Resolving Disconnected Patient Records to Support Patient Care and Population Health

Population health relies on tracking patients through a continuum of care with data from disparate sources. An assumption is made that all records of a patient from all the sources are connected. As was realized during the process of operationalizing algorithms for population health, not all patient records are connected. Disconnected records negatively impact results: from individual patient care management through population health’s predictive analytics.

September 08, 2017

Triage Notes in Syndromic Surveillance – A Double Edged Sword

The advent of Meaningful Use (MU) has allowed for the expansion of data collected at the hospital level and received by public health for syndromic surveillance. The triage note, a free text expansion on the chief complaint, is one of the many variables that are becoming commonplace in syndromic surveillance data feeds. Triage notes are readily available in many ED information systems, including, but not limited to, Allscripts, Cerner, EPIC, HMS, MedHost, Meditech, and T-System.

September 20, 2017

Demographic Health Analysis by Incorporation of Census Data with Patient Records

Electronic disease surveillance canonically represents analysis performed on health records with respect to their syndromes, complaints, lab data, etc. This data can tell the story of a patient’s current status but does not provide a holistic look at the where the patient is from. By incorporating census data, a deeper examination of the patient’s area can be performed which may result in discovery of risk factors associated with race, economic status, and culture.

Objective

October 03, 2017

Developing a National Database of Radon Test Data in Collaboration with EPA: a Pilot Project to Ascertain Feasibility

Lung cancer is the leading cause of cancer death in the U.S. with radon exposure as the second leading cause of lung cancer after smoking and the number one cause of lung cancer among nonsmokers. The Environmental Protection Agency (EPA) estimates that one in fifteen homes nationwide has elevated radon levels. Although public outreach efforts promote radon testing and subsequent mitigation when unsafe levels are found, data are non-standardized largely because of varying regulations among states, making targeted public health actions challenging.

October 03, 2017

Development of an Infectious Disease Surveillance Framework at Public Health Ontario

Since its inception in 2008, PHO has grown through new funding to establish the agency, as well as a series of program transfers from the Government of Ontario, including ID surveillance. PHO’s current role in ID surveillance in Ontario is to support the public health and health care systems with surveillance information, tools, and resources for the prevention and control of IDs. PHO also provides scientific and technical expertise for IDs, including different aspects of surveillance (e.g., data entry requirements, statistical algorithms, provincial surveillance reports).

October 05, 2017

Evaluating Ascertainment of Hepatitis C Cases and Deaths by Electronically Linking Surveillance and Vital Statistics Data in Utah

While HCV infections are associated with substantial morbidity and mortality in the United States, deaths due to HCV may not be detected well in Utah’s surveillance system. New interferon-free drugs for HCV can result in virologic cure with limited side effects, but treatment is expensive. It will therefore be increasingly important that public health accurately document the prevalence of HCV and outcomes, such as death, to inform policy makers and others who are responsible for allocating resources.

October 13, 2017

Integrated Disease Surveillance to Reduce Data Fragmentation - An Application to Malaria Control

There is growing recognition that an inability to access timely health indicators can hamper both the design and the effective implementation of infectious diseases control interventions. In malaria control, the global use of standard interventions has driven down the burden of disease in many regions. Further gains in high transmission areas and elimination in lower transmission settings, however, will require an enhanced understanding of malaria epidemiology, population characteristics, and efficacy of clinical and public health programs at the local level.

October 27, 2017

Outbreak Prediction: Aggregating Evidence Through Multivariate Surveillance

Production animal health syndromic surveillance (PAHSyS) data are varied: there may be standardized ratios, proportions, counts of adverse events, categorical data and even qualitative ‘intelligence’ that may need to be aggregated up a hierarchy. PAHSyS provides some unique challenges for event detection. Livestock populations are made up of many subpopulations which are constantly moving around between farms and markets to slaughter. Pathogen expression often varies across production types and rearing-intensity levels.

November 24, 2017

Putting Data Linkage into FIRST Gear: Lessons from Firefighter Injury Research

This work builds on a successful demonstration project and expands its data linkage capacity to new community partners. Presently, a national non-fatal injury reporting system does not exist for the Fire Service. In order to tell the story of all injuries within a fire department, state, or on a national scale, we must utilize data that are available from multiple sources that do not naturally talk to each other. In this panel, we will describe the purpose of the project, its goals, and the success of its model to public health surveillance.

Objective

December 28, 2017

An Integrated System for Enteric Disease Surveillance and Outbreak Detection

The Connecticut Department of Public Health (DPH), in collaboration with Yale Emerging Infections Program (EIP), receives funding to particpate in the Foodborne Diseases Active Surveillance Network (FoodNet) and Foodborne Disease Centers for Outbreak Response Enhancement (FoodCORE).

September 25, 2017

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