STD NBS Users Group Meeting November 14, 2017 3:00 4:00 PM ET - PowerPoint PPT Presentation

STD NBS Users Group Meeting November 14, 2017 3:00 – 4:00 PM ET

Meeting Agenda • Welcome and Introductions – Charlie and Marvin • Remarks from NCSD – Charlie • Remarks from CDC Surveillance and Data Management Branch – Marvin • Presentation from Developers – Jennifer Ward (CSRA) • Project Area Presentations  Nevada - Elizabeth Kessler  Alabama - Thomas Lee

Why Support Surveillance System User Groups ? Foster STD Programs Learning From Each Other

User Group Audience & Purpose Audience: STD AAPPS funded grantees and other STD programs using • Maven software for STD surveillance and information management • Purpose: Identify and share:  Best practices  Solutions to common problems  Sources of technical assistance  Identify opportunities to share resources and costs  Dialogue with staff at CDC’s Division of Sexually Transmitted Disease Prevention (DSTDP) Surveillance and Data Management Branch, National Coalition of STD Directors (NCSD) and Developers - CSRA

Participation is Essential for Success

NCSD Update Charlie Rabins

About NCSD NCSD is a national public health membership organization representing health department STD directors, their support staff, and community-based partners across 50 states, seven large cities, and eight US territories. Mission: To advance effective STD prevention programs and services in every community across the country. NCSD does this as the voice of our membership. We provide leadership, build capacity, convene partners, and advocate. 7

NCSD Update Item • New STD Website: www.ncsddc.org • Recent launch of e-learning STD Program Evaluation Training and Tools • http://www.ncsddc.org/std-pett/ • http://www.ncsddc.org/std-pett-tools/ • Promote peer-to-peer TA/CB via the NCSD Weekly Email Update • Support Slack Communication Sites for STD Surveillance System User Groups – PRISM, Maven and NBS

Tools for User Group Communication • Participate in User Group meetings, webinars and trainings • Contact staff, peers and developers via email, phone and Slack • Use STD NBS Users Group Slack Site  Post Resources  Ask and Respond to Questions  Share Experiences, Accomplishments and Challenges  Suggest topics for Future User Group Meetings  Connect on PC/MAC, smartphone, tablet – IOS, android  Screen Share and Audio/Video Calls within Slack – up to 8 persons/sites

Poll Question How often do you look at the NBS Slack site? (only one response) • Daily or when there are new postings • Weekly • Occasionally • I have joined but don’t use • I have not joined • APP Result Link: https://www.confpal.com/surveyliveview.do?confid=1185&indicatorid=1354&objectsurveyid=675&type=bar

How to Join and Learn Slack • 56 Current Members - 589 Postings and Messages • If you haven’t joined the STD Maven Users Group SLACK Team Site,  email us for another invitation  Use link: https://join.slack.com/t/mavenusersgroup/shared_invite/enQtMjcwMDQzMzc4MDY4LT hiYmNjMmY2MDRhNjViNDkxN2I3NDgzYjcyZDFiYzRlNjdhNjcwMmE2NmZhNmQ4MDQwN WRkYTI2NTBlMjAyYjU  Email address – we will use your work or an email of your choice to invite you to join  If work firewall blocks access to SLACK, access from personal ID and device (PC, phone, tablet) • System is Very Intuitive and Easy to Learn  Help and training is available within Slack, on YouTube, on the internet  Contact Charlie or Marvin for Questions or TA

CDC DSTDP Surveillance and Data Management Branch Update Marvin Fleming

Presentation from NBS Developers Jennifer Ward CSRA

STD NBS User Group Meeting November 14, 2017

Topics  STD/HIV Surveillance and Case Management in NBS  Available Training Resources  Planned Upgrades  Current Adoption Status

Support for STD/HIV Surveillance and Case Management in the NEDSS Base System (NBS)

What is the NBS? Patient-centric with a Master Patient Registry (MPR)  Over 140 different diseases and conditions  Reporting of notifiable diseases to the CDC using HL7  Contact tracing, interview records, treatments, and vaccinations  Customized data collection using ‘Page Builder’ functionality  Customized reporting with data extract capability  Security at the program and jurisdiction level  Matching and deduplication services  Receipt and automated processing of Electronic laboratory reports (ELRs)  Data migration/exchange capabilities using Public Health Document Container (PHDC), including eICR  User-defined decision support algorithms for automated processing of ELR and PHDC 

