Upload
agnes-wilkinson
View
232
Download
0
Tags:
Embed Size (px)
Citation preview
The Delaware Electronic Reporting and Surveillance System (DERSS)
Philip G. Cabaud
Homeland Security Director
State of Delaware
DERSS GOAL
Provide users with the ability to enter, manage, and view information in support of disease reporting, syndromic surveillance and event management
• Early identification of event
• Ongoing assessment of risk
• Case and contact management
• Implement disease control measures
• Provide medical management and infection control guidance
• Environmental health assessment
• Carry out Public Health and Medical Plan (ESF-8)
Public Health Role in Emergency Response: Terrorism
Identifying an “Event” The Perfect Surveillance System
• Real time
• 100% complete reporting
• Surveillance for symptoms and diagnosed illnesses (e.g. anthrax)
• Reporting by non-traditional sources
• Easy for health care providers
• Rapid analysis of incoming data
LabHospital OtherPhysician
Report Card
Report Card
Report Card
Report Card
Public Health
Identifying an “Event” Traditional (current) information flow
0
0.10.2
0.30.4
0.5
0.60.7
0.80.9
1
0 24 48 72 96 120 144 168
Incubation Period (Hours)
Dis
ease
Det
ectio
n
Time Gain
Effective Treatment Period
Needed Disease Surveillance
Traditional DiseaseDetection
Acute IllnessInitial Symptoms
Identifying an “Event” Traditional is not good enough
• Automates as much of the current system as possible • Uses national standards (CDC’s National Electronic
Disease Surveillance System)• More accurate data, faster• Syndromic surveillance and 65 “diagnosed” diseases• Enhanced tools for data analysis• Automatically flags and notifies when aberrations• HIPAA compliant and secure• Expandable: backbone for other applications
DERSS
Automated Scanning of Databases
WEB PAPER
DERSS
ANALYSIS & INFORMATION OUTPUT
DERSS Information Flow
DERSS Data Sources
• First phase: hospitals and laboratory
• Then: pharmacies, smaller providers, other non-traditional sources
• Secure WEB Portal for entry of individual reports if economy of scale too small for automated scanning of databases
• Paper reports will continue for partners without WEB
DERSS Analysis
• Automated data checking and elimination of duplicate information
• Integration of health information from multiple sources
• Extensive analytic tools for event detection and epidemiologic decision-making
• Mapping and GIS• Automated notification of aberrations • Incident management
DERSS Prototype Home Page
DERSS Prototype Alerts Page
DERSS Includes GIS Capability
Timeline
• Hospitals participated in pre-development assessment (July 2002)
• Contract awarded August 2003 to Northrop Grumman
• Interface with hospitals, laboratories to begin in March, 2004
• Base system expected to be completed by Oct 2004• System capable of expansion (additional data
sources) thereafter
PublicHealth
Response
Bioterrorism Emerging Infections Other Public Health Programs
SurveillanceLaboratoryPractice
EpidemicInvestigations
WorkforceInformationSystems
OrganizationalCapacity
Essential Scientific
Capabilities
Basic Infrastructure
Public Health Infrastructure