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Implementation

Description

The HL7 messaging standard, version two that was implemented by most vendors and public health agencies did not resolve all systems’ interoperability problems. Design and tool implementation for automated machine-testing messages may resolve many of those problems. This task also has critical importance for rapid deployment of electronic public health systems.

 

Objective

This document describes the Public Health Information Network efforts on the development of the messaging quality framework, a flexible framework of services and utilities designed to assist public health partners with preparing and communicating quality, standard electronic messages.

 

Submitted by hparton on
Description

Utah Statewide Immunization Information System (USIIS) is the state immunization registry. It is connected to about 700 organizations, including 100% public health clinics, 60% of private providers, many schools, daycares, pharmacies, and Indian Health Services. Data exchange methods range from web data entry, batch file transfer, proprietary or HL7 data interfaces, and real-time exchange with Intermountain

Healthcare’s electronic health records. Clinicians in Utah ranked immunization data as one of the first five use cases for developing the statewide clinical Health Information Exchange (cHIE) in Utah Health Information Network. Utah Department of Health has collaborated with Utah Health Information Network to develop the immunization information exchange.

 

Objective

The goal of the immunization information exchange is to expand the USIIS interoperability to all private providers, especially those who are not a USIIS’ user but participate in cHIE.

Submitted by hparton on
Description

Bioterrorism surveillance is an integral component of DCHD’s Comprehensive Emergency Management Plan. This study was a collaborative effort between Duval County Health Department, University of South Florida’s Center for Biological Defense (CBD), and DataSphere, LLC. DCHD’s role in the project was to identify surveillance sites, involve community partners, share data/info with surrounding agencies, counties and the state department of health, and secure funding for the system. CBD’s role in the project was facilitating the operational and technical implementation of the system and serving as a liaison between hospitals, health departments, and DataSphere, LLC. DataSphere, LLC owns and operates BioDefend and was responsible for the technical setup and maintenance of the system. The study addressed the feasibility of automated data collection by healthcare facilities and issues related to implementation of a syndromic surveillance system.

 

Objective

The purpose of this study was to evaluate the implementation of the BioDefend syndromic surveillance system for its use.

Submitted by elamb on
Description

Recent health events in France, such as the dramatic excess of mortality occurred during the 2003 heat wave showed the need for a better provision of information to health authorities. A new syndromic surveillance system based on the recording of general practitioner’s visits by SOS Médecins has been developed by the Aquitaine Regional Epidemiology unit (Cire).

 

Objective

To describe the surveillance system based on SOS Medecins data, the first GP emergency and healthcare network in France and to show the utility and validity of this data source as a real-time syndromic surveillance system.

Submitted by elamb on
Description

An outbreak of dengue fever has occured in French Guiana since the end of November 2005 until July 2006. The dengue serotype circulating was DEN-2, responsible of more than 2 000 confirmed cases and 4 deaths. The previous surveillance system was only based on the laboratories data, and didn’t permit to assess the real situation of dengue infection within the population of French Guiana. Actually, the dengue fever being a viral infection for which no etiological treatments nor immunization were available, a lot of general practioners didn’t send their patients to laboratories but prescribed only a symptomatic treatment. A survey made on the field during February 2006 in a town of 5000 inhabitants in the West of French Guiana showed that the real situation within the population was really more important than the one evaluated by the current surveillance system (135 suspected cases for only 13 confirmed cases reported by the network of laboratories). For that reason, it was decided to put in place a syndromic surveillance system, which can permit to have a better knowledge of the situation for dengue fever. The objectives of this new system were i) to detect earlier the beginning of an outbreak ii) to have a better estimation of the impact of the outbreak within the population and iii) to permit the evaluation of the Public Health strategy set up.

 

Objective

This paper describes a new syndromic surveillance system installed in French Guiana in April 2006 during an outbreak of dengue fever.

Submitted by elamb on
Description

Syndromic surveillance has great advantages in promoting the early detection of infectious disease outbreak and enabling the real-time tracking of on-going epidemics. However, establishing a syndromic surveillance system required huge investment in money, information system, manpower and capacity building activities, which remains a big challenge in resource-limited areas. Funded by European Union's 7th Framework Programme, a syndromic surveillance system named 'ISSC' was prepared to be built and incorporated with the existing case report system in rural Jiangxi Province of China.

Objective

Before the start of ISSC project, a pilot investigation was carried out among the candidate surveillance units (health care facility, pharmacy and primary school) and related stakeholders to assess their capacity and potential needs with regard to the implementation of ISSC system, so as to design customized capacity building and training strategies.

Submitted by knowledge_repo… on
Description

Difficulties in timely acquisition and interpretation of accurate data on communicable diseases can impede outbreak detection and control. These limitations are of global importance: they contribute to avoidable morbidity, economic losses, and social disruption; and, in a globalized world, epidemics can spread rapidly to other susceptible populations.

SARS and the potential for an influenza pandemic highlighted the importance of global disease surveillance. Similarly, the World Health Organization’s newly implemented 2005 International Health Regulations require member countries to provide notification of emerging infectious diseases of potential global importance. The challenges arise when Ministries of Health (MoH) in resource-poor countries add these mandates to already over-burdened and under-funded surveillance systems. Appropriately adapted, electronic disease surveillance systems could provide the tools and approaches MOHs need to meet today’s surveillance challenges.

 

Objective

In this presentation we will discuss the concept of electronic disease surveillance in resource-poor settings, and the issues to be considered during system planning and implementation.

Submitted by elamb on

Expert panelists Art Davidson (Denver Health) and Julia Gunn (Boston Public Health Commission), whose respective organizations were 2009 Davies Awards recipients, gave a 30 minute webinar on Meaningful Use and electronic health record technology. This webinar aimed to assist attendees in gaining a better understanding of Meaningful Use, how it may impact their surveillance work, and how they can work with ISDS to represent their perspectives and that of their local or state health agencies.

A webinar hosted by the ISDS and the Distribute Community of Practice on March 5th, 2010.