1 / 51

West Virginia Electronic Disease Surveillance System (WVEDSS) and the Reportable Disease Rule

Learn about the rule-making process, changes in the reportable disease rule, electronic disease reporting in West Virginia, and next steps for local health departments.

amandakelley
Download Presentation

West Virginia Electronic Disease Surveillance System (WVEDSS) and the Reportable Disease Rule

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. West Virginia Electronic Disease Surveillance System (WVEDSS) and the Reportable Disease Rule Statewide Conference Calls May 30 and June 8, 2007

  2. Objectives • Explain: • Rule-making process • New changes in the reportable disease rule • Status of electronic disease reporting in West Virginia and future plans • How to report diseases • Next steps for local health departments Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  3. What are Rules? • Rules are (a form of ) Law • Rules complement statutes • Rules specify interpretation, implementation, monitoring and enforcement of Law • Rules provide form and substance to Law Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  4. Writing and Filing Rules • In DHHR/BPH rules are written on an annual cycle. • Drafting can begin at anytime, but the first step in filing a rule takes place in June. • During June of each year rules are filed for a 30 day Public Notice and Comment period in the State Register (published weekly by the Secretary of State). Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  5. Writing and Filing Rules (contd.) • Public comment is allowed by law for all persons to inform the agency of suggestions, comments, criticisms, or praise about the rule. • Agencies must read and respond to all written comments received. • Often comments lead to revisions or further modification of the proposed rule. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  6. Rule Revisions • Adding or deleting required conditions can be made to the reportable disease list by request to the Secretary of State. • Changes are made on the basis of whether the disease constitutes a public health emergency, public health follow-up, or data collected can determine a need for implementing public health programs. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  7. Legislative Rule-Making Review Committee (LRMRC) • The LRMRC is a joint committee of the Legislature. • The committee reviews legislative rules at interim meetings each fall and makes recommendations to the full Legislature. • The Committee is composed of six members of the Senate and six members of the House of Delegates. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  8. The Filing with LRMRC Must: • Show amendments to a current rule by strike-throughs and underscoring; • Contain a brief summary of the proposed rule; • Contain a statement of the circumstances that require the proposed rule; and • Contain a fiscal note. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  9. The LRMRC May Recommend: • That the Legislature authorize the proposed rule as drafted; • That the Legislature authorize the proposed rule with modifications; • That the Legislature authorized the proposed rule with amendments; or • That the agency withdraw the proposed rule. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  10. What Happens Next? • Once approved by the LRMRC the rule is filed for introduction as a bill. • It is assigned a bill number to be discussed in various committees of the legislature. • BPH rules typically go to the Health and Judiciary Committees, but may go to Finance Committee if the rule costs or makes money. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  11. What Happens Next? • Toward the end of the regular Legislative Session rules are “bundled” into one rules bill for each state agency. • The rule becomes effective 30 days after filing or on the date fixed by the authorizing Act. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  12. Key Changes in the Reportable Disease Rule 64CSR7 • Effective March 5, 2007 • Five categories of reportable conditions: • Immediate • 24 hours • 72 hours • Weekly to LHD • Weekly to state • Local health departments must report to state in the same timeframe as providers • Electronic reporting mandated from local health departments when the commissioner declares WVEDSS operational – anticipated July 2, 2007. