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Acknowledgements

Hawaii’s Use of EDRS for Public Health Surveillance Alvin T. Onaka, Ph.D. Hawaii Department of Health. Acknowledgements. Caryn Tottori Brian Pang Brian Horiuchi Leatrice Tsubota. 100 Percent EDRS Participation January 1, 2006 Implementation. All Mortuaries Statewide

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Acknowledgements

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  1. Hawaii’s Use of EDRS for Public Health SurveillanceAlvin T. Onaka, Ph.D.Hawaii Department of Health

  2. Acknowledgements Caryn Tottori Brian Pang Brian Horiuchi Leatrice Tsubota

  3. 100 Percent EDRS ParticipationJanuary 1, 2006 Implementation • All Mortuaries Statewide • All Medical Examiners/Coroner Physicians

  4. EDRS Presentation Booth – 2005 HMA Conference

  5. Kauai: Wilcox Hospital Training

  6. EDRS ParticipationAs of May 1, 2008 • Top 12 Medical Certifiers in the State • Highest Volume Physicians in Each County

  7. 50 or More Deaths

  8. Full vs. Partial Electronic Filing

  9. Oahu Kauai 475 Molokai 6767 Maui Lanai 1029 1260 Total (9531) Hawaii 2007 Deaths

  10. Deaths due to Influenza/Pneumonia counted manually by DOH staff Certifier or Mort. e-faxes info to HDOH Certifier enters info on paper Certifier enters info in EDR Mortuary enters info in EDR

  11. EDR Internet Secure Data port Firewall DATA User Interface & Direct Access Official Death Certificate, Reports, Analysis.. ME’s Quincy System: XML transfer format: Automated Mortality Reporting DMZ

  12. Influenza or Pneumonia Death Selection • Super MICAR’s Spell Check • CDC criteria for completing Weekly Report • Listing of Cause of Death literals

  13. Both the weekly Mortality report and raw data file are always included in the email Automated Weekly Email Notification

  14. Manual control has a user defined date criteria and is independent of the automated weekly email notification Manual Control of Report Flexibility to Add/ Remove email addresses to receive automated email notifications

  15. TIMELINESS VERSUS COMPLETENESS Options on a Role Based System: Option 1: Report as soon as physician enters cause of death from pneumonia and/or influenza Option 2: Wait until mortuary enters date of birth

  16. OPTIONS ON ROLE BASED SYSTEM Option 1: Advantage: Timeliest reporting of death Disadvantage: Age of decedent may be missing Option 2: Advantage: Always have age of decedent Disadvantage: Potential delay in reporting of cases

  17. Statewide Influenza & Pneumonia reporting Daily reporting of Influenza and Pneumonia deaths Geocoding of location of death and place of residence Future Enhancements

  18. Reduce the Risk of Pandemic Flu Main Defense – Social Distancing e.g. Quarantine

  19. Link reporting of influenza and pneumonia deaths with laboratory results Expand linkage concept to chronic disease, e.g. cancer deaths and tumor registry Expand Syndromic Surveillance of other diseases using EDRS Future Enhancements (Cont.)

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