Download Geospatial EDSS – Adam van Dijk

KFL&A Health Unit:
Geospatial EDSS
Q
Dedicated to enhancing the health
and safety of Canadians through
public health informatics
Geospatial mapping of respiratory and gastrointestinal hospital visit data through a
regional, real-time, emergency department surveillance system for Decision Support
and Community Awareness
Interim Report
March 28th, 2008
Updated June 11, 2008
Outline
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Project overview
Summary of Users & Needs
User Interface Mock-up – Walkthrough
Next Steps
Introduction
• Kingston Frontenac and Lennox & Addington (KFL&A) Public Health in
association with the Queen’s University Public Health Informatics (QPHI)
Team is undertaking a project to inform health professionals and other
members of the community about up-to-date utilization of local
Emergency Departments for respiratory and gastrointestinal illness.
• The purpose of the project is to enable informed decision making in the
community.
• Reporting of this data on maps showing activity by neighbourhood is
expected to allow infection control practitioners, family physicians,
community access centers, long term care facilities, schools and child care
centers amongst others to know immediately current respiratory and
gastrointestinal infectious activity in the community.
Project Vision
“To reduce morbidity and mortality in the
community from infectious illnesses by
providing the right message to the right
people in the right place, at the right time.”
Objectives
1) Limit the spread of disease;
2) Reduce the impact on hospital emergency
departments;
3) Save lives among at risk populations
(children and elderly); and,
4) Better understand the spread of disease.
Project Overview – Approach & Timelines
Jan 14 –25
Deliverables
Activities
Initiation &
Planning
• Kick-off Project
• Develop Project
Charter
• Develop Project Plan,
Resource Plan,
Communications Plan
• Project Charter &
Project
management Plan
Feb 6 – Mar 28
Apr 2 – Jun 30
System
Analysis &
Design
Development
• Analyze RODS /
EDSS System,
Geospatial &
aspatial data
requirements,
• Validate user
needs
• Design complete
system
• System
Architecture &
Design Document
• Develop Database,
ETL, GIS and web
components
• Develop system
documentation
• Integrate system
with RODS
• Integrate system
with web sites
• GDSS System
Jul 11
Launch
Date
• Test System
• Make final
modifications
• Implement external
communications
plan
• Live, publicly
available GDSS
System (soft
launch)
Summary of Users
Public Health / Healthcare Professionals
– Medical Officers of Health from KFL&A Public Health and HPECHU
– PH Nurses (CD, adult, school, dental, infectious diseases)
– Local physicians/nurses and hospital administrators
– Long Term Care Homes (LTCH) & CCAC
– Home care and field professionals (OT/PT, speech therapists, etc.)
Institutions / Institutional Administrators
– School board, Schools, Universities, Colleges
– Child care
– Employers
– Police & Fire, all EMS
– Municipal officials
General Public
– Local citizens
– All citizens will have real-time access to geospatial data informing them of respiratory
and gastrointestinal outbreaks and linking them directly to further information, ongoing
epidemiological analyses such as viral lab tests (eg. Influenza and RSV results) and results
of suspected reportable gastrointestinal diseases.
Ex.1: Public Health: CD Nurses
Important Characteristics
• Apt to use RODS/ EDSS, or reports / outputs generated from it
• Potential users of GDSS to assist in outbreak investigation
Useful Functions would include:
• Ability to interact with map of the health unit, with locations of
institutions (hospitals, LTCs, schools, university & colleges,
penitentiaries, large employers, daycares etc.)
• Ability to view attributes of institutions such as school populations,
bed censuses and key contacts in the map
Ex.2: Family Physicians
Important Characteristics
• Overwhelmed with information sources, media & tools
• Get a feel for when ‘something is going around’ from diagnostic trends
and discussions with colleagues & variety of other sources
Useful Functions would include:
• Ability to confirm assumptions about infection trends in the community
with evidentiary support
• Support patient education (“this is where you live, in a hotspot”);
Reinforce behaviours with patients (vaccinations, hand-washing)
• Provide a central resource for disease information, case definitions, etc.
(‘take away’ with URL?) for patients
• Ability to zero in on hotspot areas
• Ability to quick search by postal code
Ex.3: School Board Personnel
Important Characteristics
• Communicate with students and families through newsletters, web site, phone calls from
secretary
• High degree of regular interaction in meetings (district, principals, vice-principals)
Useful Functions would include:
• Ability to better plan for and predict HR shortages e.g. caused by increased teacher
absenteeism (i.e. supply requirements)
• Ability to better inform families about infections affecting school population (“we’re
experiencing an outbreak, keep your ill child at home”)
• Provide evidentiary criteria to changes in pandemic status (level 1, 2, 3, 4)
• Provide a central resource for disease information, fact sheets, vaccination locations etc., for
students and families
• Provide specific information for high-risk groups (e.g. special needs)
• Provide links to infectious disease information directly on school and board websites
Ex.4: Community Members
Important Characteristics
• Many media sources competing for attention; web sites are just one
aspect
• Want to know when they should stay home, keep children home, teach
prevention to family, learning tool
Useful Functions would include:
• Ability to subscribe to e-mail listserv to receive high-level advisories;
follow link to web site for maps and additional information
• Ability to become more informed about infections: symptoms,
precautionary information, fact sheets about GI & respiratory infections,
recovery periods, etc.
Ex.5: LTCH Infection Control
Important Characteristics
• Receives outbreak info from multitude of sources: reports from 3 local
HUs, LTCHs, RODS output from Tara @ KFL&A, Flu Watch, local news,
ProMed
• Information received is “not nearly as quick as one would like”
• Maintains list of ongoing outbreaks and distributes to LTCH admitting
teams, ICPs, medical records – tool can provide a ‘heads up’) to those that
receive the reports and others in out in the field (OT/PT etc.)
Useful Functions would include:
• Ability to incorporate data from additional sources beyond ED, including
all schools, (esp. primary), universities and colleges, inside LTCH, family
doctor visits, TeleHealth
Next steps
Project / Development
• Complete Review of System Design Specifications
• Begin System Development
• Refine UI Characteristics
• Initiate Integration Planning with KFL&A website
Communications
• Engaged HCNSEO (facilitated by Dr. Gemmill)
• Full roll-out planned for October (start of flu season)
• City wide communication plan (radio, tv, newspaper, press
conference?)