scholarly journals Comparison between HL7 and Legacy Syndromic Surveillance Data in New York City

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Janette Yung ◽  
Promise Nkwocha ◽  
Anthony W. Tam ◽  
Ramona Lall ◽  
Robert Mathes
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Syndromic Surveillance ◽  
Data Format ◽  
Syndromic Surveillance System ◽  
Data Completeness ◽  
Data Formats ◽  
The City ◽  
Continue Monitoring

As part of the Center for Medicare and Medicaid Services Electronic Health Record Incentive Program, otherwise known as Meaningful Use, many New York City emergency departments participating in the city syndromic surveillance system have switched or are in the process of switching data format from text files to HL7 Messaging Standard Version 2.5.1. We evaluated data completeness, quality, and content from hospitals that are sending in both data formats in parallel. Although the sample size was small (n=4 hospitals), we found data completeness and quality improved as hospitals shifted to HL7 messaging. We will continue monitoring hospitals as they upgrade to this new format.

scholarly journals Building a Better Syndromic Surveillance System: the New York City Experience

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Robert Mathes ◽  
Jessica Sell ◽  
Anthony W. Tam ◽  
Alison Levin-Rector ◽  
Ramona Lall
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Alternative Methods ◽  
Detection Methods ◽  
Syndromic Surveillance System ◽  
Aberration Detection ◽  
Ed Visits

The New York City (NYC) syndromic surveillance system has been monitoring syndromes from city emergency department (ED) visits since 2001. We conducted an evaluation of statistical aberration detection methods currently in use in our system as well as alternative methods, applying six temporal and four spatio-temporal aberration detection methods to two years of ED visits in NYC spiked with synthetic outbreaks. We found performance varied between the methods in regard to sensitivity, specificity, and timeliness, and implementation of these methods will depend on needs, frequency of signals, and technical skill.

Monitoring Emergency Department Visits From Puerto Rico in the Aftermath of Hurricane Maria Using Syndromic Surveillance – New York City, 2017

2019 ◽  
Vol 14 (1) ◽  
pp. 44-48
Author(s):  
Priscilla W. Wong ◽  
Hilary B. Parton
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
Puerto Rico ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Situational Awareness ◽  
Syndromic Surveillance System ◽  
Ed Visits

ABSTRACTObjective:Syndromic surveillance has been useful for routine surveillance on a variety of health outcomes and for informing situational awareness during public health emergencies. Following the landfall of Hurricane Maria in 2017, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) implemented an enhanced syndromic surveillance system to characterize related emergency department (ED) visits.Methods:ED visits with any mention of specific key words (“Puerto,” “Rico,” “hurricane,” “Maria”) in the ED chief complaint or Puerto Rico patient home Zip Code were identified from the DOHMH syndromic surveillance system in the 8-week window leading up to and following landfall. Visit volume comparisons pre- and post-Hurricane Maria were performed using Fisher’s exact test.Results:Analyses identified an overall increase in NYC ED utilization relating to Puerto Rico following Hurricane Maria landfall. In particular, there was a small but significant increase in visits involving a medication refill or essential medical equipment. Visits for other outcomes, such as mental illness, also increased, but the differences were not statistically significant.Conclusions:Gaining this situational awareness of medical service use was informative following Hurricane Maria, and, following any natural disaster, the same surveillance methods could be easily established to aid an effective emergency response.

scholarly journals Description of a School Nurse Visit Syndromic Surveillance System and Comparison to Emergency Department Visits, New York City

2014 ◽  
Vol 104 (1) ◽  
pp. e50-e56 ◽  
Author(s):  
Elisha L. Wilson ◽  
Joseph R. Egger ◽  
Kevin J. Konty ◽  
Marc Paladini ◽  
Don Weiss ◽  
...  
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
School Nurse ◽  
Emergency Department Visits ◽  
Syndromic Surveillance System ◽  
Nurse Visit

Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital

1999 ◽  
Vol 27 (2) ◽  
pp. 202-203
Author(s):  
Robert Chatham
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Public Health System ◽  
Municipal Hospital ◽  
The Public ◽  
Public Benefit ◽  
For Profit ◽  
Benefit Corporation ◽  
The City

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

Field Investigations of Emergency Department Syndromic Surveillance Signals - New York City

2004 ◽  
Author(s):  
Linda Steiner-Sichel ◽  
L. Greenko ◽  
R. Heffernan ◽  
M. Layton ◽  
D. Weiss
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Syndromic Surveillance ◽  
Field Investigations

The Search for Order in Municipal Administration: Herman A. Metz and the New York City Experience, 1898–1909

2020 ◽  
Vol 47 (1) ◽  
pp. 55-74
Author(s):  
Ryan P. McDonough ◽  
Paul J. Miranti ◽  
Michael P. Schoderbek
Keyword(s):  
New York ◽  
New York City ◽  
Internal Control ◽  
York City ◽  
Internal Controls ◽  
Data Availability ◽  
Financial Reports ◽  
The Public ◽  
Operational Activities ◽  
The City

ABSTRACT This paper examines the administrative and accounting reforms coordinated by Herman A. Metz around the turn of the 20th century in New York City. Reform efforts were motivated by deficiencies in administering New York City's finances, including a lack of internal control over monetary resources and operational activities, and opaque financial reports. The activities of Comptroller Metz, who collaborated with institutions such as the New York Bureau of Municipal Research, were paramount in initiating and implementing the administrative and accounting reforms in the city, which contributed to reform efforts across the country. Metz promoted the adoption of functional cost classifications for city departments, developed flowcharts for improved transaction processing, strengthened internal controls, and published the 1909 Manual of Accounting and Business Procedure of the City of New York, which laid the groundwork for transparent financial reports capable of providing vital information about the city's activities and subsidiary units. JEL Classifications: H72, M41, N91. Data Availability: Data are available from the public sources cited in the text.

THE EFFECT OF OFF-TRACK BETTING IN NEW YORK CITY ON REVENUES TO THE CITY AND STATE GOVERNMENTS

1974 ◽  
Vol 27 (1) ◽  
pp. 63-69
Author(s):  
DOUGLAS COATE ◽  
GARY ROSS
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
State Governments ◽  
The City
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