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Healthy Kansans living in safe and sustainable environments.
Susan Dickman, MSIT
KS-EDSS Coordinator
Kansas Dept of Health and Environment
Bureau of Epidemiology & Public Health Informatics
[email protected]
Healthy Kansans living in safe and sustainable environments.
 Necessary for targeting public health efforts.
 Cannot prevent and control diseases if:
 We do not know which diseases are infecting people
and
 How often or where they are occurring.
 Surveillance is the:
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On-going
Systematic collection
Analysis
Interpretation and distribution of health data to
describe and monitor health events.
Healthy Kansans living in safe and sustainable environments.
 What is a Performance Measure?
 The specific representation of a capacity, process,
or outcome deemed relevant to the assessment of
performance. A performance measure is
quantifiable and can be documented.
 What is a Quality Indicator?
 It is an agreed-upon process or outcome measure
used to determine the level of quality achieved.
Healthy Kansans living in safe and sustainable environments.
Standard 1.2: Collect and maintain reliable, comparable, and
valid data that provide information on conditions of public
health importance and on the health status of the population.
Standard 1.3: Analyze public health data to identify trends in
health problems, environmental public health hazards, and
social and economic risk that affect the public’s health.
Standard 1.4: Provide and use the results of health data analysis
to develop recommendations regarding public health policy,
processes, programs or interventions.
Standard 2.1.5 A: Monitor timely reporting of notifiable/reportable
diseases, lab test results, and investigation results.
Healthy Kansans living in safe and sustainable environments.
 Public Health Preparedness Capabilities
 Capability 13
 Function 1: Conduct public health surveillance and detection
 Function 2: Conduct public health and epidemiological
investigations
 Function 3: Recommend, monitor, and analyze mitigation
actions
 Function 4: Improve public health surveillance and
epidemiological investigation systems
Healthy Kansans living in safe and sustainable environments.
 Performance quality
 Timeliness indicators
 Additional fields to be added to KS-EDSS
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LHD Report Date
Case Creation Date
Investigation Start Date
Investigation Complete Date
Case Closed Date
 Data quality
 Quality Indicator Tracking
Healthy Kansans living in safe and sustainable environments.
 Improve individual investigation data quality
 Better data for use in future projects
 Send more complete picture of disease in
Kansas to CDC
 Determine how we can make KS-EDSS more
user friendly
Healthy Kansans living in safe and sustainable environments.
 KS-EDSS in 2007
 Four phases planned over 2+ years
 Core infectious disease surveillance --> Fully integrated,
modular system
 Trouble
 “Go live” five months late
 Deadlines missed for key development milestones
 Major functions never implemented
 Vendor contract terminated July, 2009
 The intervening years
 October, 2010
 Parts of TB-PAM inoperable
Healthy Kansans living in safe and sustainable environments.
Healthy Kansans living in safe and sustainable environments.
 System not user friendly
 Continued in-house development, maintenance
expensive
 Still don’t have full functionality required by
original project design
 TB PAM continues to “limp along”
 Questionable long-term sustainability
Healthy Kansans living in safe and sustainable environments.
Healthy Kansans living in safe and sustainable environments.
KS-EDSS
TriSano
 COTS
 Hepatitis B perinatal not
included in system
 No ad-hoc forms
 Limited case
management
 No contact tracing
 ELR difficult to implement
 No task/workflow
 Limited data export
 Limited reports
 MOTS
 Hep B perinatal included
 Form Builder – ad hoc
forms
 Robust case
management
 Contact tracing &
elevation
 ELR 2.5.1 ready
 Built in task and workflow
 Data warehouse (AVR)
Healthy Kansans living in safe and sustainable environments.
KS-EDSS
 Supplemental form errors
 Issues with data not
saving
 TB PAM screen not
functioning
 Losing case because
address change
 Font small, difficult to read
 Misspelling in fields
 Report errors
TriSano
 Supplemental forms
incorporated in core
system
 TB not a separate
module – incorporated
into core system
 Form Builder – fix fields
 AVR allows for much
more complete data
analysis and less error
Healthy Kansans living in safe and sustainable environments.
 Smart Search used to
find individuals already
in system
 Demographic, clinical,
laboratory,
epidemiological and
investigation data
included
 Contacts can be added
 Notes and Tasks can
be added, including
repeating tasks
 Files can be attached
 Copying a case – either
shallow or deep
 Routing to a queue or
individual investigator
 Repeat encounters
 Print, export or delete
 Core Customizer to
tailor
 Form Builder for
extensions
Healthy Kansans living in safe and sustainable environments.
www.kdheks.gov
Healthy Kansans living in safe and sustainable environments.