Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005
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Partners in Sentinel Health Surveillance 2003-2004 TARRANT Annual Meeting February 24, 2005 PowerPoint PPT Presentation


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Partners in Sentinel Health Surveillance 2003-2004 TARRANT Annual Meeting February 24, 2005. National Research System (NaReS) Staff Jamie Jensen - FluWatch Coordinator Anita Lambert-Lanning - Research Information Coordinator (NaReS). NaReS FluWatch Sentinel Provinces. LA /. I.

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Partners in Sentinel Health Surveillance 2003-2004 TARRANT Annual Meeting February 24, 2005

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Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Partners in Sentinel Health Surveillance2003-2004TARRANT Annual MeetingFebruary 24, 2005

National Research System (NaReS) Staff

Jamie Jensen - FluWatch Coordinator

Anita Lambert-Lanning - Research Information Coordinator (NaReS)


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

NaReS FluWatch Sentinel Provinces

LA/

I

http://www.hc-sc.gc.ca/pphb-dgspsp/fluwatch/index.html


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Provided by Jeannette Macey 2002


Nares fluwatch recruitment procedures

NaReS FluWatch Recruitment Procedures

  • Welcome packages faxed out in September

  • Extra sentinels recruited (faxing recruitment

    packages / phone calling) in CDs as needed using expected rate of 1 sentinel per 250,000 population

  • Recruitment process labour intensive in fall but now continues year round for new and replacement recruits


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Sample Fluwatch Reporting Form

See additional handout

\\cfpcfile\cfpc\research\Anita\reporting form.pdf


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

holidays

April blip?


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Participation Rates by Province 2003-04


Data collection process evaluation surveys

Data Collection ProcessEvaluation Surveys

  • NaReS FluWatch Sentinels (n=158) were

    sent an Evaluation Questionnaire in Mar 2004

  • 7 requested discontinuation throughout year

  • French speaking sentinels received evaluation

    form in French if indicated

  • Response Rates to Evaluation=138/158 (87%)


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Evaluation of Participation

#

n=138

%

Agree

Amt of time spent completing

Forms was < 15 minutes

105

76.1

Amt of time required for participation was acceptable

136

98.6

Instructions clear & easy to follow

138

100.0

Weekly reporting forms easy to complete

136

98.6

Recv’d weekly forms on timely basis

132

95.7


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Evaluation of Participation

#

n=138

%

Agree

Faxing reports did not present any problems

132

95.7

Amt of detail requested was acceptable

136

98.6

Frequency of ILI (weekly) was acceptable

132

95.7

Interested in participating for other conditions on an ad hoc

100

72.5


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Received FluWatch reports each week

frequency

percent

Yes

80

58.0

No

No answer

57

1

41.3

0.7

Total

138

100.0


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Taking clinical samples

#


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Type of Clinical Samples Taken

(n=50 sentinels with more than one choice in some cases)

#


Practice profile of sentinels

Practice Profile of Sentinels

*N.B. 4 mainly female patients, 1 in emergency,

1 focused on seniors


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Practice Profile of Sentinels


Practice profile of sentinels1

Practice Profile of Sentinels


Patient visits among sentinels n 138

Patient Visits among sentinels(n=138)

81/138 (58.7%) report up to 20%

Of their patient visits are walk-ins

#


Conclusions recommendations

Conclusions / Recommendations

  • spring of 2004 Health Canada decided to continue faxing reporting forms weekly for summer months

  • large drop in sentinels agreeing to participate over the summer months was expected & did occur but not to the level of previous summers

  • done on assumption that asking would underscore need for regularization of year-round surveillance

  • year-round surveillance among NaRes Sentinels continues to rise to a limited extent (55%) in 2004

  • 36.2% of 2003-04 surveyed sentinels still prefer to report ONLY during the regular season

  • SARS and Avian virus threats may have heightened sentinel commitment necessary for year round reporting but additional CME promotion and effort is still required


Toronto 2004 fmf influenza workshop

Attendees committed but concerned re:

Need for expansion

Lack of time

Compensation for surveillance work in primary care

Need for combining clinical & research updates in 1 CME session

Researchers would like

_ to find an RFP to support the testing/analysis of networked surveillance data from GP/FP practices

_ Link surveillance to E-data capture methods to provide more timely feedback to sentinel physicians re: their own collective lab reports etc.

Toronto 2004 FMF Influenza Workshop


Partners in sentinel health surveillance 2003 2004 tarrant annual meeting february 24 2005

Attendees surveyed at the FMF workshop in Toronto confirmed that being a FluWatch sentinel kept them in the influenza information loop.

They are concerned about new and emerging diseases as demonstrated by a comment from Dr. Peter McKean (PEI sentinel)

“I feel that it (sentinel surveillance) is of essential importance to public health.”

This concern was underscored by the fact that greater than half of the participants at the workshop do surveillance year round.


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