Using Emergency Department Data for Detection of a Synthetic Marijuana Outbreak

Timely access to Emergency Department (ED) Chief Complaint (CC) data, before the definitive diagnosis is established, allows for early outbreak detection and prompt response by public health officials.BioSense 2.0 is a cloud-based application that securely collects, tracks, and shares ED data from participating hospitals around the country. Denver Health (DH) is one of several Colorado hospitals contributing ED Chief Complaint data to BioSense 2.0. In August 2013, ED clinicians reported an increase in patients presenting with excited delirium, possibly related to synthetic marijuana (SM).

December 20, 2017

Regional Syndromic Surveillance Data Sharing Workshop: HHS Region 10

The HHS Region 10 workshop engaged nine participants from state and local public health departments in Idaho, Oregon, and Washington with experience in syndromic surveillance that ranged from less than 1 year to over 10 years. Representatives from Alaska, which is also in HHS Region 10, were unable to participate. Because the participants did not have access to actual emergency department (ED) syndromic surveillance data for sharing, the focus of the workshop was on building inter- jurisdictional understanding and sharing of practices.

Learning Objectives

March 14, 2017

Arizona Syndromic Surveillance Implementation Guide for Critical Access Hospitals and Eligible Hospitals

This guide offers standardized specifications to Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) for the electronic transfer of Syndromic Surveillance (SS) data from hospital Certified Electronic Health Records technology (CEHRT) to the BioSense 2.0 system for SS reporting. This guide will provide an overview of the type of data being collected, the suppliers of the data, the system collecting the information, and the format needed for successful submission of Syndromic Surveillance data to ADHS.

October 13, 2017

BioSense 2.0 Webinar: The Kansas Experience, Health Information Exchanges, and Onboarding

Public health jurisdictions participating in BioSense 2.0 can be on-boarded in several ways, including one hospital at a time or through a health information exchange (HIE). Onboarding through an HIE can simplify the process and ease the burden on health departments.

August 03, 2017

BioSense 2.0 Webinar: Using Surveillance to Prepare and Respond to Winter Weather: Extreme Cold, Ice, and Snow

For much of the United States, 2014 began with extreme cold and large snowstorms. As a result, surveillance practitioners around the country have been working to identify, gather, and analyze cold weather-related data. This presentation will focus on data analysis and use for winter weather surveillance in both Indianapolis and Boston.

August 03, 2017

BioSense 2.0 Webinar: Features Update

This Webinar will help you learn about new and upcoming BioSense 2.0 features and how they can enhance your user experience. Nabarun Dasgupta of the BioSense Redesign Team will review new BioSense functionalities and services as well as discuss how binning occurs. He will also preview analytic tools that are being developed. Current BioSense 2.0 users who are familiar with BioSense 2.0 tools and services will find this Webinar instructive, and prospective users will gain a deeper understanding of BioSense 2.0 functionalities.


August 03, 2017

BioSense 2.0 Webinar: Creating Syndrome Definitions Using RStudio

When public health practitioners use BioSense 2.0, they can view and analyze data on a variety of predetermined syndromes from infectious diseases (such as influenza) to injuries. However, some users may want to use tools to explore new and different syndromes that are not available yet in BioSense 2.0. Nabarun Dasgupta and Timothy Hopper from the BioSense Redesign Team will discuss RStudio, a free and open-source interface for R that users can employ to examine syndromes unique to their geographic or practice area.

August 03, 2017

BioSense 2.0 Webinar: Panel on Influenza-like Illness (ILI) Surveillance

Influenza-like illness (ILI) is an annual concern for communities and health authorities worldwide. As we enter the already active 2013-2014 flu season, join ISDS and the BioSense Redesign Team for a Webinar about using emergency department (ED) visit data for ILI surveillance. You will learn the basics of ILI surveillance: how to use chief complaint data, how local, state, and federal public health departments use these data, and why sharing these data in real-time matters.


August 28, 2017

Automating BioSense 2.0 Locker Processing for Local Program-Specific Surveillance

Syndromic surveillance can provide early warning of potential public health emergencies and acute health events in a population. The sharing and aggregation of syndromic data among jurisdictions can provide more comprehensive situational awareness and improve coordination and decision-making. The BioSense 2.0 Program supports increased syndromic data-sharing among a nationwide network of local and state public health agencies. Most users of this application utilize the main web site front-door interface due to its user-friendly features for query and analysis.

August 22, 2018

BioSense 2.0 Governance: Surveying Users and Stakeholders for Continued Development

The CDC's BioSense 2.0 system is designed with a user-centered approach, where the needs and requests of the users are part of its continued development. User requirements were gathered extensively to help design BioSense 2.0 and users continue to submit feedback which is used to make improvements to the system. However, in order to ensure that these needs are gathered in a formal and ongoing way, the BioSense 2.0 Governance Group, comprised primarily of state and local public health representatives, was established to advise the CDC on the development of BioSense 2.0.

August 22, 2018


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