patient portal, syndromic surveillance and clinical reasearch

by Mr. Raymond Schamberger III 8 min read

Overview of Syndromic Surveillance What is Syndromic ...

35 hours ago PHA to submit syndromic surveillance data from an urgent care setting. • The EHR reporting period in 2019 for new and returning participants attesting to CMS is a minimum of any continuous 90-day period within the calendar year. • Eligible hospitals and CAHs are required to report on any two measures of the eligible hospital or CAHs choice. >> Go To The Portal


What is syndromic surveillance?

PHA to submit syndromic surveillance data from an urgent care setting. • The EHR reporting period in 2019 for new and returning participants attesting to CMS is a minimum of any continuous 90-day period within the calendar year. • Eligible hospitals and CAHs are required to report on any two measures of the eligible hospital or CAHs choice.

What are the three syndromic surveillance systems in Texas?

Apr 04, 2013 · Historically, syndromic surveillance has primarily involved the use of near real-time data sent from hospital emergency department (EDs) and urgent care (UC) clinics to public health agencies. The use of data from inpatient and ambulatory settings is now gaining interest and support throughout the United States, largely as a result of the Stage 2 and 3 Meaningful Use …

What are the key factors underpinning real-time syndromic surveillance systems?

NATIONAL SYNDROMIC SURVEILLANCE PROGRAM By the Numbers • More than 6,000 health care facilities covering 49 states and the District of Columbia contribute emergency department data to the BioSense Platform daily. • Within 24 hours of patient visits, data are available for analysis. • Currently, 71% of the nation’s emergency

How can we improve the accuracy of syndromic surveillance?

Apr 12, 2021 · As of October 2019, there are three syndromic surveillance systems in Texas: the North Texas Syndromic Surveillance System (NTXSS) hosted by Tarrant County Public Health covering PHR 2/3, a system hosted by Houston Health Department covering PHR 6/5S, and the TxS2 system. NTXSS is fully incorporated into TxS2, and the Houston Health Department ...

What is a syndromic surveillance system?

Syndromic surveillance refers to methods relying on detection of individual and population health indicators that are discernible before confirmed diagnoses are made.

Is COVID-19 a syndromic surveillance?

The National Syndromic Surveillance Program (NSSP) is supporting the nation's response to the COVID-19 outbreak through its partnerships with state and local health departments.

What is the BioSense program?

The BioSense program is a public health surveillance system that increases the ability of health officials at local state and national levels to efficiently rapidly and collaboratively health officials at local, state, and national levels to efficiently, rapidly, and collaboratively monitor and respond to harmful ...

What is syndromic surveillance for meaningful use?

Syndromic surveillance is defined as public health surveillance emphasizing the use of timely pre-diagnostic data and statistical tools to detect and characterize unusual activity for further public health investigation.Jul 28, 2010

Why is Covid surveillance important?

The goal is to protect Americans from infectious diseases and other health threats. Case surveillance is especially important for new diseases, such as COVID-19. The information collected helps identify similarities and differences among cases.

Is BioSense program a cloud-based?

BioSense Platform is a nationwide reporting system used for state and federal data reporting and surveillance. The purpose of this system is to: ▪ Establish and maintain a nationwide, shared, cloud-based system for reporting and follow-up for syndromic surveillance data.

What are types of surveillance?

Different surveillance methodsElectronic surveillance – Electronic surveillance equipment is often the most used tool during an investigation. ... Interviews – Interviews are far less common, but they can serve a purpose in certain investigations. ... Observation – You can gather a lot of information just by observing someone.More items...•Jan 15, 2020

Is syndromic surveillance active or passive?

Syndromic surveillance: an active or passive system that uses case definitions that are based entirely on clinical features without any clinical or laboratory diagnosis (for example, collecting the number of cases of diarrhea rather than cases of cholera, or "rash illness" rather than measles).

What is syndromic diagnosis?

Syndromic diagnosis of STIs is based on the identification of a group of symptoms and signs that characterize a clinical condition [7. World Health Organization, Sexually Transmitted and Other Reproductive Tract Infections: A Guide to essential practice, WHO, Geneva, Switzerland, 2005.

What other conditions that are monitored as part of syndromic surveillance?

Syndromic surveillance serves as an early alert for health events by tracking symptoms such as respiratory distress, fever, and vomiting—before a diagnosis is confirmed. Emergency departments and other sources [PDF – 1.3 MB] send this information as electronic messages to public health agencies.

What are the 5 steps of surveillance?

Steps in establishing and maintaining surveillance system Establish Goals Develop Case definitions Select appropriate personnel Acquire tools and clearances for collection , analysis and dissemination Implement surveillance system Evaluate surveillance activities 6.

What is NSSP in healthcare?

NSSP is a collaboration among CDC, federal partners, local and state health departments, and academic and private sector partners who have formed a community of practice. They collect, analyze, and share electronic patient encounter data received from emergency departments, urgent and ambulatory care centers, inpatient healthcare settings, and laboratories.

What is timely system?

timely system for detecting, understanding, and monitoring health events. By tracking symptoms of patients in emergency departments—before a diagnosis is confirmed—public health can detect unusual levels of illness to determine whether a response is warranted.

What is the purpose of syndromic surveillance?

The purpose of syndromic surveillance is to protect the health of the community through public health interventions based on enhanced surveillance of emerging public health conditions and consolidation of health-related data statewide.

