scholarly journals Routine dissemination of summary syndromic surveillance data leads to greater usage at local health departments in North Carolina

2015 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
T Fangman Mary ◽  
Samoff Erika ◽  
DiBiase Lauren ◽  
D M MacDonald Pia ◽  
E Waller Anna
Keyword(s):  
North Carolina ◽  
Syndromic Surveillance ◽  
Surveillance Data ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments

scholarly journals An Academic/Government Partnership to Provide Technical Assistance with Pandemic Influenza Planning to Local Health Departments in North Carolina

2010 ◽  
Vol 125 (5_suppl) ◽  
pp. 92-99 ◽  
Author(s):  
Richard T. Rosselli ◽  
Meredith K. Davis ◽  
Kristina Simeonsson ◽  
Morgan Johnson ◽  
Brant Goode ◽  
...  
Keyword(s):  
North Carolina ◽  
Pandemic Influenza ◽  
Technical Assistance ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments

scholarly journals Building Geographic Information System Capacity in Local Health Departments: Lessons From a North Carolina Project

2005 ◽  
Vol 95 (12) ◽  
pp. 2180-2185 ◽  
Author(s):  
Marie Lynn Miranda ◽  
Jennifer M. Silva ◽  
M. Alicia Overstreet Galeano ◽  
Jeffrey P. Brown ◽  
Douglas S. Campbell ◽  
...  
Keyword(s):  
North Carolina ◽  
Information System ◽  
Geographic Information System ◽  
Geographic Information ◽  
System Capacity ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments

Disparities in well water outreach and assistance offered by local health departments: A North Carolina case study

2020 ◽  
Vol 747 ◽  
pp. 141173
Author(s):  
Kory Wait ◽  
Adrienne Katner ◽  
Daniel Gallagher ◽  
Marc Edwards ◽  
Wilson Mize ◽  
...  
Keyword(s):  
North Carolina ◽  
Well Water ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments

scholarly journals Exploring Costing Methods for Environmental Health Services in North Carolina

2016 ◽  
Vol 132 (1) ◽  
pp. 37-40
Author(s):  
Simone R. Singh ◽  
Nancy L. Winterbauer ◽  
Ashley Tucker ◽  
Lisa Macon Harrison
Keyword(s):  
North Carolina ◽  
Health Services ◽  
Environmental Health ◽  
Economies Of Scale ◽  
Bivariate Analysis ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments ◽  
Site Water ◽  
Using Data

All local health departments in North Carolina are mandated to provide a defined set of environmental health services, yet few have the tools to understand the costs incurred in delivering these services. The objectives of this study were to (1) derive cost estimates for 2 commonly provided environmental health services—food and lodging inspections and on-site water services—and (2) explore factors that drive variations in costs, focusing on the roles of economies of scale and scope. Using data from 15 local health departments in North Carolina, we found that costs varied substantially. A bivariate analysis found evidence of economies of scale: higher volumes of services were associated with lower costs per service. Providing a greater scope of services, however, was not consistently associated with reduced costs. In-depth cost data provide public health officials with key information when deciding how to best serve their communities.

scholarly journals Adapting Syndromic Surveillance Systems to Increase Value to Local Health Departments

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Erika Samoff ◽  
Mary T. Fangman ◽  
Amy Ising ◽  
Lana Deyneka ◽  
Anna E. Waller
Keyword(s):  
Syndromic Surveillance ◽  
Local Health ◽  
Surveillance Systems ◽  
Health Departments ◽  
Local Health Departments

scholarly journals Regional Governance of Syndromic Surveillance for the Texas Gulf Coast

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Wesley McNeely ◽  
Eunice R. Santos ◽  
Biru Yang ◽  
Kiley Allred ◽  
Raouf R. Arafat
Keyword(s):  
Public Health ◽  
Communities Of Practice ◽  
Syndromic Surveillance ◽  
Health Department ◽  
Regional Governance ◽  
Local Health ◽  
Health Departments ◽  
Care Providers ◽  
Local Health Departments ◽  
Syndromic Surveillance System

