National Electronic Disease Surveillance System (NEDSS ...
National Electronic Disease Surveillance System (NEDSS ...
National Electronic Disease Surveillance System (NEDSS ...
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PHASE II Task 3 Deliverable<br />
<strong>National</strong> <strong>Electronic</strong> Data <strong>Surveillance</strong> <strong>System</strong> (<strong>NEDSS</strong>) Plan<br />
Phase II Task 3<br />
e-Business Plan<br />
I. Executive Summary<br />
E-business query and report generation functions are being developed as part of the <strong>National</strong><br />
<strong>Electronic</strong> Data <strong>Surveillance</strong> <strong>System</strong> (<strong>NEDSS</strong>). Using an on-line web browser, clinical<br />
laboratories and providers will transmit laboratory results, integrated through <strong>NEDSS</strong>, to the<br />
State of Maine Bureau of Health, who then transmits these data to the Centers for <strong>Disease</strong><br />
Control and Prevention (CDC). Out of state reference labs processing Maine specimens will<br />
transmit results directly to CDC which in turn will transmit results to Maine. These new e-<br />
business functions will then allow public health agencies, health services agencies, and providers<br />
across the state to directly access the <strong>NEDSS</strong> data through the web browser to perform specific<br />
queries of the data and to create ad hoc reports specifically requested by the user. Selective,<br />
confidential, querying and messaging functions will be available for authorized users to extend<br />
the use of <strong>NEDSS</strong> data, linked to demographic and disease data, to provide integrated reports of<br />
patient demographics, laboratory results, and disease history and outcomes. Authorized users<br />
will have access to their own provider-specific data as warranted, as well as to statewide<br />
aggregated data that has not existed previously. These e-business query and reporting functions<br />
will allow public health agencies to more closely monitor, report, and manage disease-specific<br />
prevalence and incidence rates, plus prevention and treatment programs. These e-business<br />
functions can provide improved quality assurance through early detection, improved agencyfield<br />
communication; best practices analyses, and cost-effectiveness analyses of clinical<br />
providers, clinical treatment modalities, and patient and community outcomes.<br />
II. Business Requirements<br />
The <strong>National</strong> <strong>Electronic</strong> Data <strong>Surveillance</strong> <strong>System</strong> (<strong>NEDSS</strong>) is a cooperative partnership<br />
between the Centers for <strong>Disease</strong> Control and Prevention (CDC) and many public health entities<br />
to integrate previously disparate data collection and reporting systems into a secure, integrated<br />
environment. The system was developed to improve the efficiency, effectiveness, and timeliness<br />
of public health-related surveillance, monitoring, analysis, identification, and management<br />
concerning various diseases detected through a variety of clinical laboratory procedures, as well<br />
as to serve as a basis for public health policy at multiple levels of government. The system is<br />
intended to involve the CDC, state and local public health departments, health care provider and<br />
service organizations, health care product vendors, and health care standards organizations.<br />
Data are currently provided to the Maine Bureau of Health (BOH) by hospital laboratories, the<br />
state Public Health Laboratory, and reference laboratories throughout the State of Maine.<br />
Current data processes include the collection, verification, storage repository, and reporting<br />
functions as the data are transmitted to the CDC in Atlanta. The required system elements<br />
involving data collection and security are discussed previously in the <strong>National</strong> <strong>Electronic</strong> Data<br />
<strong>Surveillance</strong> <strong>System</strong> (<strong>NEDSS</strong>) Overview (PHRG, May 18, 2001). The Maine Bureau of Health<br />
will maintain the integrated data repository, which will communicate through specific software<br />
with the clinical database, the CDC, the state and other public health agencies, clinical sites<br />
(providing electronic laboratory messages), Geographic Information <strong>System</strong> (GIS) and other<br />
demographic and clinical disease data mapping and statistical reports, and the Health Personnel<br />
PHRG 1 of 5<br />
September 28, 2001