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2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Hawaii’s Use of EDRS for Public Health Surveillance Alvin.

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Presentation on theme: "2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Hawaii’s Use of EDRS for Public Health Surveillance Alvin."— Presentation transcript:

1 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Hawaii’s Use of EDRS for Public Health Surveillance Alvin T. Onaka, Ph.D. Hawaii Department of Health

2 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Acknowledgements Caryn Tottori Brian Pang Brian Horiuchi Leatrice Tsubota

3 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 100 Percent EDRS Participation January 1, 2006 Implementation All Mortuaries Statewide All Medical Examiners/Coroner Physicians

4 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 EDRS Presentation Booth – 2005 HMA Conference

5 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Kauai: Wilcox Hospital Training

6 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 EDRS Participation As of May 1, 2008 Top 12 Medical Certifiers in the State Highest Volume Physicians in Each County

7 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 50 or More Deaths

8 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Full vs. Partial Electronic Filing

9 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 2007 Deaths Kauai 475 1260 1029 6767 Oahu Maui Hawaii Molokai Lanai Total (9531)

10 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Mortuary enters info in EDR Certifier enters info in EDR Certifier enters info on paper Certifier or Mort. e- faxes info to HDOH Deaths due to Influenza/Pneumonia counted manually by DOH staff

11 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Automated Mortality Reporting Internet EDR Firewall User Interface & Direct Access DATA Official Death Certificate, Reports, Analysis.. ME’s Quincy System: XML transfer format: Secure Data port DMZ

12 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Influenza or Pneumonia Death Selection Super MICAR’s Spell Check CDC criteria for completing Weekly Report Listing of Cause of Death literals

13 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Both the weekly Mortality report and raw data file are always included in the email Automated Weekly Email Notification

14 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008

15 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Manual Control of Report Manual control has a user defined date criteria and is independent of the automated weekly email notification Flexibility to Add/ Remove email addresses to receive automated email notifications

16 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008

17 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 TIMELINESS VERSUS COMPLETENESS Options on a Role Based System: Option 1: Report as soon as physician enters cause of death from pneumonia and/or influenza Option 2: Wait until mortuary enters date of birth

18 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 OPTIONS ON ROLE BASED SYSTEM Option 1: Advantage: Timeliest reporting of death Disadvantage: Age of decedent may be missing Option 2: Advantage: Always have age of decedent Disadvantage: Potential delay in reporting of cases

19 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Future Enhancements Statewide Influenza & Pneumonia reporting Daily reporting of Influenza and Pneumonia deaths Geocoding of location of death and place of residence

20 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Reduce the Risk of Pandemic Flu Main Defense – Social Distancing e.g. Quarantine

21 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008

22 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008

23 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1st – 5th, 2008 Future Enhancements (Cont.) Link reporting of influenza and pneumonia deaths with laboratory results Expand linkage concept to chronic disease, e.g. cancer deaths and tumor registry Expand Syndromic Surveillance of other diseases using EDRS

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