ObjectiveDescribe and explain the transition of the syndromic surveillanceprogram at the Houston Health Department (HHD) from being alocally managed and aging system to an ESSENCE system governedby a regional Consortium of public health agencies and stakeholdersin the 13-county area of the southeast Texas.IntroductionSyndromic surveillance systems are large and complex technologyprojects that increasingly require large investments of financial andpolitical capital to be sustainable. What was once a minor surveillancetool in the mid-2000s has evolved into a program that is regardedas valuable to public health yet is increasingly difficult to maintainand operate for local health departments. The Houston HealthDepartment installed a syndromic surveillance system (SyS) sixyears before Meaning Use became known to healthcare communities.The system chosen at the time was the Real-time Outbreak DiseaseSurveillance System (RODS) which, at the time and for its purpose,was a suitable platform for syndromic surveillance. During the past13 years however, maintaining, operating, and growing a SyS by alocal health department has become increasingly difficult. Inclusionin Meaningful Use elevated the importance and profile of syndromicsurveillance such that network growth, transparency of operations,ease of data sharing, and cooperation with other state systems inTexas became program imperatives.MethodsWith support from the informatics group at Tarrant County PublicHealth (TCPH) in the form of mentoring, HHD devised a two prongstrategy to re-invigorate the syndromic program. The first was toreplace RODS with ESSENCE from Johns Hopkins Applied PhysicsLaboratory (JH/APL). The second was to strengthen the regionalnetwork by creating a governance structure that included outsideagencies and stakeholders. The product of this second effort wasthe creation of the Syndromic Surveillance Consortium of SoutheastTexas (SSCSeT) on the Communities of Practice model1usingparliamentary procedure2.ResultsAcquiring ESSENCE and forming SSCSeT were necessary stepsfor the continuing operation of the SyS. The Consortium includesmembers from local health jurisdictions, health care providers, healthpolicy advocates, academicians, and data aggregators. Created asa democratic society, SSCSeT wrote its constitution and by-laws,voted in officers, formed working groups and has begun developingpolicies. The Consortium is cooperating with the Texas Departmentof State Health Services (DSHS) as well as TCPH. Having ESSENCEwill ensure the HHD-SyS will conform to standards being developedin the state and provide a robust syndromic platform for the partnersof the Consortium.ConclusionsSyndromic systems operated by local health departments canadapt to regulatory changes by growing their networks and engagingregional stakeholders using the Communities of Practice model.

0032 Building capacity among local health departments to disseminate naloxone to community members in north carolina

2015 ◽  
Vol 21 (Suppl 1) ◽  
pp. A9.2-A10
Author(s):  
Nidhi Sachdeva ◽  
Amy Bryson ◽  
Joy Massey ◽  
Diana Zuskov ◽  
Elizabeth Moore ◽  
...  
Keyword(s):  
North Carolina ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments ◽  
Community Members ◽  
Building Capacity

scholarly journals Syndromic Surveillance – Reports of Successes from the Field

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Antheny Wilson ◽  
Teresa Hamby ◽  
Wei Hou ◽  
David J Swenson ◽  
Krystal Collier ◽  
...  
Keyword(s):  
Public Health ◽  
Data Quality ◽  
Syndromic Surveillance ◽  
Surveillance Program ◽  
Local Health ◽  
Health Departments ◽  
Local Health Departments ◽  
Success Stories ◽  
Department Of Health ◽  
State And Local

