Integration Project Team Tom Starcher NCCDPHP Scott Danos

Integration Project Team Tom Starcher, NCCDPHP Scott Danos, NCHSTP Dan Jernigan, NCID Henry Rolka, NIP Roseanne English, HISSB Exec. Sec. Kim Marsh, HISSB Exec. Sec. Denise Koo (Team Leader), EPO Meade Morgan, EPO Integration Project

Figure 1 - Current Situation Program Specific Reports and Summaries HARS STD*MIS TIMS MMWR Weekly Tables NNDSS EIP Systems MMWR Annual Summaries PHLIS Statistical Surveys for Chronic Diseases, Injuries and Other Public Health Problems CDC Varied communications methods and security - specific to each system - including diskettes, e-mail, direct modem lines, etc. State Health Department HARS STD*MIS TIMS NETSS EIP Systems PHLIS Reporting by Paper Form, Telephone and Fax Data Sources Physicians Varied communications methods and security - specific to each system- including paper forms, diskettes, e-mail, direct modem lines, etc. Chart Review City/County Health Department HARS STD*MIS TIMS NETSS EIP Systems* PHLIS *EIP Systems (ABC, UD, Foodnet) Integration Project STD*MIS (Optional at the Clinic) TIMS (Optional at the Clinic) Lab Reports

The Long-term Vision ^ Complementary electronic information systems that: - automatically gather health data from a variety of sources on a real-time basis, - monitor the health of communities, - assist in the on-going analysis of trends and detection emerging public health problems, and -provide information for setting public health policy. Integration Project

Figure 2 - Proposed Integrated Surveillance Systems Solution TB Notifiable Disease Reports Secure Server STDs EIP Systems HIV/AIDS Lab Surveillance Data Sources CDC Electronic data interchange (EDI) using HL 7 or other standardized format HIV/AIDS State Health Department Secure Internet Paper Forms, Telephone and FAX Shared Facilities and Services, e. g. common interface, software components, terminologies and data files Electronic data interchange (EDI) using HL 7 or other standardized format Integration Project HIV/AIDS Chart Review Lab Reports Secure Internet Secure electronic reporting City/County Health Department Physicians Shared Facilities and Services, e. g. common interface, software components, terminologies, and data files Vital Statistics Emergency Departments Medicaid, Medicare Encounters STD Clinics TB Clinics Hospital Discharge Data

The Solution • A common “framework” for surveillance information systems: – Common data architecture (model, definitions, coding) – Automated electronic reporting of data, e. g. electronic laboratory reporting – Consistent user interface – Secure Internet pipeline for reporting to CDC – Reusable software components – Shared analysis and dissemination methods Integration Project