1. Syndromic Surveillance Providing Kansas Information Our Mission: To protect and improve the health and environment of all Kansans.

2. Rapid Assessment Syndromic Surveillance has been used for early detection of outbreaks, to follow the size, spread and tempo of outbreaks, to monitor disease trends, and provide immediate analysis and feedback to investigate and follow up on potential outbreaks. - World Health Organization Our Mission: To protect and improve the health and environment of all Kansans.

3. Kansas Syndromic Surveillance 200120092011201220152016 American Recovery and Reinvestment Act KDHE Joins Biosense 2.0 Biosense Becomes NSSP KDHE Continues NSSP/KDHE Rollout ESSENCE Our Mission: To protect and improve the health and environment of all Kansans. Stage 1 Meaningful Use 9/11 Disaster

4. KDHE SyS Goals Onboard Hospitals >95% of ED Visits Facilitate surveillance with data – Electronic inquiry (ESSENCE) – Static Web-based Tracking Charts – Interactive Tracking Charts – Support surveillance of public health issues Provide ESSENCE tools to LHDs & Hospitals Provide summary data to LHDs Our Mission: To protect and improve the health and environment of all Kansans.

5. Essence Development Developed in 1999 – Department of Defense Originally designed for early detection of bioterrorism attacks Nationally supported – Johns Hopkins Accepts ED and urgent care Modules for poison control, mortality, and reportable diseases In use in Missouri, and many other states Our Mission: To protect and improve the health and environment of all Kansans.

6. ESSENCE Features Our Mission: To protect and improve the health and environment of all Kansans. ESSENCE groups ED chief complaints into ‘syndromes’ System evaluates if the number of visits is greater than expected Syndrome groups used are: botulism-like, fever, gastrointestinal, hemorrhagic illness, neurological, rash, respiratory, and shock/coma. ESSENCE can also be used for situational awareness during known health events by querying all ED visits for a particular syndrome or by keyword (such as carbon monoxide, animal bite, injury, etc.). Enables wide range of users to access the information

8. Onboarding Status Production MU2, AE3 Test MU2, AE2 Total Hospitals%VisitsHospitals%VisitsHospitals%Visits Direct2133.60%1732.36%3865.96% KHIN2312.05%4815.14%7127.19% ESSENCE00.00%22.16%2 Total4445.65%6749.66%11195.31% Our Mission: To protect and improve the health and environment of all Kansans.

9. Coverage by Region Our Mission: To protect and improve the health and environment of all Kansans.

10. Coverage by Region- North West Our Mission: To protect and improve the health and environment of all Kansans. North West Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 668.67%2.02% 1127.92%0.82% 1796.59%2.84% Total Possible 18100.00%2.94%

11. Coverage by Region- South West Our Mission: To protect and improve the health and environment of all Kansans. Southwest Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 36.25%0.29% 1362.20%2.93% 1668.44%3.23% Total Possible 18100.00%4.72%

12. Coverage by Region- North Central Our Mission: To protect and improve the health and environment of all Kansans. North Central Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 368.04%3.10% 822.56%1.03% 1190.61%4.12% Total Possible 13100.00%4.55%

13. Coverage by Region- South Central Our Mission: To protect and improve the health and environment of all Kansans. South Central Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 1653.67%16.09% 1444.42%13.32% 3098.08%29.41% Total Possible 33100.00%29.99%

14. Coverage by Region- North East Our Mission: To protect and improve the health and environment of all Kansans. North East Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 1059.97%11.99% 833.83%6.76% 1893.80%18.75% Total Possible 23100.00%19.99%

15. Coverage by Region- South East Our Mission: To protect and improve the health and environment of all Kansans. Southeast Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 446.63%2.91% 539.62%2.48% 986.26%5.39% Total Possible 13100.00%6.25%

16. Coverage by Region- Kansas City Our Mission: To protect and improve the health and environment of all Kansans. Kansas City Production Test Total Hospitals%Region%State Hospitals%Region%State Hospitals%Region%State Total Reporting 229.29%9.25% 870.71%22.32% 10100.00%31.57% Total Possible 10100.00%31.57%

17. Surveillance to date Extreme weather related injuries Heat-related, Cold related injuries ILI Season tracking Drug related morbidity Mass Gatherings Our Mission: To protect and improve the health and environment of all Kansans.

18. Cold-Related Injuries Our Mission: To protect and improve the health and environment of all Kansans.

19. Cold-Related Injuries - Motor Vehicle Accidents Our Mission: To protect and improve the health and environment of all Kansans.

20. Cold-Related Injuries - CO Poisoning-Related ED Visits Our Mission: To protect and improve the health and environment of all Kansans.

21. Cold-Related Injuries - Wrist Fracture-Related ED Visits Our Mission: To protect and improve the health and environment of all Kansans.

22. ILI Season Our Mission: To protect and improve the health and environment of all Kansans. ILI Trend Comparisons for Data Timeliness ILI Trend Comparisons at Weekly Deadlines

23. Mass Gatherings Our Mission: To protect and improve the health and environment of all Kansans.

24. Mass Gatherings Our Mission: To protect and improve the health and environment of all Kansans.

25. Mass Gatherings Our Mission: To protect and improve the health and environment of all Kansans. March 5 th Chief Complaint Text Word Cloud Words Unable to fit on page Injuri Nurs Head Eye Home

26. Mass Gatherings Our Mission: To protect and improve the health and environment of all Kansans. March 6 th Chief Complaint Text Word Cloud

27. Storms and Extreme Weather Wind-Related Injuries Tornado-Related Injuries Storm-Related Stress Our Mission: To protect and improve the health and environment of all Kansans.

28. Drug-Related Injuries Opioid-Related Drug Overdose Overdose by Prescription Drugs Prescription Drug Underdose Our Mission: To protect and improve the health and environment of all Kansans.

29. Questions Our Mission: To protect and improve the health and environment of all Kansans.

30. www.kdheks.gov

31. Notes http://health.mo.gov/data/essence/ https://books.google.com/books?id=5BdCfSxt NJMC&printsec=frontcover#v=onepage&q&f= false https://books.google.com/books?id=5BdCfSxt NJMC&printsec=frontcover#v=onepage&q&f= false http://www.cdc.gov/mmwr/preview/mmwrht ml/rr5305a1.htm??GAO http://www.cdc.gov/mmwr/preview/mmwrht ml/rr5305a1.htm??GAO https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/ downloads/MU_Stage1_ReqOverview.pdf https://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/ downloads/MU_Stage1_ReqOverview.pdf Our vision is 'healthy Kansans living in safe and sustainable environments'. The state belongs to all of us - "Kansas Don't Spoil It"