queen’s university public health informatics (qphi) team dr kieran moore june 13th th 2008 centre...
TRANSCRIPT
Q Dedicated to enhancing the health and safety of Canadians through public health informatics
Queen’s University Public Health Informatics (QPHI) Team
www.quesst.ca
Dr Kieran MooreJune 13thth 2008Centre for Studies in Primary CareDepartment of Family Medicine/Emergency Medicine
QPHI Introduction
QPHI Agenda Relax! Discussion! Feedback! Share ideas! Review Projects! Future Direction Follow up in September
Thanks to…
Department of Family Medicine and the CSPC
Physician Services Incorporated Foundation
Ministry of Health and Long Term Care KFLA Public Health-Queen’s University Bank of Nova Scotia
PartnersCommunity Health and Epidemiology
TEAM…and associates
Tara Donovan Adam Van Dyke Jeff Aramini Glenn Guthrie Dillan Fernando Alex Perry Elizabeth Rolland Andrew Kurc Jaelyn Caudle
QPHI Enhancing the health of Canadians through Public
Health Informatics
Analysis of electronic data sets for real time enhanced surveillance-dashboard
Multiple disciplines-Computer Engineer and software,Mathematics, Epidemiology, Geography
Public Health Astute clinician Laboratory System-Reportable Diseases Passive system…needs to be activated
Speed of a 747
Active Surveillance6
©2002 Siemens Medical Solutions Health Services Corporation.Siemens Confidential:
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
-2 -1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Nu
mb
er
of
Pe
op
le
Onset of Symptoms
Specific Syndrome
Deaths
Intel
Demographics, Chief Complaint, Visit Data
Lab results, X-Rays, etc.
Courtesy: Michael Wagner, MD, University of Pittsburgh
Biosensors
Potential Strategies for Early Detection
Vital statistics and Coroner data
Data Options for Surveillance
Work-schoolAbsenteeism
(i.e. OccupationalHealth)
Primary CareClinic
Emergency Dept
Lab test
Over-the-Counter
Sales
Telehealth
Meat and tomatoes…
QPHI-CSPC Projects Acute Care Enhanced Surveillance MOHLTC Occupational Health July 1 2008 Telehealth- December2007 Pharmacy Surveillance August 15 Primary Health Care PHAC Geoconnection ASSET CRTI CCC
0
500
1000
1500
2000
2500
3000
3500
Telehealth Respiratory Calls (3 day MA)
and Respiratory Virus isolates (x3)
All RespFlu A
Flu B
Flu A or B
RSV
PIV
Adeno
Additional in the works… Virological self sampling Enabled through telehealth as per DL Cooper
et al.
Cooper et al 292 callers sent kits 42 percent returned 16.2 % PCR positive Influenza 7.4 days between call and lab analysis Earliest reports of the season
CODIGEOSIM …geosimulation tools for simulating spatial
temporal spread patterns and evaluating health outcomes of communicable disease
Dr Rosenberg, Dr Chen, Dr Moore Multi site-York, Laval, Queen’s McMaster 5
universities, 22 researchers Lymes, West Nile and Influenza
CODIGEOSIM ) the creation of mathematical models, environmental models, mobility
models, population risk models, and dynamic simulation tools to explore the spatiotemporal spread patterns and optimal control measures for a variety of communicable diseases; 2) the dynamical modeling, analysis and simulation, visualization and evaluation of the vulnerability and responses of different communities to the potential outbreak of emerging or reemerging communicable diseases and the effectiveness of corresponding human intervention measures; 3) the development of geosimulation and decision support systems for public health officers that integrate the aforementioned models, data and information, and enable what-if analyses through the specification of various kinds of scenarios such as climate/environmental change, host mobility and intervention plans.
PHL…started Resp pathogen data regionally from PHL Data analysis temporally and spatially 4 years of data to detect if there is a “normal”
spatial spread for influenza specifically Effect of vaccine efficacy / mismatch on
temporal and spatial spread Dr Majury…and a RA
CPCSSN-feasibility PHAC Canadian Primary Care Sentinel Surveillance
Network for Chronic Disease 7 networks across Canada EMR surveillance Long term tracking 5 major illnesses: Depression, Hypertension,
Diabetes, Osteoarthritis, COPD Andrew Kurc
FHT and Public Health-funded MOHLTC Evaluation of the integration of Public Health
and family health teams Both are tasked with Health Promotion and
disease prevention Integrated, evidence based approaches Cooperation and Coordination
NRC ASSET project-Advanced Syndromic
Surveillance and Emergency Triage Glenn providing technical support and
analysis Kieran providing ED/SS support
Geoconnections: Infectious Disease Simulation Tool-A
Geospatial Decision Support System Peel Public Health U of Waterloo QPHI SAS Canada
ISDS Raleigh North Carolina December 2-5th 2008 Submissions now! 3 tracks
Future ESSENCE collaborations Consultations? Grant ideas …..Jeff
Telehealth – All Respiratory Calls (3 day MA)
0
100
200
300
400
500
600
700
800
6/1/2004 8/1/2004 10/1/2004 12/1/2004 2/1/2005 4/1/2005 6/1/2005 8/1/2005 10/1/2005 12/1/2005 2/1/2006 4/1/2006 6/1/2006
0
100
200
300
400
500
600
700
800
6/1/2004 8/1/2004 10/1/2004 12/1/2004 2/1/2005 4/1/2005 6/1/2005 8/1/2005 10/1/2005 12/1/2005 2/1/2006 4/1/2006 6/1/2006
Telehealth Respiratory Calls (3 day MA)
and Flu A isolates
All Resp
Flu A isolates