What is DSHS surveillance?

DSHS is reviewing syndromic surveillance use cases for both day-to-day, routine surveillance and for unexpected events such as hurricanes or transmission of Zika virus to provide standard and suggested data queries. Additional information is posted here when it is available.

What is TxS2 project?

TxS2 is a collaborative effort and we depend on our public health partners for success of the project. Therefore, we coordinate with LHDs through the DSHS PHRs and coordinate with data providers through the LHDs and DSHS PHRs.

Is TXS2 a secure system?

Data in the TxS2 system are shared , accessed, used, and stored in a secure, confidential manner in compliance with all applicable federal and state laws governing the protection of health- related information. Policies and procedures for accessing and using TxS2 data are posted here as they are available.

What is syndromic surveillance?

Syndromic surveillance is the near real-time collection, analysis, interpretation and dissemination of health-related data in order to enable the early identification of the impact (or absence of impact) of potential health threats that may require public health action (1). Although a relatively new field in comparison to more established methods of surveillance (such as using laboratory reports), syndromic surveillance is growing in stature internationally as it becomes recognized as an innovative approach to public health surveillance. The advantages that syndromic surveillance brings to the identification and investigation of public health threats, including those relevant to health emergency and disaster risk management (Health EDRM), include early warning, situational analysis, reassurance and flexibility.

Why is syndromic surveillance important?

During mass gatherings and other similar events, syndromic surveillance can often provide reassurance that there have been no widespread acute public health problems, particularly where surveillance is long term and a ‘normal’ or historical baseline level has been established prior to the event.

What is primary care surveillance?

Primary care surveillance is often considered a gold standard for assessing community morbidity. Syndromes are usually constructed using clinical diagnoses as recorded by the treating physician at the time of the consultation.

What is telehealth surveillance?

Telehealth surveillance can provide access to populations not captured through ED or primary care surveillance, such as those who are less ill and require advice, rather than urgent care. Traditionally considered to provide early warning over other systems, the syndromes used are based on patient reported symptoms and may have the lowest specificity.

Where possible, links to the location of the patient (either area of residence or place of healthcare consultation) can be

Where possible, links to the location of the patient (either area of residence or place of healthcare consultation) can be used to identify clusters or map the spread of activity.

How does mass gathering affect health?

Specifically, the increased risk from infectious diseases includes importation, exposure of visitors to endemic diseases in the host country and increased disease transmission across large populations gathered in one location. Surveillance during mass gatherings is needed to identify and quantify any impact (or reassure that there is an absence of impact) on public health in a timely manner. Subsequently, research on specific areas following an event can inform priorities for healthcare providers and public health organizations at future events.

Abstract

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Innovative electronic surveillance systems are being developed to improve early detection of outbreaks attributable to biologic terrorism or other causes. A review of the rationale, goals, definitions, and realistic expectations for these surveillance systems is a crucial first step toward establishing a framework for further researc…
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Introduction

  • The desire to expand and improve upon traditional methods of public health surveillance is not new. Even before the 2001 terrorist attacks on the United States and the subsequent anthrax outbreak, public health officials had begun to enhance detection of emerging infections and illnesses caused by biologic agents. A primary objective of a 1998 CDC plan was to develop pro…
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Analytic Methods For Signal Detection

  • The analytic challenge in using syndromic surveillance for outbreak detection is to identify a signal corresponding to an outbreak or cluster amid substantial "background noise" in the data. Syndromic surveillance systems use an array of aberration-detection methods to identify increases in syndromes above predetermined thresholds. However, signal-detection methods ha…
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Response Protocols

  • Response protocols for investigating syndromic surveillance alerts are under development by multiple programs. Obstacles to effective, efficient follow-up include the difficulty of predicting how well the syndromes themselves correlate with target diseases under surveillance; the extremely low positive predictive value of any given signal based on the high level of system sen…
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Perspectives and Challenges

  • Distinguishing those points on which multiple investigators agree from those that are less well-delineated might be helpful in defining realistic expectations for syndromic surveillance. Investigators usually agree on the following: 1. Syndromic surveillance is being used in numerous states and localities to detect a potential large-scale biologic attack. 2. Pre-existing electronic h…
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References

  1. CDC. Preventing emerging infectious diseases: a strategy for the 21st century. Atlanta, GA: US Department of Health and Human Services, 1998. Available at http://www.cdc.gov/ncidod/emergplan/index....
  2. CDC. Biological and chemical terrorism: strategic plan for preparedness and response: recommendations of the CDC strategic planning workgroup. MMWR 2000;49(No. RR-4):1--14.
  1. CDC. Preventing emerging infectious diseases: a strategy for the 21st century. Atlanta, GA: US Department of Health and Human Services, 1998. Available at http://www.cdc.gov/ncidod/emergplan/index....
  2. CDC. Biological and chemical terrorism: strategic plan for preparedness and response: recommendations of the CDC strategic planning workgroup. MMWR 2000;49(No. RR-4):1--14.
  3. CDC. Update: investigation of anthrax associated with intentional exposure and interim public health guidelines, October 2001. MMWR 2001;50:889--93.
  4. Henning KJ. Syndromic surveillance. In: Smolinski MS, Hamburg MA, Lederberg J (eds.). Microbial threats to health: emergence, detection, and response. Washington, DC: National Academies Press, 2003...