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 />
Directory. The BOH will design business rules to ensure data confidentiality to permit<br />
selectively authorized, read-only access to data housed in selected program area modules<br />
(PAMs) based on specific user’s roles and responsibilities. The data will be accessible to<br />
specific commercial software (e.g., standards-based statistical packages, GIS packages) to<br />
support related data analysis and visualization activities, and to support the electronic exchange<br />
of laboratory, clinical, and epidemiological data between the state, and other providers and<br />
laboratories (dependent on licensing agreements).<br />
The currently proposed e-business plan addresses the important and previously unavailable<br />
attribute of these disparate data systems that will allow web browser-based development of<br />
clinical and public health management reports for improving case management. Selective,<br />
confidential, data reporting, querying and messaging functions will be available for authorized<br />
users to extend the use of <strong>NEDSS</strong> data, linked to demographic and disease data, to provide<br />
integrated reports of patient demographics, laboratory results, and disease history. E-business<br />
would involve periodic reports and case reports available from BOH, or through the query<br />
feature for user-generated, ad hoc clinical and management reports. Reports will be available for<br />
local stakeholders, with aggregate reports for data comparisons, and individual case reports<br />
available for specific data laboratory providers (to safeguard issues of patient confidentiality) as<br />
well as state and local public health agencies. Out-of-state laboratories would need to access<br />
specific data through the CDC.<br />
The capability to query and generate these resultant reports offers value-added identification,<br />
communication and program response to directly address public health issues of changes in<br />
disease incidence, severity, treatment, and prevention. Local public health agencies and<br />
laboratories can be alerted electronically about specific disease states, rates, and data monitoring<br />
and reporting requirements to improve detection and treatment management. In addition to these<br />
clinical processes and outcomes, the query and reporting functions allow government and<br />
clinical laboratories to access aggregated state-wide data that was unavailable previously or<br />
available only in hard copy reports by county. These data may be used to enhance financial<br />
projections of provider business costs and/or public health program costs, to compare and<br />
contrast competitive patterns and projections, and to improve quality assurance through<br />
management control and management decision-making that affects patients, communities, public<br />
health agencies, and commercial providers alike.<br />
III. Costs and Benefits<br />
E-business costs are anticipated to be negligible. The initial development of <strong>NEDSS</strong> has already<br />
contemplated the system architecture, design, linkages, and maintenance requirements for the<br />
query and reporting functions. The various user communities will need computer equipment and<br />
maintenance for access to the web browser, but most if not all components should already exist<br />
to meet the previously mandated data entry requirements for reporting the relevant laboratory<br />
tests to the BOH data repository. The user communities may need some minor computer<br />
software training to effectively utilize the software capabilities to query and produce reports, but<br />
these costs should be very low. And, it is anticipated that instructions on how to access NEDDS<br />
will be available on-line.<br />
Conversely, the benefits of NEDDS from an e-business perspective are significant. In addition to<br />
PHRG 2 of 5<br />
September 28, 2001