SCION/MAVEN and ELRs Claire Y oungblood, Division of Acute Disease - - PowerPoint PPT Presentation

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SCION/MAVEN and ELRs Claire Y oungblood, Division of Acute Disease - - PowerPoint PPT Presentation

Aug 27, 2022 349 likes •504 views

SCION/MAVEN and ELRs Claire Y oungblood, Division of Acute Disease Epidemiology System Sum m ary SCION=MAVEN Meets the standard for CDC National Electronic Disease Surveillance System (NEDSS) Disease surveillance and outbreak

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SLIDE 1

SCION/MAVEN and ELRs

Claire Y

  • ungblood, Division of Acute Disease Epidemiology
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SLIDE 2

System Sum m ary

  • SCION=MAVEN
  • Meets the standard for CDC National Electronic

Disease Surveillance System (NEDSS)

  • Disease surveillance and outbreak management
  • Currently used for all reportable disease EXCEPT

STD/HIV, Tuberculosis, Lead

  • Event based
  • Web Interface/SQL Server
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SLIDE 3

A Brief History

Ye Years Sy Syst em Speci cifics cs 1990-2003 National Electronic Telecommunications System for Surveillance (NETSS) CDC system. Basic demographics, no labs. 2003-2016 Carolina’s Health Electronic Surveillance System (CHESS) CDC funded system, NEDSS compatible, limited customization, no outbreak management. 2016-? South Carolina Infectious Disease and Outbreak Network (SCION) Consilience product, NEDSS compatible, extensive customization, outbreak management.

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SLIDE 4

Diseases Collected

  • Anthrax
  • Campylobacteriosis
  • Chikungunya
  • Ebola
  • Hepatitis (A, B, C, D, E)
  • Influenza
  • Meningococcal

disease

  • Mumps
  • Pertussis
  • Rocky Mt. Spotted

Fever

  • Salmonella
  • Zika
  • And many more…
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SLIDE 5

Data Collected For Cases

  • Disease
  • Patient demographics
  • Lab reports
  • Contact tracing
  • Disease specific questions
  • Risk
  • Symptoms
  • Vaccination
  • Treatment
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SLIDE 6

Data Collected For Outbreaks

  • Disease
  • Venue details
  • Line lists/case counts
  • Summary of actions
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SLIDE 7

Disease Specific Questions

  • Divided into Question Packages.
  • Questions can be turned on or off by

disease.

  • Skip questions, child questions.
  • Answers can trigger other events, such as

warnings or deadlines for action.

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SLIDE 8

Exam ple: Lab Report

  • Ordering Facility and Provider
  • Reporting Facility
  • Specimen Collection Date
  • Result Date
  • Test Results
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SLIDE 9

Exam ple: Salm onella - Risk

  • Did you handle baby chicks?
  • Did you eat ground chicken?
  • Did you travel outside of South Carolina?
  • What is the source of your drinking water?
  • Do you work on a farm?
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SLIDE 10

Exam ple: Pertussis - Clin ical

  • Symptoms?
  • Cough
  • Whoop
  • Fever
  • Chest X-Ray?
  • Was the patient hospitalized for this illness?
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SLIDE 11

Data Sources

  • Disease Reports
  • Phone calls to regional epi staff.
  • DHEC 1129 forms/paper labs submitted by mail.
  • Provider portal as part of SCIAPPS.
  • Electronic Lab Reporting (ELRs).
  • Case/Outbreak investigations by DHEC staff.
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SLIDE 12

Electronic Lab Reporting (ELRs)

  • HL7 Message

standard

  • Rerouted to other

systems as needed

  • 12 live
  • 42 in testing
  • Bureau of Labs

144 1,924 5,999 24,639 1129 Card Paper lab report Provider web entry ELR

Report Volume by Source Since 6/6/2016

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SLIDE 13

Data Lim itations

  • Data compiled from three platforms.
  • Data prior to 2003 has no disease-specific

variables or lab reports.

  • Case definition changes/strictness of

application.

  • Data completeness varies by disease and

time period.

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SLIDE 14

Data Access

Fill out DHEC form D-1622 and return to: Marya Barker, Surveillance Director Division of Acute Disease Epidemiology barkerma@dhec.sc.gov 803-898-0988

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SLIDE 15

Claire Y

  • ungblood

Division of Acute Disease Epidem iology (DADE) 803-898-0165 youngbhc@dhec.sc.gov Greg Fowler Bureau of Inform ation Technology 803-898-1416 fowlergk@dhec.sc.gov