Disease reporting from an automated laboratory-based reporting system to a state health department via local county health departments

2001 ◽  
Vol 116 (3) ◽  
pp. 257-265 ◽  
Author(s):  
Howard D. Backer ◽  
Stanley R. Bissell ◽  
Duc J. Vugia
Keyword(s):  
Reporting System ◽  
Health Department ◽  
Health Departments ◽  
State Health ◽  
State Health Department ◽  
Disease Reporting

scholarly journals 965. Partnering with State Health Departments: A Road Map for Collaboration Using Public Health Enhanced HIV/AIDS Reporting System (eHARS)

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S512-S513
Author(s):  
John R Bassler ◽  
Emily B Levitan ◽  
Lauren Ostrenga ◽  
Danita C Crear ◽  
Kendra L Johnson ◽  
...  
Keyword(s):  
Public Health ◽  
Reporting System ◽  
Health Department ◽  
Distributed Data ◽  
Summary Statistics ◽  
Health Departments ◽  
State Health ◽  
State Health Department ◽  
Data Network ◽  
Hiv Aids

Abstract Background Academic and public health partnerships are a critical component of the Ending the HIV Epidemic: A Plan for America (EHE). The Enhanced HIV/AIDS Reporting System (eHARS) is a standardized document-based surveillance database used by state health departments to collect and manage case reports, lab reports, and other documentation on persons living with HIV. Innovative analysis of this data can inform targeted, evidence-based interventions to achieve EHE objectives. We describe the development of a distributed data network strategy at an academic institution in partnership with public health departments to identify geographic differences in time to HIV viral suppression after HIV diagnosis using eHARS data. Figure 1. Distributed Data Network Methods This project was an outgrowth of work developed at the University of Alabama at Birmingham Center for AIDS Research (UAB CFAR) and existing relationships with the state health departments of Alabama, Louisiana, and Mississippi. At a project start-up meeting which included study investigators and state epidemiologists, core objectives and outcome measures were established, key eHARS variables were identified, and regulatory and confidentiality procedures were examined. The study methods were approved by the UAB Institutional Review Board (IRB) and all three state health department IRBs. Results A common data structure and data dictionary across the three states were developed. Detailed analysis protocols and statistical code were developed by investigators in collaboration with state health departments. Over the course of multiple in-person and virtual meetings, the program code was successfully piloted with one state health department. This generated initial summary statistics, including measures of central tendency, dispersion, and preliminary survival analysis. Conclusion We developed a successful academic and public health partnership creating a distributed data network that allows for innovative research using eHARS surveillance data while protecting sensitive health information. Next, state health departments will transmit summary statistics to UAB for combination using meta-analytic techniques. This approach can be adapted to inform delivery of targeted interventions at a regional and national level. Disclosures All Authors: No reported disclosures

scholarly journals Current Strategies for Managing Providers Infected with Bloodborne Pathogens

2011 ◽  
Vol 32 (5) ◽  
pp. 428-434 ◽  
Author(s):  
Sarah Turkel ◽  
David K. Henderson
Keyword(s):  
Scientific Information ◽  
Management Strategies ◽  
Health Department ◽  
Health Departments ◽  
State Health ◽  
Bloodborne Pathogens ◽  
State Health Department ◽  
State Laws ◽  
Expert Review ◽  
Control And Prevention

Background.In 1991 the Centers for Disease Control and Prevention issued guidelines to reduce risks for provider-to-patient transmission of bloodborne pathogens. These guidelines, unchanged since 1991, recommend management strategies for hepatitis B e antigen-positive providers and for providers infected with human immunodeficiency virus; they do not address hepatitis C virus (HCV)-infected providers.Objective.We summarized current state practices and surveyed state health departments to determine (1) whether state policies have been modified since 1991; (2) whether state laws require prospective notification of patients and/or expert review panels to manage infected providers; (3) the frequency with which infected-providers issues come to the attention of state health departments; and (4) how state health departments intervene.Methods.We reviewed the 50 states' laws and guidelines to determine current practices and conducted a structured telephone survey of all state health departments.Results.Whereas only 19 states require infected providers to notify patients of the providers’ bloodborne pathogen infection, these 19 states require notification under highly varied circumstances. Only 10 of 50 state health department officials identified these issues as requiring significant departmental effort. No state law or guideline incorporates information about providers’ viral burdens as part of the risk assessment. Only 3 of 50 states have modified policies or laws since initial passage, and only 1 of 50 discusses the management of HCV-infected providers.Conclusions.These results identify a need for incorporating contemporary scientific information into guidelines and also suggest that infected-provider issues are not occurring commonly, are not being detected, or are being managed at levels below the state health department.

scholarly journals Health Department Authorities to Assist Healthcare Facilities with Outbreaks or High HAI Rates—Preliminary Assessment, 2018

