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Displaying results 1 - 8 of 9
  • Adapting a syndromic biosurveillance system to monitor veterans’ health impact associated with the gulf coast oil spill

    Content Type: Abstract

    On 20 April 2010, an explosion on an offshore drilling rig in the Gulf of Mexico led to a prolonged uncontrolled release of crude oil. Both clean-up workers and coastal residents were potentially at high risk for respiratory and other… read more
    … Epidemics (ESSENCE). ESSENCE captures specific patient care visit ICD-nine codes belonging to selected conditions … 153 medical centers and over 1000 free standing patient care facilities across the United States. We describe the … Epidemics (ESSENCE).1 ESSENCE captures specific patient care visit ICD-nine codes belonging to selected conditions …
  • Diagnosis Coding Anomalies Resulting in Hemorrhagic Illness Alerts in Veterans Health Administration Outpatient Clinics

    Content Type: Abstract

    The Veterans Health Administration (VHA) operates over 880 outpatient clinics across the nation. The Johns Hopkins Applied Physics Laboratory’s Electronic Surveillance System for the Early Notification of Community-Based Epidemics (ESSENCE) utilizes… read more
    … Epidemics (ESSENCE) utilizes VHA ICD9 coded outpatient visit data for the detection of abnormal patterns of disease … Epidemics (ESSENCE) utilizes VHA ICD9 coded outpatient visit data for the detec- tion of abnormal patterns of … Epidemics (ESSENCE) utilizes VHA ICD9 coded outpatient visit data for the detection of abnormal patterns of disease …
  • Inpatient Data: A New Frontier in VA Biosurveillance and Public Health Monitoring from the Electronic Health Record

    Content Type: Abstract

    The Veterans Affairs (VA) ESSENCE obtains electronic health record data from 152 medical centers plus clinics in all 50 states, U.S. territories, and the Philippines. ESSENCE analyzes ICD-9 diagnosis codes and demographic data from outpatient and… read more
    … demographic data from outpatient and emergency department visits using complex aberrancy-detection algorithms. In … receives weekly feeds of inpatient data from all VA acute care hospitals starting at the beginning of the Fiscal Year … data from outpatient and emergency department (ED) visits using complex aberrancy-detection algorithms (1). In …
  • Carbon Monoxide Poisoning in the Veterans Health Administration, 2010 - 2016

    Content Type: Abstract

    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… read more
    … 2007 confirmed CO poisoning cases resulted in 21,304 ED visits and 2,302 hospitalizations (71 per million and 8 per … discharge and/or emergency department (ED)/urgent care outpatient encounter codes for carbon monoxide (CO) … 2007 confirmed CO poisoning cases resulted in 21,304 ED visits and 2,302 hospitalizations (71 per million and 8 per …
  • Another Type of Cluster Monitoring: Detection of Groups of Anomalous Patient Residence Locations

    Content Type: Abstract

    The Veterans Health Administration (VHA) uses the Electronic Surveillance System for the Early Notification of Community-based Epidemics to detect disease outbreaks and other health-related events earlier than other forms of surveillance. Although… read more
    … in the world, the strongest predictor of which health care facility is accessed is geographic proximity to the … of patient residential ZIP codes outside a health care facility catchment area. Document … out-of-town) sought healthcare at the VA Maryland Health Care System*Baltimore Medical Center. Using ESSENCE, daily …
  • Characteristics of Veterans Accessing the Veterans Affairs Telephone Triage Who Have Depression or Suicidal Ideation: Opportunities for Intervention

    Content Type: Abstract

    Veterans accessing Veterans Affairs (VA) health care have higher suicide rates and more characteristics associated with suicide risk, including being male, having multiple medical and psychiatric comorbidities, and being an older age, compared with… read more
    … Veterans accessing Veterans Affairs (VA) health care have higher suicide rates and more characteristics … Veterans accessing Veterans Affairs (VA) health care have higher suicide rates and more characteristics …
  • Pertussis Surveillance in Veterans Affairs Medical Centers in Western United States – 2010-2014

    Content Type: Abstract

    Bordetella pertussis infection (whooping cough) has been on the rise and the most cases in the US since 1955 were reported in 2012 (48,277 or 15.4 per 100,000). Pertussis is highly infectious and can cause serious illness in infants and children as… read more
    … age, we performed pertussis surveillance in Veterans in care at VA medical facilities. Objective To perform … age, we performed pertussis surveillance in Veterans in care at VA medical facilities. Objective To perform …
  • Surveillance for nationally notifiable infectious conditions using ICD-9-CM diagnosis codes in the VA ESSENCE biosurveillance system

    Content Type: Abstract

    The Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) obtains electronic data from 153 Veterans Affairs (VA) Medical Centers plus outpatient clinics in all 50 states, American Samoa, Guam,… read more
    … graphic data from outpatient and emergency department visits at all VA facilities.1 For this review, visits with an ICD-9-CM code(s) for a reportable … salmonellosis) had PPVs greater than 50%. Reasons that visits did not meet CDC case definitions included: (1) …