Development of Automated Data Quality Indicators and Visualizations using Florida's ESSENCE System

Understanding your data is a fundamental pillar of disease surveillance success. With the increase in automated, electronic surveillance tools many public health users have begun to rely on those tools to produce reports that contain processed results to perform their daily jobs. These tools can focus on the algorithm or visualizations needed to produce the report, and can easily overlook the quality of the incoming data. The phrase “garbage in, garbage out” is often used to describe the value of reports when the incoming data is not of high quality.

March 02, 2018

Evaluation of ESSENCE in the Cloud Using Meaningful Use Syndromic Surveillance Data

In November of 2011 BioSense 2.0 went live to provide tools for public health departments to process, store, and analyze meaningful use syndromic surveillance data. In February of 2012 ESSENCE was adapted to support meaningful use syndromic surveillance data and was installed on the Amazon GovCloud. Tarrant County Public Health Department agreed to pilot the ESSENCE system and evaluate its performance compared to a local version ESSENCE they currently used.

May 14, 2018

Expanding Collaborations to Chart a New Course in Public Health Surveillance

The International Society for Disease Surveillance held its eleventh annual conference in San Diego on December 4th and 5th, 2012, under the theme Expanding Collaborations to Chart a New Course in Public Health Surveillance.  During these two days, practitioners and researchers across many disciplines gathered to share best practices, lessons learned and cutting edge approaches to timely disease surveillance.  A record number of abstracts were received, reviewed and presented – the schedule included 99 orals, 4 panels, 94 posters, 5 roundtables and 12 system demonstrations.  Presenters repr

May 18, 2018

Recommendations for Syndromic Surveillance Using Inpatient and Ambulatory EHR Data

MUse will make EHR data increasingly available for public health surveillance. For Stage 2, the Centers for Medicare & Medicaid Services (CMS) regulations will require hospitals and offer an option for eligible professionals to provide electronic syndromic surveillance data to public health. Together, these data can strengthen public health surveillance capabilities and population health outcomes (Figure 1). To facilitate the adoption and effective use of these data to advance population health, public health priorities and system capabilities must shape standards for data exchange.

July 05, 2018

Using Cloud Technology to Support Monitoring During High Profile Events

Hospital emergency departments in Cook and surrounding counties currently send data to the Cook County Department of Public Health (CCDPH) instance of ESSENCE on CCDPH servers. The cloud instance of ESSENCE has been enhanced to receive and export all meaningful use data elements in the meaningful use format. The NATO summit provided the opportunity for a demonstration project to assess the ability of an Amazon GovCloud instance of ESSENCE to ingest and process meaningful use data, and to export meaningful use surveillance data to the Cook County Locker in BioSense 2.0.

July 06, 2018

Towards Interoperability for Public Health Surveillance: Experiences from Two States

The use of health information systems to electronically deliver clinical data necessary for notifiable disease surveillance is growing. For health information systems to be effective at improving population surveillance functions, semantic interoperability is necessary. Semantic interoperability is “the ability to import utterances from another computer without prior negotiation” (1). Semantic interoperability is achieved through the use of standardized vocabularies which define orthogonal concepts to represent the utterances emitted by information systems.

August 20, 2018

Architectures and Transport Mechanisms for Health Information Interchange of Clinical EHR Data for Syndromic Surveillance: A Report from the International Society for Disease Surveillance

A health information interchange architecture (HIIA) defines the attributes of a data sharing relationship between two parties. In the context of electronic syndromic surveillance (ESS), this refers to the standards, tools, and means to securely transport an ESS message from a sender (typically an Electronic Health Record, or EHR, system from a healthcare provider) to a recipient (typically a public health agency).

October 12, 2017

2012 ISDS Recommendations for the Syndromic Surveillance Frontier Inpatient and Ambulatory Clinical Data Sources

Advances in health information technology are providing exciting opportunities to expand public health surveillance capabilities with the addition of more timely electronic health data. Additionally, the implementation of the Meaningful Use provisions of the HITECH Act presents public health agencies (PHAs) with a chance to develop systems that enhance public health monitoring, prevention, and response activities through the use of novel data sources.

October 16, 2017

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