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Public Health: Producing and Sharing Knowledge from Health Information. Seth Foldy, MD health.e.volution sfoldy@sbcglobal.net Medical College of Wisconsin. Environmental surveillance. Protecting the Perimeter— Infection Control, Decon. Intelligence reports. Recognition and testing.
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Public Health: Producing and Sharing Knowledge from Health Information Seth Foldy, MD health.e.volution sfoldy@sbcglobal.net Medical College of Wisconsin
Environmental surveillance Protecting the Perimeter— Infection Control, Decon Intelligence reports Recognition and testing Disease surveillance Translation Prophylaxis/Treatment Healthcare Utilization Astute Clinician Communication Heads-Up Surveillance Laboratory Testing 24/7 Alert Reporting Screening Tools Prescribing Asynchronous Reference Complaint and Dx Coding Automated Decision Support
Milwaukee Heat Plan Meterology (NWS) EMS, ED and ME Milwaukee Heat Plan (MHD) Emergency Depts. Mental health & Substance Abuse Elder Services Homebound
SARS 2003 – Agile Surveillance and Response EDs report syndrome volumes ED screening tool Downloaded by local PH
“Metastatic” Surveillance Local analysis Email/ Internet Centralized aberration analysis at CDC 27 hospitals in 4 regions performed surveillance Hundreds downloaded
Bio-markers (HgA1C, Lead, PPD+) Planning, policy-making Disease and care stats Environmental Change Surveys New Services Translation Env. inspections Public Education Communication Surveillance Laboratory Results Provider Educ. Physical Exam Screening Tools Prescribing Asynchronous Reference Complaint and Dx Coding Automated Decision Support Procedures and Orders
For More Information • Foldy SL. Linking better surveillance to better outcomes. MMWR Suppl. – [accepted; target publication date July 2004]. • Foldy S, Barthell EN, Silva JC, Biedrzycki P, Howe DS, Erme M, Keaton B, Hamilton CL, Brewer LK, Miller G, Bernstein R, Eby E, Pemble K, Fenton C. SARS Surveillance Project: Internet-enabled multi-region syndromic surveillance for rapidly emerging disease. MMWR Suppl – [accepted; target publication date July 2004] • Weisskopf MG, Anderson HA, Foldy S, Hanrahan LP, Blair K, Torok TJ, Rumm PD. Heat wave morbidity and mortality, Milwaukee, Wisconsin, 1999 versus 1995: An improved response. Am J Public Health 2002 May; 92(5):830-833. • Barthell EN, Foldy SL, Pemble KR, Felton CW, Greishar PJ, Pirrallo RG, Bazan WJ. Assuring Community Emergency Capacity with Collaborative Internet Tools: The Milwaukee Experience. J Public Health Management and Practice 2003 Jan-Feb;9(1):35-42.