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
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