Kentucky Community Surveillance N Brennan OBanion MPH Kentucky

Kentucky Community Surveillance N. Brennan O’Banion, MPH Kentucky Department for Public Health

Person (Detail)

Epid 200 n Demographic data Name n Address n County of residence n Disease information n Reporting agency n Laboratory information n

Place

Time

Agreement Structure BAA SOW Hospital(s) Participation Local PHD Emergint License Service KHA Guidance and Support KDPH

Site Specific Agreement Structure KDPH MOA KHREF/KHA BAA Norton n tio t a ip en tr ic em Pa gre A Participation Agreement Emergint BAA Baptist East n io at nt cip e rti em Pa gre A License Agreement Installation & Maintenance BAA Hosting Agreement Jewish and St. Mary’s Peak 10 KDPH Louisville Metro HD

Architecture, 10 Kft level Hospital Interface Engine Local PHD Web Modules ID Request Capture and Filter PHINMS Limited Data Mail Server Analysis Engine Authenticate Limited Data Persist Aler t Investigator

Architecture, 100 ft level

Kentucky NEDSS MSS

Impression from an ICP July 29, 2008 n n n The nearly passive nature of the system is extremely user friendly and requires very little transition time. The amount of Infection Control department time involved in disease reporting has been cut drastically. (I would estimate by at least 50 - 75%). This becomes significant in that we report approximately 4 -12 cases on a normal day. Any time diverted from clerical tasks in this office is ultimately shifted to a variety of infection prevention activities (e. g. education of staff, committee involvement) that were impossible in the past. Since the local health department receives an initial notification at the same time as the IC department, the timeliness or reporting worry is eliminated. Trends are immediately apparent at both locations, with the fine details (i. e. name, demographics, treatment info) following not far behind. Notification that was previously hours to days is now minutes. The weakness of the system is that only a limited number of infectious diseases are currently included. This requires us to maintain two reporting systems. I am happy to discuss my observations or experiences at any time.

Pretermitting pertussis The data specified test code 6250034, result value “POSITIVE”, abnormal status flag “A”, and result status flag “F” n The subscription specifies test code 6250034 (good), result value containing “POS” (good), and result value containing “final report” (no match) n

Kentucky ELR reporting and Clinical Message Surveillance - 2009 LOCAL Louisville Metro STATE NATIONAL Reference Labs Northern Kentucky KDPH Lexington-Fayette CDC

Special Thanks n n n n n Northern Kentucky Independent District Health Department Saint Elizabeth Medical Center Louisville Metro Department of Health and Wellness Norton Healthcare Baptist Healthcare Jewish Hospital and St. Mary’s Healthcare Kentucky Hospital Association Emergent Technologies Inc. NEDSS MSS implementation and support team Cabinet for Health and Family Services Office of Information Technology