the new jersey communicable disease reporting and surveillance system (cdrss) recipient of the 2008...
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The New Jersey Communicable Disease
Reporting and Surveillance System (CDRSS)
Recipient of the 2008 Nicholas E. Davies Award of Excellence for Public Health
The State
Population: 8.7 million (2006 U.S. Census)
21 counties 566 municipalities 114 local health
departments 74 acute care facilities Ocean
Burlington
Morris
Sussex
Atlantic
Salem
Warren
Monmouth
Cumberland
Hunterdon
Bergen
Mercer
Somerset
Middlesex
Gloucester
Camden
Passaic
Cape May
Essex
Union
Hudson
The Stakeholders
Over 1200 users representing the following New Jersey Department of Health and Senior
Services (NJDHSS) – nurses, epidemiologists clerks and lab staff
Local Health Departments (LHDs) – health officers, nurses, epidemiologists and clerks
Hospital – Infection control professionals (ICPs), lab staff
Commercial labs
All these entities are required to collaborate and report as per the New Jersey Administrative Code
CDRSS Highlights
Patient-centric, web-enabled, PHIN-compliant Integrated electronic laboratory reporting (ELR) Extensive fields for case and outbreak
management Integrated analysis, visualization and reporting
tools Modules for reporting aggregate data for:
Influenza-like illness Antimicrobial resistance
Built-in administrative flexibility to add and manage diseases, dropdown values, reporting criteria, etc.
Case Management
Fully integrated workflow processes Access to cases based on jurisdiction and/or
role in public health response Use of GIS to assign jurisdiction Different tabs to reflect progress of follow up
ADDRESS CITY ZIPCODE30 Bayberry Rd Princeton 0854050 Carson Rd Princeton 0854062 Roszel Rd Princeton 08540110 College Rd Princeton 08540200 State Rd Princeton 0854050 Westcott Rd Princeton 08540256 Bunker Hill Rd Princeton 08540833 Raymond Rd Princeton 0854055 Truman Av Princeton 08540
Complicated Geography Example
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Princeton 08540
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Montgomery Township
Franklin Township
Hopewell Township
South Brunswick Township
Princeton Township
Lawrence Township
HillsBorough Township
West Windsor Township
Plainsboro Township
Cranbury Township
East Amwell Township
East Windsor Township
North Brunswick Township
Princeton Borough
Ewing Township
Hopewell Borough
Rocky Hill Borough
Pennington Borough
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Montgomery Township
Franklin Township
Hopewell Township
South Brunswick Township
Princeton Township
Lawrence Township
HillsBorough Township
West Windsor Township
Plainsboro Township
Cranbury Township
East Amwell Township
East Windsor Township
North Brunswick Township
Princeton Borough
Ewing Township
Hopewell Borough
Rocky Hill Borough
Pennington Borough
Princeton 08540
MERCER
SOMERSET
MIDDLESEX
HUNTERDON
Municipality County Health Department
Franklin TwpSomerset
Franklin Twp HD
Montgomery Twp Montgomery HD
South BrunswickMiddlesex
South Brunswick HD
Plainsboro Twp Middlesex County HD
Lawrence Twp
Mercer
Lawrence Twp HD
West Windsor Twp West Windsor HD
Princeton Boro Princeton Regional Health CommissionPrinceton Twp
Hopewell Twp Hopewell HD
Same city name and ZIPcode – Eight different Health Departments!
Electronic Laboratory Reporting (ELR)
Fully integrated ELR Standardized information adhering to CDC and
national standards Administrative flexibility to assign
LOINC/SNOMED codes for processing new lab results
Error reports to track problems and streamline reporting
Extensive Analysis, Visualization and Reporting Tools
Tables and lists – over 175 reports Disease / case management Resource management Grants / funding / presentations Data analysis / research
Maps Charts / graphs / dashboards
Outbreak Management
Setting up signs symptoms and risk factors for outbreaks
Assigning case classification for outbreaks Mapping outbreaks Special reports for outbreaks
Modules for Aggregate Information
ILI module for monitoring influenza activity receive reports from schools, long-term care facilities and
nursing homes flexibility to change reporting time frames flexibility to report by individual entity or jurisdictional agencies
AR module for monitoring antimicrobial resistance includes administrative flexibility for CDS to assign pathogen-antibiotic relationships for monitoring set up time frames for reporting assign sites for reporting
Impact on Public Health
The New Jersey Communicable Disease
Reporting and Surveillance System (CDRSS)
1. Improved timeliness and response of notifiable disease reporting and follow up
Internal analysis determined that users entered cases average of 3 to 4 days after illness onset in 2004, compared to 28 days in 2003
In 2004, NJ identified a multistate outbreak of Salmonella berta
Internal analysis shows timely prophylaxis of HAV contacts increased from 33% in 2005 to 99% in 2007
14,608
22,609
29,96733,130
27,204
36,304
44,900
55,116
0
10,000
20,000
30,000
40,000
50,000
60,000
2002
2003
2004
2005
2006
2007
2008
2009
Year
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Cases
2. Minimized underreporting
Note: 2006 decline attributed to decrease in Lyme disease reporting
3. Improved data quality by enhancing communication and report completeness
• Streamlined communications for meningococcal disease follow up in daycare attendee
• Enhanced hepatitis B monitoring for perinatal follow up
4. Empowering the users
http://www.state.nj.us/health/cd/documents/newsletter0109.pdf
Under Current Development
Additional ELR from Quest Labs – Horsham, PHEL
STD Module – likely to be completed by Jan 1, 2011
Updated contact tracing functionality
Future Plans
……. If additional becomes funding available!
Implementing NEDSS messaging with CDC
Implementing public health case reporting with NJ HIEs
Bi-directional case reporting with NJ HIEs
