scholarly journals New Master Mapping Reference Table (MMRT) to Assist ICD-10 Transition for Syndromic Surveillance

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Brooke Evans ◽  
Peter Hicks ◽  
Julie A. Pavlin ◽  
Aaron Kite-Powell ◽  
Atar Baer ◽  
...  

The International Society for Disease Surveillance (ISDS), in consultation with the CDC and the Council of State and Territorial Epidemiologists (CSTE), conducted a project to develop consensus-driven syndrome definitions based on ICD-10-CM codes. The goal was to have the newly created ICD-9-CM-to-ICD-10-CM mappings and corresponding syndromic definitions fully reviewed and vetted by the syndromic surveillance community, which relies on these codes for routine surveillance as well as for research purposes. The resulting tool, the Master Mapping Reference Table, may be leveraged by other federal, state, and local public health entities to better prepare and improve their surveillance, analytics, and reporting activities impacted by the ICD-10-CM transition.

2016 ◽  
Vol 22 (Suppl 1) ◽  
pp. i43-i49 ◽  
Author(s):  
Amy Ising ◽  
Scott Proescholdbell ◽  
Katherine J Harmon ◽  
Nidhi Sachdeva ◽  
Stephen W Marshall ◽  
...  

2016 ◽  
Vol 106 (10) ◽  
pp. 1782-1788 ◽  
Author(s):  
Jonathon P. Leider ◽  
Elizabeth Harper ◽  
Ji Won Shon ◽  
Katie Sellers ◽  
Brian C. Castrucci

2017 ◽  
Vol 12 (3) ◽  
pp. 386-395 ◽  
Author(s):  
John L. Hick ◽  
Judith L. Bader ◽  
C. Norman Coleman ◽  
Armin J. Ansari ◽  
Arthur Chang ◽  
...  

ABSTRACTOne of the biggest medical challenges after the detonation of a nuclear device will be implementing a strategy to assess the severity of radiation exposure among survivors and to triage them appropriately. Those found to be at significant risk for radiation injury can be prioritized to receive potentially lifesaving myeloid cytokines and to be evacuated to other communities with intact health care infrastructure prior to the onset of severe complications of bone marrow suppression. Currently, the most efficient and accessible triage method is the use of sequential complete blood counts to assess lymphocyte depletion kinetics that correlate with estimated whole-body dose radiation exposure. However, even this simple test will likely not be available initially on the scale required to assess the at-risk population. Additional variables such as geographic location of exposure, sheltering, and signs and symptoms may be useful for initial sorting. An interdisciplinary working group composed of federal, state, and local public health experts proposes an Exposure And Symptom Triage (EAST) tool combining estimates of exposure from maps with clinical assessments and single lymphocyte counts if available. The proposed tool may help sort survivors efficiently at assembly centers near the damage and fallout zones and enable rapid prioritization for appropriate treatment and transport. (Disaster Med Public Health Preparedness. 2018; 12: 386–395)


2008 ◽  
Vol 2 (1) ◽  
pp. 40-49 ◽  
Author(s):  
Howard K. Koh ◽  
Loris J. Elqura ◽  
Christine M. Judge ◽  
John P. Jacob ◽  
Amy E. Williams ◽  
...  

ABSTRACTThe federally funded Cities Readiness Initiative (CRI) requires seamless federal, state, and local public health coordination to provide antibiotics to an entire city population within 48 hours of an aerosolized release of anthrax. We document practical lessons learned from the development and implementation of the Boston CRI plan. Key themes center on heightened emphasis on security, a new mass protection model of dispensing, neighborhood-centric clinic site selection, online training of Medical Reserve Corps volunteers, and the testing of operations through drills and exercises. Sharing such lessons can build national preparedness. (Disaster Med Public Health Preparedness. 2008;2:40–49)


2020 ◽  
Vol 50 (4) ◽  
pp. 396-407 ◽  
Author(s):  
Adam Gaffney ◽  
David U. Himmelstein ◽  
Steffie Woolhandler

