Improving the Quality of Completeness and Electronic Health Record Data Used in Syndromic Surveillance Final Report

The Council of State and Territorial Epidemiology (CSTE), in collaboration with Thought Bridge, LLC, recently developed the Improving the Quality of Completeness and Electronic Health Record Data Used in Syndromic Surveillance Final Report which aimed to identify data quality issues and develop short- (6 months or less) and long-term (>6 months) recommendations. 

October 08, 2020

Data Brief: Individuals’ use of online medical records and technology for health needs

Using the National Cancer Institute’s 2017 Health Information Trends Survey, the Office of the national Coordinator for Health Information Technology (ONC) reports on access and use of online medical records and the use of technology such as smartphones, tablets, and electronic monitoring devices (e.g. Fitbits, blood pressure monitors) for health related needs.

April 30, 2018

Understanding Emergency Department Utilization Patterns in Illinois

Syndromic surveillance has been widely implemented for the collection of Emergency Department (ED) data. EDs may be the only option for seeking care in underserved areas, but they do not represent population-based measures. This analysis provides insight on health-seeking behaviors within the context of the type of care sought.


To analyze differences in utilization of Emergency Departments for primary care sensitive conditions by facility and by patient ZIP code.

January 19, 2018

Surveillance of Stillbirth and Syphilis Screening Using Electronic Health Records

Reports of infants born with congenital syphilis have increased in the United States every year since 2012. Prevention depends on high performing surveillance systems and compliance with the U.S. Centers for Disease Control and Prevention (CDC) recommendations to perform syphilis testing early in pregnancy, in the third trimester and at delivery if a woman is at high risk, and following a stillbirth delivery. These guidelines exist, because untreated syphilis is associated with adverse fetal outcomes including central nervous system infection and death.

January 21, 2018

Travel and Triage: Pilot project to detect infections after medical tourism procedures

EpiCenter, NJ’s statewide syndromic surveillance system, collects ED registration data. The system uses chief complaint data to classify ED visits into syndrome categories and provides alerts to state and local health departments for surveillance anomalies. After the 2014 Ebola outbreak in West Africa, the New Jersey Department of Health (NJDOH) started collecting medical notes including triage notes, which contain more specific ED visit information than chief complaint, from 10 EDs to strengthen HAI syndromic surveillance efforts.

January 25, 2018

Using Electronic Health Records for Public Health Hypertension Surveillance

Hypertension (HTN) is a highly prevalent chronic condition and strongly associated with morbidity and mortality. HTN is amenable to prevention and control through public and population health programs and policies. Therefore, public and population health programs require accurate, stable estimates of disease prevalence, and estimating HTN prevalence at the community-level is acutely important for timely detection, intervention, and effective evaluation. Current surveillance methods for HTN rely upon community-based surveys, such as the BRFSS.

January 25, 2018

Urgent Care Data...should we collect, how, and why?

More and more patients frequent Urgent Care facilites. In this webinar, we will discuss how NSSP jurisdictions collect it, how is it formatted, and what have they learned; what's the best way to capture and share this information; and why should we collect and report this data.


David Swenson, AHEDD Project Manager, New Hampshire Department of Health and Human Services, Division of Public Health Services, Communicable Disease Surveillance Section

February 24, 2017

Carbon Monoxide Poisoning in the Veterans Health Administration, 2010 - 2016

It is estimated that in the United States (US), unintentional non-fire related CO poisoning causes an average of 439 deaths annually, and in 2007 confirmed CO poisoning cases resulted in 21,304 ED visits and 2,302 hospitalizations (71 per million and 8 per million population, respectively)1 . Despite the significant risk of morbidity and mortality associated with CO poisoning, existing surveillance systems in the United States are limited. This study is the first to focus specifically on CO poisoning trends within the VHA population.


August 15, 2017

Advancing GHSA: Lessons learned about strengthening HIS and disease surveillance

RTI International has worked on enhancing health information and disease surveillance systems in many countries, including The Democratic Republic of the Congo (DRC), Guinea, Indonesia, Kenya, Nepal, Philippines, Tanzania, Zambia, and Zimbabwe. Strengthening these systems is critical for all three of the Prevent, Detect and Respond domains within the Global Health Security Agenda. 

May 24, 2017

An Informatics Framework to Support Surveillance System Interoperability in Minnesota

The Minnesota Department of Health (MDH) needs to be able to collect, use, and share clinical, individual-level health data electronically in secure and standardized ways in order to optimize surveillance capabilities, support public health goals, and ensure proper follow-up and action to public health threats.

May 26, 2017


Contact Us

NSSP Community of Practice



This website is supported by Cooperative Agreement # 6NU38OT000297-02-01 Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health between the Centers for Disease Control and Prevention (CDC) and the Council of State and Territorial Epidemiologists. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC. CDC is not responsible for Section 508 compliance (accessibility) on private websites.

Site created by Fusani Applications