sentinel custom forms
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Sentinel Custom FormsA Collaborative Effort
Theresa S. Kittle, MPHMississippi State Department of HealthJune 15, 2016
ObjectivesProvide background on the need
for custom forms
Describe MS’s plan for the custom forms, including outbreak forms
Custom Forms – Background• States capture emerging disease data
in a variety of ways – not streamlined• Excel spreadsheets• Access database• EpiInfo• Traditional CDC surveillance forms may
not apply to the situation at hand• Need to be able to rapidly capture data
in an electronic format, easily accessible to pertinent staff
Custom Forms – BackgroundEbola Response – 2014
Used Excel spreadsheets to create monitoring form
Time consuming to create initial form and symptom assessment log (~8 hours)
Custom Forms – BackgroundEbola Response – 2014 (cont.)
Spreadsheets were not user-friendly Each traveler had a separate Excel
spreadsheet Assessed the individual’s Ebola risk Monitored for Ebola symptoms
Unable to easily share information among staff
Issue with aggregating data for surveillance purposes and CDC updates
Saved on secure drive – not web-based
Custom Forms – Background• Discussed the need for custom
forms during the 2015 UGM• States provided basic outline of what
was needed for the custom forms• STC staff documented the requests
Custom Forms – Background• States and STC developed CRs in the
latter part of 2015• Cost-sharing CR among the states• Was delivered in a phased approach• Last forms management phase was
implemented in February 2016 release• First outbreak management phase was
implemented in May 2016 release
Custom Forms – Capability• Form development is
comprehensive• Sections• Variety of question types (e.g., Free-text,
Dropdown, Multi-select, Check box, etc.)• Form questions can link to core Sentinel
fields• Reduce redundant data entry• Required Fields• Logic capability
Custom FormsCan add additional electronic
forms to Sentinel• Web-based• Eliminates version control of the spreadsheets• User friendly• Rapid development of forms by
states• No reliance on any third-party
• Easily export form data for analysis
Custom Forms
Custom Forms – MS’s PlanTransfer Ebola monitoring
spreadsheets into Sentinel (n=36)
Monitor Zika virus suspectsOther emerging disease eventsCapture disease outbreaks,
including influenza
SummaryLess than one year, custom
forms was a reality as was outbreak management
Next step – implement final outbreak management phase in the August 2016 release
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