While the COVID-19 pandemic presents every nation with challenges, the United States’ underfunded public health infrastructure, fragmented medical care system, and inadequate social protections impose particular impediments to mitigating and managing the outbreak. Years of inadequate funding of the nation’s federal, state, and local public health agencies, together with mismanagement by the Trump administration, hampered the early response to the epidemic. Meanwhile, barriers to care faced by uninsured and underinsured individuals in the United States could deter COVID-19 care and hamper containment efforts, and lead to adverse medical and financial outcomes for infected individuals and their families, particularly those from disadvantaged groups. While the United States has a relatively generous supply of Intensive Care Unit beds and most other health care infrastructure, such medical resources are often unevenly distributed or deployed, leaving some areas ill-prepared for a severe respiratory epidemic. These deficiencies and shortfalls have stimulated a debate about policy solutions. Recent legislation, for instance, expanded coverage for testing for COVID-19 for the uninsured and underinsured, and additional reforms have been proposed. However comprehensive health care reform – for example, via national health insurance – is needed to provide full protection to American families during the COVID-19 outbreak and in its aftermath.


2011 ◽  
Vol 39 (S1) ◽  
pp. 51-55 ◽  
Author(s):  
Jean O’Connor ◽  
Paul Jarris ◽  
Richard Vogt ◽  
Heather Horton

The detection and spread of pandemic 2009 H1N1 influenza in the United States led to a complex and multi-faceted response by the public health system that lasted more than a year. When the first domestic case of the virus was detected in California on April 15, 2009, and a second, unrelated case was identified more than 130 miles away in the same state on April 17, 2009, the unique combination of influenza virus genes in addition to its emergence and rapid spread at the end of the typical Northern Hemisphere influenza season suggested the potential for a high morbidity, high mortality event. In response, federal, state, and local public health officials conducted epidemiologic investigations with federal and state laboratory support to help to determine the scope of the H1N1 pandemic. On April 26, the Secretary of the U.S. Department of Health and Human Services (HHS) declared a public health emergency that was renewed through June 23, 2010. The pandemic that ensued tested virtually every aspect of U.S. public health preparedness and response systems, from laboratory capabilities and capacities to social distancing plans.


2020 ◽  
Author(s):  
Akhil Sai Peddireddy ◽  
Dawen Xie ◽  
Pramod Patil ◽  
Mandy L. Wilson ◽  
Dustin Machi ◽  
...  

AbstractThe COVID-19 pandemic brought to the forefront an unprecedented need for experts, as well as citizens, to visualize spatio-temporal disease surveillance data. Web application dashboards were quickly developed to fill this gap, including those built by JHU, WHO, and CDC, but all of these dashboards supported a particular niche view of the pandemic (ie, current status or specific regions). In this paper1, we describe our work developing our own COVID-19 Surveillance Dashboard, available at https://nssac.bii.virginia.edu/covid-19/dashboard/, which offers a universal view of the pandemic while also allowing users to focus on the details that interest them. From the beginning, our goal was to provide a simple visual way to compare, organize, and track near-real-time surveillance data as the pandemic progresses. Our dashboard includes a number of advanced features for zooming, filtering, categorizing and visualizing multiple time series on a single canvas. In developing this dashboard, we have also identified 6 key metrics we call the 6Cs standard which we propose as a standard for the design and evaluation of real-time epidemic science dashboards. Our dashboard was one of the first released to the public, and remains one of the most visited and highly used. Our group uses it to support federal, state and local public health authorities, and it is used by people worldwide to track the pandemic evolution, build their own dashboards, and support their organizations as they plan their responses to the pandemic. We illustrate the utility of our dashboard by describing how it can be used to support data story-telling – an important emerging area in data science.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Lisa McGuire

Abstract The Healthy Brain Initiative (HBI) seeks to advance public health awareness of and action on ADRD as a public health issue. The HBI Road Map Series, State and Local Public Health Partnerships to Address Dementia: The 2018–2023 Road Map (S&L RM) and Road Map for Indian Country (RMIC), provide the public health with concrete steps to respond to the growing burden of ADRD in communities, consistent with the aim of the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act (P.L. 115-406). This series of RMs for state, local, and tribal public health provide flexible menus of actions to address cognitive health, including ADRD, and support for dementia caregivers with population-based approaches. This session will describe how the initiative evolved over the past 15 years including policy and implementation success stories.


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