Syndromic Surveillance Update: the changing landscape and how it affects ectsyou.

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1 Syndromic Surveillance Update: the changing landscape and how it affects ectsyou. Megan T. Patel, MPH Cook County Department of Public Health June 8 th, 2010

2 Outline Current Status of ESSENCE What is BioSense 2.0? Meaningful Use & IDPH Initiatives Future of Syndromic Surveillance

3 ESSENCE Refresher Electronic Surveillance System for the Early Notification of Community-based Epidemics Developed by John s Hopkins Applied Physic s Laboratory Syndromic surveillance system based on emergency department chief complaint data

4 Status of ESSENCE In operation in Cook County since participating hospitals Coverage spanning 11 health jurisdictions Captures over 5,000 ED visits per day

5 ESSENCE Coverage

6 ESSENCE Coverage

7 ESSENCE in the Cloud Pilot site for the NATO Summit Cloud-based Newest version of ESSENCE Enhancements include: myessence dashboards d Ease of sharing queries and dashboards New mapping feature Streamlined and fast

8 myessence Dashboard Feature

9 myessence Dashboard Feature

10 myessence Dashboard Feature

11 BioSense Enhancements to the national syndromic y surveillance system BioSense 1.0

12 BioSense

13 BioSense Epi Info 7

14 BioSense Positives: National visualization i of syndromic surveillance data Provides a free service to public health agencies for data storage and handling Negatives: Visualization tools are currently not up to public health needs Data views are only available at an aggregate level (no data details) Smallest level of viewing is at the county level (no hospital- based views or zip code based views) Does not allow free text queries Additional analysis tools require programming knowledge and time

15 Meaningful Use (MU) Goals: 1.Improve healthcare quality, safety, efficiency, and reduce health disparities 2.Engage patients and families in their own health care 3.Improve care coordination 4.Improve population and public health*** 5.Ensure adequate privacy and security protections for personal health information

16 Meaningful Use (MU) Stages

17 MU Stage 1 Public Health MU Objectives (Only need to select 1) Immunization Records 1 test of submission to state immunization registry (unless no registries are capable) with continued submission if successful Use HL7 v2.5.1 specifications but will accept v Reportable Laboratory Records 1 test of submission to public health (unless no public health agency is capable) with continued submission if successful Follows HL7 v2.5.1 specifications Implementation guide in development and will be available in Summer Includes LOINC v2.27 codes. Includes SNOMED codes Syndromic Surveillance 1 test of submission to public health (unless no public health agency is capable) with continued submission if successful HL or HL ; 251 Implementation tti guide available ilbl not required for stage 1.

18 MU Stage 2 (Proposed) 2014 All three Public Health measures moved from being optional to being required Successful ongoing transmission of immunization data Successful ongoing transmission of reportable lb laboratory dt data Successful ongoing transmission of syndromic surveillance data Implementation guide will be required

19 MU & Syndromic Surveillance Question: My hospital sends data to ESSENCE, does this complete the MU requirement for syndromic surveillance? Answer: NO

20 Comparison of CCDPH s ESSENCE System with MU Requirements MU HL7 file format 30 data elements required CCDPH ESSENCE Flat file format 11 data elements collected Our current ESSENCE system will not accept HL7 files Current data-sharing agreements do not cover additional data elements required by MU

21 IDPH Initiative IDPH is accepting syndromic surveillance data for MU IDPH will allow non-hl7 formatted files IDPH Message Submission Guide IDPH was certified to reformat files to HL7 file format IDPH has a team ready to help with this process Implementation of Data Sharing Agreements Transmission of data to the Public Health Node Contact: Mike Jdl Jadala (mike.jadala@illinois.gov) ll

22 Future of Syndromic Surveillance Transition from a county-supported, regional system to a statewide system Multi-stage g process over multiple years Will initially involve sending files to two locations Transition to cloud-based technology ESSENCE in the Cloud BioSense 2.0

23 Current Data Transmission Local Instance of ESSENCE Temperature Cloud Instance of ESSENCE BioSense 2.0 Local Locker

24 Future Data Transmission Stage 1 Local Instance of ESSENCE Temperature IDPH Public Health Node Cloud Instance of ESSENCE BioSense 2.0 Local Locker

25 Future Data Transmission Stage 2 Local Instance of ESSENCE Temperature IDPH Public Health Node Cloud Instance of ESSENCE BioSense 2.0 Local Locker

26 Future Data Transmission Stage 3 Temperature IDPH Public Health Node Cloud Instance of ESSENCE BioSense 2.0 Local Locker

27 Summary Syndromic surveillance is in a state of transition.. CCDPH will continue its support for ESSENCE during the transition to BioSense. We encourage you to participate in the IDPH initiative iti and continue to report to the CCDPH system as the transition occurs. Questions: mtoth@cookcountyhhs.org

MEANINGFUL USE CRITERIA PHYSICIANS

MEANINGFUL USE CRITERIA PHYSICIANS The first list is of the 25 Stage 1 Meaningful Use criteria for eligible providers (EP) and comes from the proposed rule: "Medicare and Medicaid Programs; Electronic