1. Printing: This poster is 48” wide by 36” high. It’s designed to be printed on a large-format printer. Customizing the Content: The placeholders in this poster are formatted for you. Type in the placeholders to add text, or click an icon to add a table, chart, SmartArt graphic, picture or multimedia file. To add or remove bullet points from text, click the Bullets button on the Home tab. If you need more placeholders for titles, content or body text, make a copy of what you need and drag it into place. PowerPoint’s Smart Guides will help you align it with everything else. Want to use your own pictures instead of ours? No problem! Just click a picture, press the Delete key, then click the icon to add your picture. NREVSS and ELR correlation for influenza test results, by laboratory, July 2010 to April 2016 Step 1 Retrieved influenza test results from Florida laboratories submitting to both ELR and NREVSS from July 2010 to April 2016 Step 2 Organized test results by Morbidity and Mortality (MMWR) week for three test parameters* using laboratory event date in ELR and laboratory submit date in NREVSS Step 3 Correlated NREVSS and ELR test results for each laboratory for each of the three test parameters Step 4 Used a Pearson’s rank t-test and a significance level of p ≤0.05 to determine validity of each test parameter by laboratory The Florida Department of Health (DOH) receives negative and positive influenza test results from Florida laboratories in two surveillance systems: The National Respiratory and Enteric Viral Surveillance System (NREVSS) maintained through the Centers for Disease Control and Prevention (CDC); long-standing and established program started in July 2010 Electronic laboratory reports (ELR) from participating laboratories in Florida; newly reported influenza test results as of July 2014; ELRs for influenza not previously reportable in Florida NREVSS influenza test result data used to validate influenza ELR data 15 5 4 1 ELR Benefits Data Sources NREVSS Limitations Data Sources Utilizing National Respiratory and Enteric Viral Surveillance System (NREVSS) Data to Validate Influenza Electronic Laboratory Reports (ELR) from Private Sector Laboratories Ellen Dugan, MPH; Heather Rubino, PhD; Janet Hamilton, MPH - Florida Department of Health, Division of Disease Control and Health Protection, Bureau of Epidemiology Background NREVSS influenza laboratory result data can be used to validate state ELR influenza laboratory result data. Validated ELR data for Florida laboratories can be used to replace NREVSS data received in Florida influenza laboratory surveillance. DOH can then submit higher quality data to NREVSS on behalf of these laboratories. Substituting NREVSS data with ELR data improves laboratory surveillance systems by building on existing ELR processes and by providing more timely, standardized, and complete data. *1) Number of influenza negative and positive test results (total tests) 2) Number of influenza positive test results 3) The percent of positive influenza test results Background Results Methods Conclusions Laboratory Name Total Tests Positive Tests Percent Positive Tests Number of Tests Correlated Laboratory 10.63 + 0.98 + 0.34 + 70 Laboratory 2 ++ 0.85 + 0.98 + 0124 Laboratory 3 ++ 0.81 + 0.94 + 050 Laboratory 4 ++ 0.7 + 0.94 + 097 Laboratory 5 ++ 0.640.06049 + Significance level of 0.04 to <.0001, Pearson’s rank t-test ++ Laboratories submitting only positive influenza test results through ELR Florida laboratories reporting influenza test results in both NREVSS and ELR Florida laboratories reporting positive and negative influenza test results in NREVSS and/or ELR, July 2010 to April 2016 15 NREVSS ELR Laboratories with significant correlations between NREVSS and ELR for at least 2 of the 3 test parameters* Laboratories submitting results in NREVSS and ELR for overlapping time periods Laboratory submitting both positive and negative test results, therefore deemed valid Laboratories submitting both positive and negative