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CDRs (Communicable Disease Reports) How and Why?

CDRs (Communicable Disease Reports) How and Why?. STATEWIDE STD MEETING September 2, 2009 Arshad Aziz ADHS/STD Epidemiologist. OLD CDR FORM. NEW CDR FORM. NEW CDR FORM. NEW CDR FORM. New Communicable Disease Reports http://www.azdhs.gov/phs/hvstdhpc/CDRReportFinal_fill3.pdf

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CDRs (Communicable Disease Reports) How and Why?

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  1. CDRs (Communicable Disease Reports)How and Why? STATEWIDE STD MEETING September 2, 2009 Arshad Aziz ADHS/STDEpidemiologist Office of HIV, STD, and Hepatitis C Services

  2. OLD CDR FORM

  3. NEW CDR FORM

  4. NEW CDR FORM

  5. NEW CDR FORM • New Communicable Disease Reports • http://www.azdhs.gov/phs/hvstdhpc/CDRReportFinal_fill3.pdf • It is ‘pdf’ file and fill able but you can not save data.

  6. Reporting • Updated Administrative Rules for Provider Reporting (R9-6-202) • http://www.azdhs.gov/phs/oids/code.htm

  7. Reporting • All providers should submit a report within five working days after a case or suspect case is diagnosed, treated, or detected. • All laboratories should submit a report within five working days after obtaining a positive test result or a test result specified on this page.

  8. Reporting (Cont’d)

  9. Reporting (Cont’d) • So Who Reports to Whom? • Administrative Code requires Health Care Providers to report STDs to the Local Health Agency. • "Local health agency" means a county health department, a public health services district, a tribal health unit, or a U.S. Public Health Service Indian Health Service Unit. • Administrative Code requires Local Health Agencies to report to the State STD Program.

  10. Reporting (Cont’d) • What Do We Want? • Providers report directly to their county health department • Other local health agencies receiving reports forward the report to the county health department • County health departments report to the STD Program and also to other local health agencies (i.e., tribal health units, IHS health units)

  11. Why?----- Importance of Reporting • Effective public health surveillance and disease control • To ensure effective treatment and follow-up of cases • Early detection and prevention • To monitor disease trends over time

  12. Why?----- Importance of Reporting • To identify high risk groups • To allocate resources- Racial disparity issues In February of 2009, ADHS staff developed a “missing race” letter to be sent to providers that have reported chlamydia and gonorrhea cases as required but not included the race/ethnicity.These “missing race” letters were sent to approximately 700 providers in March 2009 and we received race/ethnicity information for 1160 cases. This information was entered into central database. • To develop policy and design prevention programs

  13. Why?----- Importance of Reporting • To support grant application and CDC performance measures • CDC Required Performance Measures beginning with 2005 grant cycle • Medical and Lab Services (1 measure) • Partner Services (6 measures) • Surveillance and Data Management (3 Measures) • Clinical Services (4 Measures) • Syphilis Elimination - Enhanced Surveillance (1Measure) • STD Program staff may call on County STD staff to request information necessary to respond to the CDC performance measures

  14. Arizona Department of Health Services2010 Comprehensive Sexually Transmitted Disease (STD) Prevention SystemsCooperative Agreement No. 1 H25 PS0013852009 Interim Progress ReportAPPENDIX A: Required Data Tables

  15. CDR RECEIVED, Arizona 2006-2008 Note: Syphilis cases are not included

  16. %CDR Received, Arizona 2006-2008 Note: Syphilis cases are not included

  17. Syphilis Cases Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8

  18. Gonorrhea Cases- Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8

  19. Chlamydia Cases- Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8

  20. Violation of reporting rules • Under Arizona Administrative Code (AAC) R9-6-202, 203, 204, and 205, a health care provider, an administrator of a health care facility or correctional facility, an administrator of a school, child care establishment, or shelter, or their authorized representatives shall submit a communicable disease report to the local health agency.

  21. Violation of reporting rules • Violation of reporting rules is a class III misdemeanor and is subject to referral to the facility's licensing agency or provider's state licensing board.

  22. Contact Information Arshad Aziz Epidemiologist II Arizona STD Control Program 150 N.18th Ave Phoenix AZ 85007 P (602)364-4759 F (602)364-2119 Email: aziza@azdhs.gov Kerry M. Kenney Sr. Public Health Advisor Arizona STD Control Program 150 North 18th Avenue, Suite 140 Phoenix, Arizona 85007 Phone: (602) 364-2124 Fax: (602) 364-2119 E-Mail: kenneyk@azdhs.gov

  23. ADHS STD WEBSITE • http://wwW.azdhs.gov/phs/oids/std/index.htm

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