Mandating Syndromic Surveillance Reporting from Emergency Departments: The Washington Experience

As syndromic surveillance reporting became an optional activity under Meaningful Use Stage 3 and incentive funds are slated to end completely in 2021, Washington State sought to protect syndromic reporting from emergency departments.

January 19, 2018

Comparison of National and Local Syndromic Surveillance Data - Cook County, IL, 2017

In 2005, the Cook County Department of Public Health (CCDPH) began using the Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) as an emergency department (ED)-based local syndromic surveillance program (LSSP); 23 (100%) of 23 hospitals in suburban Cook County report to the LSSP. Data are transmitted in delimited ASCII text files (i.e., flat files) and contain a unique patient identifier, visit date and time, zip code, age, sex, and chief complaint. Discharge diagnosis and disposition are optional data elements.

January 21, 2018

The Longitudinal Record: Linking Hepatitis A Outbreak Cases and Syndromic HL7 Data

With increasing availability of syndromic meaningful use data, new approaches to disease surveillance utilizing linkages to other data systems are possible. Expanded communicable disease information may be valuable during outbreaks or other public health emergencies. San Diego County is experiencing a significant and protracted hepatitis A outbreak. The disease has been transmitted person-to-person through close contact or through a fecally-contaminated environment, and has been primarily affecting homeless people and injection and non-injection illicit drug users.

January 21, 2018

Improving Timeliness of Georgia Emergency Room Data

Timeliness of emergency room (ER) data is arguably its strongest attribute in terms of its contribution to disease surveillance. Timely data analyses may improve the efficacy of prevention and control measures. There are a number of studies that have looked at timeliness prior to the advent of Meaningful Use, and these studies note that ER data were not fast enough for them to be useful in real time2,3. However, the change in messaging practices in the Meaningful Use era potentially changes this.

January 21, 2018

Adoption of Public Health Readiness Guidelines for Meaningful Use

The Syndromic Surveillance Consortium of Southeast Texas (SSCSeT) consists of 13 stakeholders who represent 19 counties or jurisdictions in the Texas Gulf Coast region and receives health data from over 100 providers. The Houston Health Department (HHD) maintains and operates the syndromic surveillance system for the Gulf Coast region since 2007. In preparation for Meaningful Use (MU) the HHD has adapted and implemented guidance and recommendations from Centers for Disease Control and Prevention, Office of National Coordinator for Health Information Technology and others.

May 24, 2017

Streamling Syndromic Surveillance Submission on a Dime: Oregon’s Experience

In 2012, the Oregon Public Health Division (OPHD) took advantage of the opportunity created by Meaningful Use, a Centers for Medicare & Medicaid Services (CMS) Incentive Program, to implement statewide syndromic surveillance. The Oregon syndromic surveillance project, or Oregon ESSENCE, began accepting MUcompliant HL7 2.5.1 data in late 2013. Early onboarding efforts were labor-intensive and led to the creation of a testing queue.

August 10, 2017

HL7 Version 2.5.1 PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care and Inpatient Settings, Release 2.0, NIST Clarifications and Validation Guidelines, Version 1.5 (July 2016)

This document lists conformance testing issues and associated policies derived by NIST, in collaboration with the CDC, based on a review of the HL7 Version 2.5.1 PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0, April 21, 2015, and Erratum to the CDC PHIN 2.0 Implementation Guide, August 20, 2015. The policies listed in this document are implemented in the NIST syndromic surveillance conformance test suite. 

March 21, 2017

Overview of "Measure 3 - Case Reporting" as part of Meaningful Use Stage 3

Presentation slides from April 10, 2016 Meaningful Use Community Call

 

October 31, 2017

Meaningful Use and Public Health Practice Community Call

In response to the Meaningful Use roundtable discussion at the 2011 ISDS Conference in Atlanta, Georgia, ISDS has established a monthly community conference call open to anyone interested in issues relating to Meaningful Use. The purpose of this call is to bring together various stakeholders with a vested interest in this field and spark collaborative efforts to share guidance, resources, and technical assistance.

October 31, 2017

Law, Policy, and Syndromic Disease Surveillance: A Multi-Site Case Study

SyS systems have great potential to prevent morbidity, injury, and mortality by monitoring population health and providing realtime data to inform public health department decisions. Electronic health information technology and federal, state and local incentives and investments have helped to facilitate their rapid and widespread implementation. As a result, SyS systems operate in the context of laws and regulations that determine their success. An understanding of the effects of this legal environment is crucial to insuring that SyS systems fulfill their potential.

October 13, 2017

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This Knowledge Repository is made possible through the activities of the Centers for Disease Control and Prevention Cooperative Agreement/Grant #1 NU500E000098-01, National Surveillance Program Community of Practice (NSSP-CoP): Strengthening Health Surveillance Capabilities Nationwide, which is in the interest of public health.

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