Post on 14-Dec-2015
TM1
Countermeasure and Response Administration Overview and System
Demonstration of V1.7
Webinar Presented April 29, 2008
Jeanne Tropper, MS, MPHCRA Development Team
Division of Emergency Preparedness and Response
National Center for Public Health Informatics
TM2
Agenda• Background• V1.7 New Features • System Demonstration• Development Priorities• Question and Answer
TM3
What is CRA?
• Genesis was Pre-Event Vaccination System (PVS) for national smallpox vaccination campaign
• Capability to support mass tracking during an event
• System has since evolved to support any countermeasure, any event; may include medical interventions such as vaccinations, pharmaceuticals and non-medical interventions such as patient isolation and quarantine or social distancing measures
• Includes the ability to track both detail (person level) and aggregate counts of countermeasures
TM4
Implementation Options
• Centralized implementation – application is centrally located and managed by CDC; accessible using any standard web browser in conjunction with a CDC issued digital certificate
• Offline implementation - new with V1.7, CRA may be deployed offline on a stand-alone basis
TM5
What is New with CRA?
• V1.7 due for release May 5, 2008• Offline Capability• Rapid Data Entry for Multiple
Countermeasures• User Configurable Screens• Simplified Event Setup • Improved User Navigation • Enhancements to Aggregate Reporting
TM6
CRA Demonstration
• New Hampshire Anthrax Event• Long Beach Teen Clinic• Pandemic Influenza Event
TM7
Definitions
• Countermeasure – intervention taken to help prevent and/or slow the spread of disease; countermeasures may include medical interventions such as vaccinations, pharmaceuticals and non-medical interventions such as patient isolation and quarantine
• Event – public health programs or emergency responses that require the administration of countermeasures
• User Roles – CRA has role based user access; the user can only access system functions appropriate to their role; two roles• Public Health Administrator (PHA)• Data Entry Specialist (DES)
• Aggregate Reporting – CRA has updated to support project areas reporting a subset of data to the CDC; the capability was established to support vaccine doses administered during a pandemic; however, it could be applied to any situation
TM8
CRA Demonstration
• NH Anthrax Event – demonstrate simplified data collection process• Rapid data entry of doxycycline • Edit patient record • Patient search• Generate reports
TM9
CRA Demonstration
• Long Beach Teen Clinic – demonstrate new event set up and ability to customize screens• Setup event with one vaccine• Customize person demographics and
add organizations• Edit event and add second and third
vaccine
TM10
TM11
Aggregate Reporting of Pandemic Vaccine Doses Administered
• The National Pandemic Influenza Plan calls for monitoring of pandemic influenza vaccine
• CRA modified to support multiple ways for project areas to collect, aggregate and transmit a minimum data set to CDC:• Option 1: Project area has their own system; three
different data exchange formats: pipe delimited, XML file, HL 7
• Option 2: Project area collects data manually, an aggregate reporting screen was added to CRA
• Option 3: Project area uses CRA data is aggregated
TM12
CRA Demonstration
• Pandemic Influenza Event• Data entry of aggregate counts for
NYC Flu POD• Generate aggregate extract
TM13
CRA Future DevelopmentVersion 1.7.0
Scheduled DeploymentMay 5, 2008
Version 1.8.0Scheduled Deployment
September 15, 2008
Version 1.9.0 Scheduled Deployment
Estimated Q2 FY2009
TBD based on user input Candidate features
include:
Interoperability with immunization registries
Interoperability with other CDC applications
Rapid data entry via bar-coding, optical scanning, other
Possible architectural changes to support level to security in some instances
Features include:
Offline Capability Rapid Data Entry of Multiple
Countermeasures User Configurable Screens Simplified Event Setup Improved User Navigation Usability enhancements:
Tool-tips for tracking groups
Context sensitive help Aggregate Reporting
Enhancements
Candidate features include:
Patient Registration (with Import and Search)
Adverse Event Support Patient Follow-up Event Reports/Data Extracts
Enhancements Sub-jurisdiction Support User-Defined Fields Support Aggregate Group &
Reporting Enhancements (with Data Exchange)
Priority groups National reporting
TM14
Ongoing Outreach
Public Health Project Area and Partner Input
Exercises: Alabama, California, Maryland, New Hampshire
Inquiries via the “CIC”
PHIN Conferences: 2006, 2007, 2008 (scheduled 08/2008)
Webinars: Aggregate Reporting
Webinars: General
CDC Programmatic and Scientific Input
COTPER – DEO/DSLR/DSNS
CCID – NCIRD/ISD/ID; NCPDCID/DBPR, NCZVED/DFBMD
Exercises: Pandemic Influenza, Anthrax (scheduled 08/2008)
NCPHI – DAMC/DEPR/DISS/DISSS/OD
OD/ISO/ICU
The CRA team continuously solicits input from public health; recommendations are used as the basis for ongoing development efforts.
TM15
Re-initiate User Work Group
• Initial webinar to be scheduled late May/early June 2008• Review enhancement list • Establish priorities via user ranking
• Workshop at PHIN Conference in August 2008 • Review prioritized enhancements• User feedback in focused areas, e.g.,
reporting, person-level data entry, other• More information to follow in mid-May
TM16
Getting Started with CRA
• Version 1.7 is scheduled for release into production on May 5, 2008
• Consider using during an exercise• Demonstration version is available for
partner “try outs”• PHIN Help Desk first line of contact for
accessing CRA• Telephone 1-800-532-9929: 8 AM to 8 PM
EST • Email: Phintech@cdc.gov
TM17
Questions?