National Electronic Disease Surveillance System (NEDSS) - The Journey for Pennsylvania

Health Informatics New Zealand - www.hinz.org.nz National Electronic Disease Surveillance System (NEDSS) The Journey for Pennsylvania March, 2006 Pennsylvania and PA-NEDSS Pennsylvania National Electronic Disease Surveillance System (PA-NEDSS) is an online, public health disease reporting, and case management system for the Pennsylvania Department of Health (DOH). – Replaces card and form-based reporting methods – Consolidates systems from multiple program areas into one system • Tuberculosis (TIMS) • Sexually Transmitted Diseases (STD*MIS) • Infectious Diseases (PETSS) • Lead (STELLAR) • HIV/AIDS (started in Dec 2005, HARS) 1 1

Health Informatics New Zealand - www.hinz.org.nz Objectives and Benefits • Improve the systematic collection, • Improved Data Integrity analysis, interpretation, and • Message Privacy dissemination of data pertaining to • Information Access health-related events through a Restriction patient-centric system • Faster Intervention • Expedite public health action and assist with program planning and • Centralized Reporting evaluation • Ready Access to • Facilitate mandated disease reporting, Information clinical case management, outbreak • Accurate Information tracking, health alert communications, Sharing and CDC reporting • Future extension into • Provide analytical tools for public Emergency Response health staff Centres Aligned with Public Health Conceptual Data Model developed by the CDC, and in conformance with Pennsylvania’s vision 2 PA-NEDSS Core Components • Disease Reporting and Surveillance – Reports – Investigations – Case Management • Electronic Laboratory Reporting (ELR) – Health Level 7 (HL7) messaging – Message receipt, distribution, and consumption • Analysis & Reporting (A&R) – Business Intelligence – Information Visualization 3 2

Health Informatics New Zealand - www.hinz.org.nz PA-NEDSS – The Patient-Centric Solution TB Report 06/09/2004 Unique Patient ID TB Report ID 345 TB Report 02/04/2002 08/29/2004 •Multiple Disease Reports ID 213 ID 669 TB Investigation ID 4876 Hep C •Multiple Investigations Report 05/06/2002 Across Program Areas – Syphilis Report ID 093 Including Multiple 04/21/2004 Patient ID Hep C Investigations for ID 389 525600 Report Separate Onset of the 06/12/2002 Syphilis Hepatitis C ID 101 Same condition Investigation Investigation ID 2909 ID 5312 Hep C •Associated with Multiple Syphilis Report Report 07/20/2002 Outbreaks Hep C 04/21/2004 ID 107 Report ID 392 07/22/2002 •Address History can ID 130 Show Multiple Environmental Investigations Reports Inspections 4 PA-NEDSS - The System • End-users: – approximately 2,000 disease reporters sharing data – with 559 public health investigators – across 4 program areas, 4 DOH Bureaus – for 60+ reportable conditions • Web-based Environment: – Patient-centric database – Microsoft Windows 98+, Internet Explorer, HTML/DHTML, and JavaScript, Visual Basic V6, and Oracle 9i Enterprise Database – Digital Certificates utilized for system security • By the numbers (as of August 26, 2005) – Disease reports (distinct): over 591,000 – Investigations (distinct): over 476,000 5 3

Health Informatics New Zealand - www.hinz.org.nz Benefits Realized • Rapid outbreak identification, monitoring, and containment due to electronic disease reporting: – Pittsburgh Hepatitis A, November 2003 – Over 10,000 vaccinations, 656 infections, 4 deaths – Salmonella Outbreak contained in 2004 • Provides data to facilitate executive level decision- making processes and resource allocation decisions • Electronic data and workload sharing across jurisdictional lines due to patient relocations or cross-jurisdictional outbreak management • Incorporation of new conditions and/or revised data- collection questions 6 Thank You Contact Information: Thorsten Engel tengel@deloitte.com 4

Health Informatics New Zealand - www.hinz.org.nz Deloitte as a Global Professional Services Firm Deloitte offers a full range of Consulting Services: – Strategy & Operations – Enterprise Risk Services – Organisational Performance – Technology Integration – Human Capital – Enterprise Application – Financial Advisory – Outsourcing Europe 297 offices in 47 countries North America 131 offices in 2 countries Middle East 29 offices in 16 countries Asia Pacific Africa 113 offices in 26 countries 46 offices in 21 countries LACRO (Latin America and Caribbean) 69 offices in 28 countries 8 5

National Electronic Disease Surveillance System (NEDSS) - The Journey for Pennsylvania

by Health Informatics New Zealand on Apr 04, 2010

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