1. Healthy Kansans living in safe and sustainable environments.

2. Susan Dickman, MSIT KS-EDSS Coordinator Kansas Dept of Health and Environment Bureau of Epidemiology & Public Health Informatics sdickman@kdheks.gov Healthy Kansans living in safe and sustainable environments.

3.  Necessary for targeting public health efforts.  Cannot prevent and control diseases if:  We do not know which diseases are infecting people and  How often or where they are occurring.  Surveillance is the:  On-going  Systematic collection  Analysis  Interpretation and distribution of health data to describe and monitor health events. Healthy Kansans living in safe and sustainable environments.

4.  What is a Performance Measure?  The specific representation of a capacity, process, or outcome deemed relevant to the assessment of performance. A performance measure is quantifiable and can be documented.  What is a Quality Indicator?  It is an agreed-upon process or outcome measure used to determine the level of quality achieved. Healthy Kansans living in safe and sustainable environments.

5. Standard 1.2: Collect and maintain reliable, comparable, and valid data that provide information on conditions of public health importance and on the health status of the population. Standard 1.3: Analyze public health data to identify trends in health problems, environmental public health hazards, and social and economic risk that affect the public’s health. Standard 1.4: Provide and use the results of health data analysis to develop recommendations regarding public health policy, processes, programs or interventions. Standard 2.1.5 A: Monitor timely reporting of notifiable/reportable diseases, lab test results, and investigation results. Healthy Kansans living in safe and sustainable environments.

6.  Public Health Preparedness Capabilities  Capability 13  Function 1: Conduct public health surveillance and detection  Function 2: Conduct public health and epidemiological investigations  Function 3: Recommend, monitor, and analyze mitigation actions  Function 4: Improve public health surveillance and epidemiological investigation systems Healthy Kansans living in safe and sustainable environments.

7.  Performance quality  Timeliness indicators  Additional fields to be added to KS-EDSS  LHD Report Date  Case Creation Date  Investigation Start Date  Investigation Complete Date  Case Closed Date  Data quality  Quality Indicator Tracking

8.  Improve individual investigation data quality  Better data for use in future projects  Send more complete picture of disease in Kansas to CDC  Determine how we can make KS-EDSS more user friendly Healthy Kansans living in safe and sustainable environments.

9.  KS-EDSS in 2007  Four phases planned over 2+ years  Core infectious disease surveillance --> Fully integrated, modular system  Trouble  “Go live” five months late  Deadlines missed for key development milestones  Major functions never implemented  Vendor contract terminated July, 2009  The intervening years  October, 2010  Parts of TB-PAM inoperable Healthy Kansans living in safe and sustainable environments.

11.  System not user friendly  Continued in-house development, maintenance expensive  Still don’t have full functionality required by original project design  TB PAM continues to “limp along”  Questionable long-term sustainability

12. Healthy Kansans living in safe and sustainable environments.

13. KS-EDSSTriSano  COTS  Hepatitis B perinatal not included in system  No ad-hoc forms  Limited case management  No contact tracing  ELR difficult to implement  No task/workflow  Limited data export  Limited reports  MOTS  Hep B perinatal included  Form Builder – ad hoc forms  Robust case management  Contact tracing & elevation  ELR 2.5.1 ready  Built in task and workflow  Data warehouse (AVR) Healthy Kansans living in safe and sustainable environments.

14. KS-EDSSTriSano  Supplemental forms incorporated in core system  TB not a separate module – incorporated into core system  Form Builder – fix fields  AVR allows for much more complete data analysis and less error Healthy Kansans living in safe and sustainable environments.  Supplemental form errors  Issues with data not saving  TB PAM screen not functioning  Losing case because address change  Font small, difficult to read  Misspelling in fields  Report errors

15. Healthy Kansans living in safe and sustainable environments.  Smart Search used to find individuals already in system  Demographic, clinical, laboratory, epidemiological and investigation data included  Contacts can be added  Notes and Tasks can be added, including repeating tasks  Files can be attached  Copying a case – either shallow or deep  Routing to a queue or individual investigator  Repeat encounters  Print, export or delete  Core Customizer to tailor  Form Builder for extensions

16. www.kdheks.gov Healthy Kansans living in safe and sustainable environments.