1 / 49

SIREN and MEDSIS AZ HIMSS - July 23, 2004 John Nelson Ken Komatsu

alijah
Download Presentation

SIREN and MEDSIS AZ HIMSS - July 23, 2004 John Nelson Ken Komatsu

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. SIREN and MEDSIS AZ HIMSS - July 23, 2004 John Nelson Ken Komatsu

    2. Arizona Public Health Information Infrastructure Public Health IT initiatives Arizona Health Alert Network SIREN system infrastructure and features Disease surveillance in Arizona MEDSIS features MEDSIS and hospital systems

    3. CDC and Arizona initiatives

    4. PHIN Public Health Information Network: Vision “To transform public health by coordinating its functions and organizations with information systems that enable: real-time data flow computer assisted analysis decision support professional collaboration rapid dissemination of information to public health, clinical care, and the public” Slide taken from the PHIN Stakeholder’s Meeting 2003 I think it is easier to first go over where PHIN is going to take public health, then discuss what it is.Slide taken from the PHIN Stakeholder’s Meeting 2003 I think it is easier to first go over where PHIN is going to take public health, then discuss what it is.

    5. PHIN Public Health Information Network Provides a unified information technology framework and standards for public health informatics Endorses additional integration of public health systems in development of an interoperable network to support multiple public health activities Public Health Functions: 1. Detection and monitoring 2. Analysis 3. Information resources and knowledge management 4. Alerting and communications 5. ResponsePublic Health Functions: 1. Detection and monitoring 2. Analysis 3. Information resources and knowledge management 4. Alerting and communications 5. Response

    6. Health Alert Network A state-wide system for health alerting of public health, public safety, and health care professionals SIREN (Secure Integrated Response and Electronic Notification system) is the centerpiece of Arizona’s Health Alert Network SIREN allows for secure alerting (through redundant means), information dissemination, and document sharing SIREN also acts as a back-bone to several emergency response computer applications, including MEDSIS (Medical Electronic Disease Surveillance and Intelligence System)

    7. Arizona Health Alert Network SIREN – System Infrastructure High Availability Low Maintenance (no client connections to support) Scaled to meet existing and proposed 5 year needs (3000 – 4000 simultaneous users) No Major Changes needed to address scaling the system

    8. Arizona Health Alert Network SIREN –Infrastructure Diagram

    9. Arizona Health Alert Network SIREN – System Features The SIREN system infrastructure is designed to support various applications and services: Security and system authentication Directory services (Public Health Directory) Secure data transfer (messaging) Automated alerting by roles Document management/portal interface Conference bridge/telephony integration Email services

    10. Leveraged Services

    11. Common Application Platform

    12. Data Exchange/Messaging

    13. Arizona Health Alert Network SIREN – System Gateway

    14. Arizona Health Alert Network SIREN – Alert Notification During an emergency situation, alert notifications would be handled via: Telephone Facsimile Email Pager notification Web-page updates

    15. Arizona Health Alert Network SIREN – Alert Notification

    16. SIREN Summary Secure web-based extranet Services based architecture Supports additional applications Provides messaging and notification services

    17. MEDSIS

    18. Public Health Surveillance Disease surveillance Reporting required by Arizona Administrative Code R9-6-201 to 203 Required reporting by physicians, hospital administrators and clinical laboratories Syndromic surveillance Pre-diagnostic, early warning, “real time” Existing electronic data reassurance Basic info on MEDSISBasic info on MEDSIS

    19. Public Health Surveillance

    20. Disease Surveillance Past: Paper-based reporting relying on mail, fax and phone calls Unable to detect disease outbreaks at earliest point of potential recognition MEDSIS: Secure, web-based application that allows for immediate notification of public health of reportable diseases and potential outbreaks

    21. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    22. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    23. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    24. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    25. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    26. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    27. Pre-diagnostic Surveillance Basic info on MEDSISBasic info on MEDSIS

    28. MEDSIS represents Arizona’s tie-in to the National Electronic Disease Surveillance System (NEDSS), proposed by CDC, and funded through Bioterrorism MEDSIS is the system that addresses Governor Napolitano’s Homeland Security Action Item #8 – Electronic Disease Surveillance

    29. MEDSIS is… Not a “state” system a system funded and supported by the state for local health department infectious disease surveillance. a flexible, expandable system Exceeds HIPAA security standards Basic info on MEDSISBasic info on MEDSIS

    30. MEDSIS specifications Uses MS SQL server Written in .Net Integrated into the SIREN infrastructure Meets PHIN specifications Uses the Public Health Logical Data Model (based on the HL7 RIM) Basic info on MEDSISBasic info on MEDSIS

    31. MEDSIS Data model Basic info on MEDSISBasic info on MEDSIS

    32. MEDSIS Impact Timely receipt of disease reports Increase in disease reports Less data entry of incoming reports Better data quality Simultaneous County/State access Facilitates monitoring trends and analyses Access to alternative surveillance data

    33. MEDSIS Design Functionality A browser is the only required software Role-based access and rights to data Ability to analyze data across diseases Ability to query and download or cut and paste report data into Excel Moving towards automated geocoding

    34. Key Features of MEDSIS Web-based reporting by infection control practitioners System-to-system data exchange for laboratory reporting (ELR) ELR data instantly available to county/tribal health departments Moving towards distributed administration SSL security for application access

    35. MEDSIS pilot The initial system was built to replace current DOS-based state system Initial pilot testing group is providing feedback on the data flow, ease of use, bugs, reports, data elements, access issues and policy guidelines regarding system use. Basic info on MEDSISBasic info on MEDSIS

    41. MEDSIS - Analysis Automated Analysis Systems Early Aberration Recognition System (EARS) Spatial Analysis ARC-IMS – Geographical Information System SaTScan –Space and Time Cluster Analysis

    42. Pre-diagnostic Surveillance Mesa EMS run data National Retail Drug Monitoring System – Over the Counter Pharmaceutical Sales BioSense – VA, Drug Sales, Military Hospitals National Systems BIDS – Border Infectious Disease Systems SDN – CDC Secure Data Network

    43. MEDSIS – 2004 Pilot electronic data exchange with hospital and clinical laboratories Add line list reports and extracts Pilot system with counties and infection control practitioners WNV module to include human and non-human tracking

    44. Next MEDSIS Project plan, 04/05 Refinement of interface and features based on feedback Rollout to all county health departments Outreach to all hospitals and clinical laboratories Gathering business requirements for an outbreak management and a contact tracing modules Begin outreach to clinics, providers, and schools

    46. Additional Information http://www.cdc.gov/NEDSS http://www.cdc.gov/PHIN http://www.hl7.org http://www.snomed.org/ http://www.loinc.org/

    47. Public Health and Hospital Information Systems Minimize the time to detection Reduce the burden of manual reporting Next steps Coordinate an assessment of hospital information systems related to reporting and data exchange Prioritize and begin discussions

    48. Data Exchange Secure Socket Layer (SSL)/ Transport Layer Security (TLS) Secure Socket Shell (SSH) Browse and upload

    49. Questions? For more information contact: Ken Komatsu, Surveillance Project Coordinator 603-364-3587 kkomatsu@siren.az.gov John Nelson, Health Alert Network Program Manager 602-364-3282 jnelson@siren.az.gov

More Related