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

PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0, Erratum (August 2015)

This addendum consolidates the Centers for Disease Control and Prevention’s (CDC’s) PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings (Release 2.0) (PHIN MG) information and clarifies existing conformance requirements. Conformance statements and conditional predicates that clarify message requirements are presented below. Value set requirements, general clarifications, and PHIN MG errata are also provided in this addendum. 

March 21, 2017

PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April 2015)

This document represents the collaborative effort of the International Society for Disease Surveillance (ISDS), the Centers for Disease Control and Prevention (CDC), and National Institute of Standards and Technology (NIST) to specify a national electronic messaging standard that enables disparate healthcare applications to submit or transmit administrative and clinical data for public health surveillance and response.

This Guide provides:

March 21, 2017

Notes on MU Stage 3 NPRM Informatics

Notes on Meaningful Use stage 3 Notice of Public Rule Making, provided by Bryant Thomas Karras

October 25, 2017

Eligible Hospital (EH) Onboarding Approach for the Meaningful Use (MU) Incentive Program

From the BioSense 2.0 Onboarding Workgroup meeting, February 4, 2015

Presenter

Promise Nkwocha, MSc. RHCE, New York City Department of Health and Mental Hygiene

March 15, 2017

NYC Onboarding Presentation

This NYC DOHMH presentation details the process for onboarding data into BioSense for the NYC hospitals for certification.

October 25, 2017

Comparison between HL7 and Legacy Syndromic Surveillance Data in New York City

Data from the Emergency Departments (EDs) of 49 hospitals in New York City (NYC) is sent to the Department of Health and Mental Hygiene (DOHMH) daily as part of the syndromic surveillance system. Currently, thirty-four of the EDs transmit data as flat files. As part of the Center for Medicare and Medicaid Services Electronic Health Record Incentive Program, otherwise known as Meaningful Use, many EDs in our system have switched or are in the process of switching to HL7 Messaging Standard Version 2.5.1.

October 02, 2017

Electronic Health Records and Environmental Public Health Tracking

The Environmental Public Health Tracking Network (Tracking Network) is a national surveillance system that integrates environmental hazard, exposure, and health outcome data into one system. The Tracking Network launched in July 2009, and has since been receiving data from 23 funded state and local health departments, and several national partners, e.g., Environmental Protection Agency. Despite this success, some challenges exist in obtaining more timely and complete data to link risk factors, and assign exposure for health outcomes with long latency periods before their detection.

October 05, 2017

Leveraging the Master Patient Index in Public Health Surveillance through Collaboration between Illinois Department of Public Health and the Illinois Health Information Exchange

Meaningful Use (MU) Stage 2 public health reporting for Eligible Professionals (EPs) included a menu option for ambulatory syndromic surveillance. Review of currently existing models lead to a collaboration between the Illinois Health Information Exchange (ILHIE) and IDPH to build services that would support the use of the MPI, a database that can uniquely match records across systems.

November 02, 2017

A Meaningful Journey to Onboard Syndromic Data through a Local HIE

The federal meaningful use initiative is a major driver to the establishment of expanded electronic syndromic surveillance capacity across the United States. Much has been documented about the background and requirements for eligible hospitals to achieve the syndromic meaningful use objectives. However, the role and efforts by public health agencies in the syndromic onboarding process, which varies by jurisdiction, is a significant component of the success of meaningful use. 

Objective

October 18, 2017

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INTERNATIONAL SOCIETY FOR
DISEASE SURVEILLANCE

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Email:syndromic@syndromic.org

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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