Integration Project Team

Tom Starcher, NCCDPHP

Scott Danos, NCHSTP

Dan Jernigan, NCID

Henry Rolka, NIP

Roseanne English, HISSB Exec. Sec.

Kim Marsh, HISSB Exec. Sec.

Denise Koo (Team Leader), EPO

Meade Morgan, EPOIntegration

Project

City/County Health Department

State Health Department

TIMSSTD*MISHARS

HARS STD*MIS TIMS NETSS EIP Systems

NETSS

STD*MIS (Optional at the Clinic)

TIMS (Optional

at the Clinic)

PHLISEIP Systems*

PHLIS

HARS STD*MIS TIMS NNDSS EIP Systems PHLIS

*EIP Systems (ABC, UD, Foodnet)

CDC

Data Sources

Physicians

Varied communications methods and security - specific to each system- including paper forms, diskettes, e-mail, direct modem lines, etc.

Varied communications methods and security - specific to each system - including diskettes, e-mail, direct modem lines, etc.

Chart Review

MMWR Weekly Tables MMWR Annual SummariesProgram Specific Reports and Summaries

Lab Reports

Reporting by Paper Form, Telephone

and Fax

Figure 1 - Current Situation

Statistical Surveys for Chronic Diseases,

Injuries and Other Public Health Problems

Integration Project

The Vision

Complementary electronic information systems that:

- automatically gather health data from a variety of sources on a real-time basis,

- monitor the health of communities,

- assist in the on-going analysis of trends and detection emerging public health problems, and

-provide information for setting public health policy.

Integration Project

Long-term ^

City/County Health Department

State Health Department

HIV/AIDS

HIV/AIDS

STD Clinics TB Clinics

HIV/AIDS

STDs

TB Notifiable Disease Reports

EIP Systems

Lab SurveillanceCDC

Data Sources

Physicians

Electronic data interchange (EDI) using HL7 or other standardized format

Chart Review

Lab Reports

Secure Internet

Secure InternetElectronic data interchange (EDI) using HL7 or other standardized

format

Shared Facilities and Services, e.g. common

interface, software components,

terminologies and data files

Shared Facilities and Services, e.g. common

interface, software components,

terminologies, and data files

Secure Server

Vital Statistics

Emergency Departments

Medicaid, Medicare Encounter

s

Hospital Discharge

Data

Secure electronic reporting

Paper Forms, Telephone and FAX

Figure 2 - Proposed Integrated Surveillance Systems Solution

Integration Project

The Solution

• A common “framework” for surveillance information systems:– Common data architecture (model, definitions, coding)

– Automated electronic reporting of data, e.g. electronic laboratory reporting

– Consistent user interface

– Secure Internet pipeline for reporting to CDC

– Reusable software components

– Shared analysis and dissemination methods

Integration Project