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Hwa-Gan Chang 1 Charleen Cox 2 Mary Phillips 1 Jacquelin Griffin 2 Perry Smith 1

Enhancement of the Communicable Disease Electronic Surveillance System with Syphilis Serology Tracking and Perinatal Hepatitis B Modules. Hwa-Gan Chang 1 Charleen Cox 2 Mary Phillips 1 Jacquelin Griffin 2 Perry Smith 1 1 New York State Department of Health 2 Keane, Inc.

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Hwa-Gan Chang 1 Charleen Cox 2 Mary Phillips 1 Jacquelin Griffin 2 Perry Smith 1

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  1. Enhancement of the Communicable Disease Electronic Surveillance System with Syphilis Serology Tracking and Perinatal Hepatitis B Modules Hwa-Gan Chang1 Charleen Cox2 Mary Phillips1 Jacquelin Griffin2 Perry Smith1 1 New York State Department of Health 2 Keane, Inc

  2. New York System Architecture

  3. Electronic Clinical Laboratory Reporting System (ECLRS) Health Commerce Network State Program Areas Clinical Labs HL-7/ASCII/Web entry Cancer Congenital Malformation ECLRS HIV Hospital Emergency Departments Internet Lead Internet Emergency Department Public Health Lab Perinatal Hep B General Communicable STD TB Local Health Departments/ NYCDOH

  4. ECLRS Labs PaperReports CDESS State/Region CD, TB, STD Upstate LHDs Hospital ICP New York Communicable Disease Electronic Surveillance System (CDESS)

  5. Project Charter Objectives Mission Scope Risks Project Team System Prospectus Project Definition Business Requirements Security Requirements Screen Mock-ups Use Cases Methodology • Technical Documentation • Technical Specifications • Mapping documents • Conversion business rules • Database Model • Test Plans • Test Scenarios • Test Cases • Pass/Fail Criteria • Project Schedule

  6. CDESS Estimated Volume • Approximately 850 total CDESS users • More than 70,000 new cases per year • Approximately 800 new Syphilis Serology records per year. • Approximately 300 new Perinatal Hepatitis births tracked per year

  7. Syphilis Serology Tracking Background • Serology cards are manually maintained by LHDs for each patient that has been tested or treated for Syphilis since 1976 • These serology cards are searched manually when a potential case is identified. The history captured on the serology cards is used to accurately stage the syphilis case. • A patient may have serology cards in multiple jurisdictions.

  8. Syphilis Serology Tracking Module Features • Creates a patient-centric electronic registry of syphilis serology records • Stores current and historical data in a single location • Allows searching across counties for more accurate staging/reporting • Lab and treatment data can automatically be linked to the patient’s serology record

  9. Syphilis Serology Tracking Data Flow

  10. Process begins with a CDESS Case/Investigation Report

  11. User Enters Serology Patient information

  12. User reviews Lab and Treatment Data

  13. Perinatal Hepatitis B Background • Perinatal Hepatitis B data has been captured by NYS since 1987 on a local system • Identifies and tracks infants born to HBsAg-positive mothers • Paper reports are generated and mailed to the LHDs • LHDs report vaccination and post-vaccination testing back to the state • The state enters the information into the database

  14. Perinatal Hepatitis B Module Features • Eliminates the need to send paper reports between the state and LHDs • Provides LHDs electronic access • Allows searching for infant tracking records • Provides a link between the index case (mother) and the infant(s) being tracked • Provides a summary page of all infants being tracked for an HBsAg-positive mother • Allows users to generate reports

  15. Perinatal Hepatitis B Module Data Flow

  16. Perinatal Hepatitis B – Infant Tracking

  17. Perinatal Hepatitis B – Infant Tracking

  18. CDESS Structural Overview

  19. Future CDESS Projects • Contact Tracing • Reporting Facility • Tuberculosis program area module • Case notification using PHIN messaging

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