The technology and tools now exist to equip the public health workforce to develop in-house surveillance dashboards, which allow for unprecedented speed, flexibility, and cost savings while meeting the needs of stakeholders. At Alberta Health Services (AHS), in-house, end-to-end dashboard development infrastructure has been established that provides epidemiologists and data analysts full capabilities for effective and timely reporting of surveillance information. 

Objective

To address the limitations of traditional static surveillance reporting by developing in-house infrastructure to create and maintain interactive surveillance dashboards. 

Submitted by Magou on