Who is in the NBS Community? Indiana is also joining the NBS community. GUAM  Alabama  Nevada  Arkansas  New Mexico  District of Columbia  Rhode Island  Guam  South Carolina*  Idaho  Tennessee  Kentucky  Texas USVI NBS (22)  Louisiana  USVI  Maine  Vermont The NBS is currently used by 22 of the 57 (39%)  Maryland  Virginia public health reporting jurisdictions.  Montana  West Virginia  Nebraska  Wyoming * SC currently only using NBS for TB 19

Support for STD/HIV Surveillance and Case Management in NBS Customizable STD and HIV Investigation Pages  Printable Standard Forms  Case Notification (Morbidity) to CDC  Support for HIV Partner Services File (PSF)  Case & Workflow Management  Contact Tracing/Management  Workflow Decision Support (WDS) in Support of STD  STD/HIV Custom Reports  Additional STD/HIV Data Analysis Tools  STD Data Migration Utility 

Customizable STD and HIV Investigation Pages Standard STD/HIV forms with ability to  customize, as needed, by the implementing jurisdiction. Includes:  • STD Investigation Form • HIV Investigation Form • STD/HIV Interview Form • STD/HIV Contact Record Form 21

Printable Standard Forms Print blank or ‘filled’ standard CDC  forms for: • Field Record Form • Interview Record Form • Provider Follow Up Form 22

Case Notification (Morbidity) to CDC Case Notification (Morbidity) to CDC  • NBS creates an STD NETSS file until CDC is able to receive HL7 messages for STD. • When CDC is ready to receive HL7 case notifications for STD, the STD module in NBS is already able to create and send HL7 messages per the CDC STD Message Mapping Guide. • HIV case notification is not part of NBS (should still use eHARS). Partner Services File (PSF)  • NBS produces the PSF xml file for upload to CDC’s Evaluation Web. STD SAMS NETSS STD PHIN MS HL7 PSF Evaluation Web 23

Case & Workflow Management STD Case Management  • Support for Co-Infection & Epi-Link (Lot Number) Concepts • Ability to enter Referral Basis and Processing Decision when Creating an Investigation • Data pre-populated into Investigations from trigger Lab Reports and Case Reports • Place Entity available to track shared Hangouts/Places to Have Sex • Ability to associate treatments across investigations STD/HIV Queues  • Messages Queue to alert staff to key changes in workflow to STD/HIV investigations of interest • Supervisor Review Queue to provide supervisors with a clear view of items that require their review 24

Contact Tracing/Management STD-Specific Contact Record  • Configurable template provided to capture contact data import to STD surveillance process. • View of Contact Record data in the Reporting Database. Linkages are created between patient files/investigations. 25

Workflow Decision Support (WDS) Ability to manage incoming electronic laboratory and case  reports in an automated way, assisting staff in prioritizing and managing workflow to maximize available resources. Reduces burden on local investigators so they have more  time available for investigation activities, (e.g., high volume conditions like Gonorrhea and Chlamydia) • Automatically creates investigations with default values (e.g. case status, disposition, etc.) and notifies CDC. Actions Include:  • Mark the report as reviewed and remove the incoming report from worker queues. • Automatically create an investigation and set default values for fields (e.g., set investigation status to ‘Open’ and case status to ‘Suspect’). • Automatically create an investigation and generate a case notification (report of morbidity) to CDC. 26

STD/HIV Customs Reports 31 custom reports available for STD/HIV program use:  • Case Analysis Reports (5 Reports), • Program Activity Reports (15 Reports) • Quality Assurance Reports (11 Reports) Report specifications included with training  documentation for NBS 5.1 • Provide information on the source and translations/ calculations for all of the data elements on each of the reports 27 https://nbscentral.sramanaged.com//redmine/documents/188

Additional STD/HIV Data Analysis Tools STD HIV Data Mart available with 200+ data elements for analysis.  Contact Record and Interview record data views available, as well.  Provides a very powerful analysis tool for any NBS jurisdiction adopting the STD/HIV  module. STD HIV Data Mart Design documentation that provides more information about this  data mart, including: • STD and HIV code sets • Data labels/locations in User Interface > Operational Data Store (ODS) > Reporting Database (RDB) • Data transformations from ODS > RDB (e.g., calculations, concatenations, etc.) 28