The document discusses eNotification of reportable conditions to medical officers of health. It outlines the need for a real-time eNotification system that can store clinical and risk information to support case assessment and prioritization. The system should provide acknowledgement and status updates to referrers, and allow 24/7 reporting with escalation for urgent cases. Next steps include field trips to learn from other countries' notification systems. Lessons from Canada include the need for consistent selection of reportable diseases and education on mandatory reporting requirements and benefits.

1. HINZ 2011 Clinicians Challenge
eNotification of legally reportable conditions
to Medical Officers of Health
Update to HINZ 2012
Corinne Gower

2. Diseases selected for eNotification with referral
trigger and key symptom

3. Business Need Solution Requirement
eNotification that meets triage Real/right time eNotification
criteria, supports case assessment Clinical and risk information and date of
and prioritisation symptoms stored for transmission in the
event of a positive test result.
Acknowledgement and clarity to Referral acknowledgement
referrers on actions public health will Referral status updates
undertake
Minimise delays in after hours case 24 x 7 system
reporting Escalation for urgent cases
Integrate EPISURV into eNotifcation Commitment by Ministry of Health and
process ESR to bring EPISURV into the solution

4. Common data set and standards

5. Next steps – Field trip to Denmark and
Medinfo 2013

6. Lessons from Canada
Inconsistent selection of notifiable diseases resulted in a piecemeal view
•Physicians had muddled understanding of the notion of mandatory reporting
and its benefits.
• Components of notification, requirement to report, which diseases,
and how or to whom to report.
• Assumption that someone else will report (eg. lab)
• Concerns regarding the effort required for reporting
• Insufficient compensation for doing so
• A view that no useful action is taken on notifications
•Poor accessibility and complexity of notification forms
•Lack of motivation secondary to poor feedback
•Perception that reporting these diseases is a useless endeavor