1. Hospital Flu Surveillance A Collaborative Effort to Protect the Communities We Serve

2. Objectives To describe how Hospital Flu Surveillance data is used by the Division of Public Health To describe the results of the Pilot Project, involving 6 hospitals To determine which options your hospital can use for Hospital Flu Surveillance reporting

3. Hospital Flu Surveillance Is… identifying the number of patients at your hospital with Influenza-Like-Illness (ILI) –admitted to your hospital –admitted to your ICU (if you have ICU services) –seen as an outpatient in your Emergency Department reported to the Division of Public Health daily through WI Trac

4. Why? Hospital data is the best severity indicator for H1N1 presently available

5. Admission Chief Complaint Data will be based on the “admission chief compliant” –admission data is necessary because inpatient discharge data will be “old” data Chief Complaint is based on a patient presenting with 2 or more of the following: –fever –cough –headache or malaise

6. Diagnosis Diagnosis There is no need to correct the data you submitted if –it is determined that that a patient has ILI after admission –a patient is discovered to have strep, pneumonia, Lyme's disease, etc and was originally reported as an ILI patient

7. Goal The goal is to have as many hospitals in the state participate in this project –Minimally, representation from hospitals within each of the 7 Hospital Preparedness Regions is needed There will be multiple reporting models to meet the various data acquisition capabilities of hospitals –manual extraction of data –IT reports

8. Time-Frame The goal is to be able to start reporting on September 1, 2009 H1N1 is still prevalent in the state; schools begin on or around September 1, 2009 –children are especially susceptible to H1N1 –schools will once again put children in close contact with one another

9. How Does Reporting Work?

10. Procedures Determine who will do daily reporting –This is usually the Infection Control Practitioner (ICP) This person will be assigned a specific WI Trac role and log-in: “ILI Reporter” –the daily alert only goes to this one person at the hospital –there should be persons to back-up the ILI Reporter on week-ends and during time-off

11. Procedures The ILI Reporter should give their log-in and password to their back-ups The alert is sent daily at 8 AM to collect data for the previous day The ILI Reporter can be reminded of the alert by text message or pager, if so desired Once WI Trac is opened, a pop up box with a list of questions will appear

12. Procedures The ILI Reporter enters the data for the various questions The ILI Reporter enters the password and then clicks on “Acknowledge” The ILI Reporter has until 3 PM each day to enter the data –If the deadline is missed, then the data for that day cannot be entered

13. Data Requested The data requested is for the previous calendar day (midnight to midnight) See Attachment A: Data Fields –ILI inpatient admissions to the hospital –ILI inpatient admissions to the ICU –ILI patients seen in the ED –ILI patients deaths –Free text question Each of these is broken down by the CDC age categories (age is especially important for tracking H1N1)

14. Results of the Pilot Test Aurora BayCare –Anne Reeths Bellin Hospital –Anne Hughson Beloit Hospital –Barb Kuska

15. Results of the Pilot Test Gundersen Lutheran Medical Center –Marilyn Michels St. Mary’s Hospital –Ellen Smith Theda Care –Linda Armbruster

16. Options It is recognized that not every hospital may be able to report everything on a daily basis

17. Options The greater the number of hospitals reporting, the better –a representative sample for each of the 7 Hospital Preparedness Regions is a minimum to get good information Daily reporting is desired, but week-day only reporting by some is OK Reporting all data fields is desired, but aggregate reporting by some is OK

18. Reports to Hospitals Reports will be available to hospitals at least weekly through the Division of Public Health Daily Situation Report Data is CONFIDENTIAL –No individual hospital data will be released –Reports will be in the aggregate only, by state and by region

19. Next Steps Hospital Flu Surveillance will be introduced to hospitals through a teleconference (repeated twice) on –Tuesday, August 4 at 1 PM –Wednesday, August 12 at 1 PM Complete the Participation Worksheet (Attachment B) either on-line or send electronically by email

20. Next Steps Please complete the Worksheet, even if at this time your hospital cannot participate Participants then will receive –The ILI Reporter login –An Instruction Sheet that provides detailed information on how to submit data “Live Links” can be found at www.pandemic.wisconsin.gov under Healthcare Providers www.pandemic.wisconsin.gov

21. Next Steps Participating hospitals will have an opportunity to “test” their data collection process and “test” system the week of August 17, 2009 Optional: Participating hospitals may join a teleconference to discuss any issues on Tuesday, August 26, 2009 at 1:00 PM Hospital Flu Surveillance will begin on Tuesday, September 1,2009

22. Comments Questions Discussion

23. Contact Information Debra Van Matre 414-777-5094 dvanmatr@fmlh.edu Dennis Tomczyk 608-266-3128dennis.tomczyk@dhs.wisconsin.gov