Hawaii’s Use of EDRS for Public Health Surveillance Alvin T. Onaka, Ph. D. Hawaii Department of Health 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Acknowledgements Caryn Tottori Brian Pang Brian Horiuchi Leatrice Tsubota 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
100 Percent EDRS Participation January 1, 2006 Implementation n All Mortuaries Statewide n All Medical Examiners/Coroner Physicians 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
EDRS Presentation Booth – 2005 HMA Conference 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Kauai: Wilcox Hospital Training 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
EDRS Participation As of May 1, 2008 n Top 12 Medical Certifiers in the State n Highest Volume Physicians in Each County 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
50 or More Deaths 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Full vs. Partial Electronic Filing 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
2007 Deaths Oahu Kauai 475 Molokai 6767 Maui Lanai 1029 Total (9531) 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 1260 Hawaii
Certifier enters info in EDR Mortuary enters info in EDR Deaths due to Influenza/Pneumonia counted manually by DOH staff Certifier enters info on paper 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Certifier or Mort. efaxes info to HDOH
Automated Mortality Reporting Internet EDR Secure Data port DMZ Firewall DATA ME’s Quincy System: XML transfer format: 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 User Interface & Direct Access Official Death Certificate, Reports, Analysis. .
Influenza or Pneumonia Death Selection Super MICAR’s Spell Check n CDC criteria for completing Weekly Report n Listing of Cause of Death literals n 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Automated Weekly Email Notification Both the weekly Mortality report and raw data file are always included in the email 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Manual Control of Report Manual control has a user defined date criteria and is independent of the automated weekly email notification Flexibility to Add/ Remove email addresses to receive automated email notifications 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
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 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
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 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Future Enhancements n n n Statewide Influenza & Pneumonia reporting Daily reporting of Influenza and Pneumonia deaths Geocoding of location of death and place of residence 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Reduce the Risk of Pandemic Flu Main Defense – Social Distancing e. g. Quarantine 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
Future Enhancements (Cont. ) n n n 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 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008
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