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  13. Key Changes, cont. • Clarified: • Outbreak (BT) reporting and investigation • Surveillance evaluation and special studies • Submission of isolates (specimens) from labs • Added: • Electronic laboratory reporting Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  14. Selected DiseasesReportable Immediately to Local Health Category I • Category A BT agents • Anthrax • Botulism • Plague • Smallpox • Tularemia • Viral Hemorrhagic Fever • Novel influenza infection • Outbreaks • Measles and SARS Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  15. Selected DiseasesReportable at 24 Hours to Local Health Category II • Animal bites • Hepatitis A, B • Invasive meningococcus, H flu • Pertussis • Staphylococcus aureus resistant to Vancomycin • STEC (Enterohemorrhagic E coli) • Tuberculosis Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  16. Selected Diseases Reportable at 72 Hours to Local Health Category III • Amebiasis • Campylobacteriosis • Cryptosporidosis • Cyclospora • Giardiasis • Listeriosis • Salmonellosis • Shigellosis • Trichinosis • Yersiniosis Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  17. Selected DiseasesReportable at 1 Week to Local HealthCategory IV • Arboviral infection • Chickenpox (aggregate total only) • Community-acquired MRSA (invasive) • Death from chickenpox • Influenza-like illness (aggregate only) • Influenza-related death (age < 18) • Legionellosis • Lyme disease • Invasive bacterial diseases (S pneumo, GAS, GBS) • Tuberculosis latent infection Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  18. Selected DiseasesReportable at 1 Week to State HealthCategory V • AIDS • Chancroid • Chlamydia • Enterovirus (+) cultures, aggregate (laboratories) • Gonococcal disease • Hepatitis C • Providers – acute • Laboratories – all positive test results • PID • Syphilis Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  19. Eliminated • Aseptic meningitis • Bacterial meningitis, other • Encephalitis, other • Hepatitis C, chronic from providers • Herpes • Occupational illness • Rheumatic Fever Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  20. Design of WVEDSS Forms • Provider Section (Yellow) • Patient information • Demographics • Locating information • Clinical information • Laboratory Section (Green) • Public Health Investigation (Blue) • Prevention and control • Surveillance Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  21. Change in Format of Protocols • Provider Responsibilities • Reporting timeframe • Information that must be reported • Immediate control measures, e.g., isolation • Laboratory Responsibilities • Reporting timeframes • Isolate (sample) submission to OLS • Public Health Responsibilities • Disease surveillance, prevention and control responsibilities Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  22. Location of Protocols, Forms, and Information Sheets: • Reportable disease protocol manual: • Condition • When to report • How to report/forms http://www.wvdhhr.org/idep/a-z/a-z-wv-reportable-diseases.asp • Protocols, Information sheets, Other information related to disease http://www.wvdhhr.org/idep/A-Z/A-Z.asp • Reportable Disease Wall Chart: http://www.wvdhhr.org/idep/pdfs/idep/charts/reportable_disease_chart.pdf • Reportable Disease Rule: http://wvde.state.wv.us/policies/p2423_ne.pdf Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  23. WVEDSS Users • Currently in 2007: • WVDHHR (IDEP and STD Hepatitis B) • Regional Epidemiologists • Local Health Departments • Selected Providers • Planned for 2008: • STD and TB Programs (surveillance only) • Additional Providers (on a voluntary basis) Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  24. WVEDSS Operational Status • Based on what we have seen thus far this year, WVEDSS will become operational July 1, 2007. • A letter from the Commissioner will be distributed indicating this operational date. • All local health departments will be required to report through WVEDSS for all supported conditions as of the operational date. • All WVEDSS users will need to sign and return user agreements by the end of July 2007 or accounts will be deactivated. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  25. Expanded Provider Reporting • WVEDSS is currently only used by a handful of hospital ICPs. • Future versions of WVEDSS will provide enhanced provider reporting capabilities, possibly as soon as this fall. • When these enhancements are available, tested, and available for training, WVEDSS will be made available to a larger group of providers. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  26. Electronic Laboratory Reporting • ELR is currently being tested with five hospitals (CAMC, Cabell, WVU, Wheeling, and Wierton). St. Mary’s may be added next year. • We are working to resolve problems with CDC-supplied transmission software and to evaluate ELR message content. • Live ELR reporting will not be available until late 2007 at the earliest. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  27. CDC Reporting via WVEDSS • Based on the problems that we have seen in the NETSS transmission and the scheduled vendor patches, we may be able to use WVEDSS to report to the CDC beginning in July 2007. • However, due to logistical issues with the CDC, this transition will likely occur January 1, 2008. The WVEDSS export will continue to be evaluated through 2007. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  28. Disease Reporting: WVEDSS Pilot Phase* Provider identifies a case Case reported to LHD Electronic reporting Paper reporting WVEDSS Regional Epidemiologist Reconcile WVDHHR/IDEP NETSS CDC ______________ *before July 2, 2007 Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  29. Disease Reporting: WVEDSS after July 2 Provider identifies a case Case reported to LHD Electronic reporting WVEDSS Regional Epidemiologist WVDHHR/IDEP NETSS CDC Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  30. LOCAL HEALTH DEPARTMENT REPORTING:How to report a disease Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  31. PRIOR to July 2, 2007 WVEDSS Paper Lab report electronically* + copy + copy * STD / TB by paper Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  32. EFFECTIVE July 2, 2007 WVEDSS Lab report electronically* + copy * STD / TB by paper Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  33. HOSPITAL REPORTING:How to report a disease Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  34. PRIOR to July 2, 2007One of 3 options: WVEDSS Paper Lab report Electronically* + copy + copy WVEDSS Lab report Paper* + copy “Yellow” Lab report card* + copy * HIV/STD/AIDS/TB by paper Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  35. EFFECTIVE July 2, 2007One of 3 options: WVEDSS Lab report Electronically* + copy WVEDSS Lab report Paper* + copy “Yellow” Lab report card* + copy * HIV/STD/AIDS/TB by paper Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  36. LABORATORY REPORTING:How to report a disease Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  37. No change in reporting process • Send copy of lab slip or completed yellow card to health department • Send isolates to Office of Laboratory Services (OLS) • Refer serological and other specimens to OLS • Special requirements for reporting hepatitis Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  38. Agents of bioterrorism Novel influenza virus SARS Hemophilus influenzae, invasive Mycobacterium tuberculosis Neisseria meningitidis, invasive Shiga toxin-producing Escherichia coli Salmonella typhi from any site Staphylococcus aureus, glycopeptide intermediate or resistant Vibrio cholerae Campylobacter species Salmonella species Shigella species Yersinia enterocolitica Streptococcus pneumoniae, invasive Isolates to Office of Laboratory Services Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  39. Clostridium botulinum Rubeola SARS Viral hemorrhagic fever Dengue Fever Poliomyelitis Rubella Hantavirus Arbovirus infection LaCrosse encephalitis West Nile virus Eastern equine encephalitis Saint Louis encephalitis Powassan encephalitis Serological / Other Specimens to Office of Laboratory Services Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  40. Hepatitis Laboratory Reporting • Serology • HAV IgM (+) • HBV HBsAg (+), anti HBcAB IgM (+) • HCV – any positive • Transaminase levels • Bilirubin Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  41. How to Report to Local Health Departmentshttp://www.wvdhhr.org/wvlocalhealth/lhd_profiles/lhdreport/index.asp Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  42. How to Report to WVDHHR Infectious Disease Epidemiology Program • WVEDSS • Snail Mail Infectious Disease Epidemiology Program Room 125 350 Capitol St Charleston, WV 25301 • Fax: (304)-558-8736 • Phone: (800)-423-1271 Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  43. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  44. How to Report to WVDHHR Tuberculosis Program • TB-34 (paper form) • Snail Mail Tuberculosis Program Room 125 350 Capitol St Charleston, WV 25301 • Fax: (304)-558-1825 • Phone: (800)-330-8126 Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  45. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  46. How to Report to WVDHHR HIV/AIDS Program • CDC form (paper) • Snail Mail HIV/AIDS Surveillance Program Room 125 350 Capitol St Charleston, WV 25301 • Phone: (800)-642-8244 Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  47. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  48. How to Report to WVDHHR STD Program • VD-91 (paper) • Snail Mail STD Program Room 125 350 Capitol St Charleston, WV 25301 • Fax: (304)-558-6478 • Phone: (800)-642-8244 Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  49. Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

  50. Next Steps for Local Health Departments • Order wall charts for your providers and laboratories • Assemble background information • Protocols …. • Websites … • Information sheets … • Data … • Reporting forms … • Communicate with reporting sources • Establish and maintain relationships … Division of Surveillance and Disease Control, Infectious Disease Epidemiology Program

More Related