2020 ◽  
Vol 41 (S1) ◽  
pp. s244-s244
Author(s):  
Nijika Shrivastwa ◽  
Joseph Perz ◽  
Jennifer C. Hunter
Keyword(s):  
Health Department ◽  
Annual Reports ◽  
Local Health ◽  
Health Departments ◽  
State Health ◽  
State Health Department ◽  
Healthcare Facilities ◽  
Facility Level ◽  
Targeted Assistance ◽  
Healthcare Associated

Background: Health departments have been increasingly called upon to monitor healthcare associated-infections (HAIs) at the hospital- or facility-level and provide targeted assistance when high rates are identified. Health department capacity to effectively respond to these types of signals depends not only on technical expertise but also the legal and regulatory authority to intervene. Methods: We reviewed annual reports describing HAI and antibiotic resistance (HAI/AR) activities from CDC-funded HAI/AR programs for August 2017 through July 2018. We performed a qualitative data analysis on all 50 state health department responses to a question about their regulatory and legal authority to intervene or assist facilities without invitation when outbreaks are suspected (as determined by the health department) or high HAI rates have been identified (eg, based on NHSN data). Results: When an outbreak is identified, 31 health departments (62%) indicated that they have the authority to intervene without invitation from a facility and 8 (16%) did not specify. Among the 11 health departments (22%) that indicated that they do not have this authority, 5 (45%) states noted that they operate under decentralized systems in which the local health department can intervene in outbreak situations and the state health department is available to assist. When a health department identifies high HAI rates, 14 health departments (28%) indicated that they have the authority to intervene without invitation, 22 (44%) indicated that they do not, and 14 (28%) did not specify. Among those in the latter categories, 3 stated they can work through their local health departments, which do have this authority and 8 described working through partners (eg, State Hospital Association, n = 3 or State Healthcare Licensing Agency, n = 5). Discussion: Assistance from state health departments (eg, HAI/AR programs) in the context of outbreaks and high HAI rates has value that is usually well recognized and welcomed by healthcare facilities. Nonetheless, there are occasions when a health department might need to exert its authority to intervene. The preliminary analysis described here indicated that this authority was more commonly self-reported in the context of outbreaks than when high HAI rates are identified. These 2 situations are connected, as high rates might be indicative of unrecognized or unreported outbreak activity, and these issues may benefit from further analysis.Funding: NoneDisclosures: None

scholarly journals Preparing for State Health Department Accreditation: Pivotal Roles for Public Health Surveillance

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Christopher D. Williams
Keyword(s):  
Public Health ◽  
Health Informatics ◽  
Public Health Surveillance ◽  
Health Department ◽  
Health Surveillance ◽  
Health Departments ◽  
Public Health Informatics ◽  
State Health ◽  
State Health Department ◽  
The Public

Many State Health Departments (SHDs) are considering or preparing for voluntary accreditation through the Public Health Accreditation Board (PHAB). With the 2014 release of PHAB's Standards & Measures Version 1.5, health departments must adhere to specific documentation criteria regarding measures for public health surveillance. This presentation will provide one SHD's approach to identifying appropriate documents to meet the public health surveillance measures from a public health informatics perspective. A document selection matrix may be helpful to other SHDs considering accreditation.

The extraction of quality‐of‐care clinical indicators from State health department administrative databases

1999 ◽  
Vol 170 (9) ◽  
pp. 420-424 ◽  
Author(s):  
Jennifer W Majoor ◽  
Joseph E Ibrahim ◽  
Flavia M Cicuttini ◽  
John J McNeil ◽  
Neil W Boyce
Keyword(s):  
Quality Of Care ◽  
Health Department ◽  
Administrative Databases ◽  
State Health ◽  
State Health Department ◽  
Clinical Indicators

scholarly journals List of species in the genus Lutzomyia, França, 1924 (Psychodidae, Phlebotominae) from the State of Mato Grosso

2007 ◽  
Vol 40 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Nanci Akemi Missawa ◽  
Giovana Belem Moreira Lima Maciel
Keyword(s):  
National Health ◽  
Vegetation Type ◽  
Health Department ◽  
Human Action ◽  
The State ◽  
Sand Fly ◽  
State Health ◽  
State Health Department ◽  
Mato Grosso ◽  
Forested Areas

This work had the objective of listing the sand fly species that occur in the State of Mato Grosso, Brazil. Data relating to entomological surveys conducted between 1996 and 2004 were obtained from the National Health Foundation and the State Health Department, and this was supplemented with information from research carried out in the state and from the specialized literature. There were records of 106 sand fly species belonging to the genus Lutzomyia. This is a rich and diversified fauna, with some species restricted to forested areas and others recorded throughout the state, independent of the vegetation type, and in areas modified by human action, with predominance of Lutzomyia whitmani.

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