1. Collaborative Syndromic Surveillance by the Mississippi Department of Health and the University of Mississippi Medical Center K. Mills McNeill, MD, PhD State Epidemiologist Brian W. Amy, MD, MHA, MPH State Health Officer Mississippi Department of Health 570 East Woodrow Wilson Jackson, MS 39216

2. Why Syndromic Surveillance? The threat of terrorism has changed the environment in which surveillance systems must operate.The threat of terrorism has changed the environment in which surveillance systems must operate. Passive disease reporting is not enough.Passive disease reporting is not enough. Active disease detection must operate on an around-the-clock basis.Active disease detection must operate on an around-the-clock basis. Rapid response to terrorism events is required.Rapid response to terrorism events is required.

3. Partnerships Now Required Departments of health must partner with private and academic medical communities.Departments of health must partner with private and academic medical communities. The Mississippi Department of Health (MDH) is partnering with the University of Mississippi Medical Center (UMMC) to deploy a new, hospital-based, electronic surveillance technology.The Mississippi Department of Health (MDH) is partnering with the University of Mississippi Medical Center (UMMC) to deploy a new, hospital-based, electronic surveillance technology. The system will detect both intentional events and naturally occurring emerging infectious diseases.The system will detect both intentional events and naturally occurring emerging infectious diseases.

4. Our Approach UMMC is the largest academic teaching center in Mississippi and receives a wide spectrum of patients from over the state.UMMC is the largest academic teaching center in Mississippi and receives a wide spectrum of patients from over the state. Using CDC PHP CA monies, MDH purchased a commercially-available, state- of-the-art, decision-support system with a strong public health surveillance capability for installation at UMMC.Using CDC PHP CA monies, MDH purchased a commercially-available, state- of-the-art, decision-support system with a strong public health surveillance capability for installation at UMMC. MDH is the first state health department to partner with an academic teaching center to install this system.MDH is the first state health department to partner with an academic teaching center to install this system.

5. Modules of the System Public Health Surveillance AssistantPublic Health Surveillance Assistant Antibiotic AssistantAntibiotic Assistant Adverse Drug Event AssistantAdverse Drug Event Assistant Pain Management AssistantPain Management Assistant Infection Control AssistantInfection Control Assistant

6. Infection Control Assistant Module Hospital-wide surveillance and reportingHospital-wide surveillance and reporting Continuous monitoring and analysis of patient data from multiple sources such as:Continuous monitoring and analysis of patient data from multiple sources such as: –Electronic patient record –Pharmacy –Laboratory –Radiology

7. Infection Control Assistant Module Notifiable disease alerts include:Notifiable disease alerts include: AnthraxPsittacosis BotulismQ fever BrucellosisSalmonellosis CholeraShigellosis GlandersSmallpox MelioidosisTularemia PlagueViral encephalitis VHF

8. Public Health Surveillance Assistant Module Provides real-time, event-based monitoring of HL7 dataProvides real-time, event-based monitoring of HL7 data Permits early recognition of unusual trends across patient populationsPermits early recognition of unusual trends across patient populations Uses indicators such as:Uses indicators such as: –Laboratory and radiographic findings –Hospital admissions –Early death after admission –Outpatient visit counts

9. Operational Timetable Installation began in January 2005Installation began in January 2005 System is scheduled to be fully operational in June 2005System is scheduled to be fully operational in June 2005

10. Summary Will detect intentional disease eventsWill detect intentional disease events Will detect naturally occurring emerging infectious diseasesWill detect naturally occurring emerging infectious diseases Future expansion to other Mississippi hospitals will be consideredFuture expansion to other Mississippi hospitals will be considered