Objective: This panel will:● Discuss the importance of identifying and developing success stories● Highlight successes from state and local health departments to show how syndromic surveillance activities enhance situational awareness and address public health concerns● Encourage discussion on how to further efforts for developing and disseminating success storiesIntroduction: Syndromic surveillance uses near-real-time emergency department and other health care data for enhancing public health situational awareness and informing public health activities. In recent years, continued progress has been made in developing and strengthening syndromic surveillance activities. At the national level, syndromic surveillance activities are facilitated by the National Syndromic Surveillance Program (NSSP), a collaboration among state and local health departments, the CDC, other federal organizations, and other organizations that enabled collection of syndromic surveillance data in a timely manner, application of advanced data monitoring and analysis techniques, and sharing of best practices. This panel will highlight the importance of success stories. Examples of successes from state and local health departments will be presented and the audience will be encouraged to provide feedback.Description: ●Success stories – acknowledging and informing syndromic surveillance practiceThis presentation will discuss the importance of success stories for NSSP focused on increasing syndromic surveillance representativeness, improving data quality, and strengthening syndromic surveillance practices among grant recipients and partners. From the beginning of the program, the identification of success stories has been an important part of the efforts to develop knowledge base that better guide syndromic surveillance program activities.●NJ and BioSense – Making The Connection The New Jersey Department of Health (NJDOH) uses Health Monitoring’s EpiCenter as its primary ED data for syndromic surveillance. This data is also submitted to CDC’s NSSP BioSense Platform. In April 2017, a spike in ED Visits of Interest was identified by a CDC NSSP subject matter expert and brought to the attention of NJDOH’s data analyst. Data showed an increase in “Exposure” and “School Exposure” chief complaints in two contiguous counties. News reports showed the visits resulted from a dormitory fire at a university in the area. The NSSP and NJDOH staff collaboration integrated data from both NJDOH’s EpiCenter and CDC’s BioSense Platform for further investigation. This activity shows BioSense Platform’s potential as an additional syndromic surveillance tool because of its different classifications and keyword groupings.●Evaluation and Performance Measures at the Utah Department of HealthSyndromic surveillance related evaluation activities at the Utah Department of Health requires collaboration between subject matter experts and system users from the UT-NSSP workgroup. The progress is examined quarterly and outcomes compared with the short-, mid-, and long-term outcomes listed in the NSSP logic model to ensure activities are in sync with the program’s overall goals. Throughout the budget year, a variety of tools were used to keep track of the progress. During this session, challenges and successes, lessons learned, and effective strategies will be discussed.●NSSP R tool Data Download Useful in NHThe New Hampshire Department of Health and Human Services (NH DHHS) uses the state-wide Automated Hospital Emergency Department Data (AHEDD) system as its primary syndromic surveillance system. A copy of this data is submitted to CDC’s NSSP BioSense Platform. In July of 2017, NH worked with the NSSP vendor, CDC staff, a jurisdictional expert, NH Division of Information Technology staff, and an external vendor to create an “R” software download in CSV format and home-based NSSP Cognos report. This allowed NH DHHS staff to compare these data to the home-based data and ultimately, it proved to be an important step in the NSSP data quality assessment process.●Achieving success to improve data quality through collaborative Community of Practice partnerships The Data Quality Committee is a forum to identify, discuss, and attempt to address syndromic surveillance data quality issues. Maintaining data quality for the chief complaint field is a priority as it can impact the creation and refinement in the successful application of a syndrome definition for one of the fundamental data elements. An issue was observed in the Arizona data in the BioSense Platform, where chief complaint was being truncated at 200 characters. Through efforts to build relationships from the committee in the Community of Practice, Arizona was able to discover the root causes for the issue, assess if it affected other jurisdictions, and work with the partners to find a feasible resolution. This talk will discuss how this collaborative approach helped improve data quality.How the Moderator Intends to Engage the Audience in Discussions on the Topic: The moderator will introduce the session and the panelists, and will invite questions and comments from the audience.

scholarly journals Lessons Learned from a DoD and Virginia Data Sharing Pilot using NSSP ESSENCE

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Erin E. Austin ◽  
Paul E. Lewis ◽  
Arden Norfleet ◽  
Jamaal Russell
Keyword(s):  
Public Health ◽  
Data Sharing ◽  
Syndromic Surveillance ◽  
Data Access ◽  
Pilot Project ◽  
Lessons Learned ◽  
Surveillance Data ◽  
Service Members ◽  
Local Health ◽  
Health Departments

ObjectiveThis panel will focus on the experiences from the Department of Defense (DoD) and Virginia Department of Health (VDH) data sharing project using the National Syndromic Surveillance Program (NSSP) ESSENCE and will discuss lessons learned, challenges, and recommendations within the following areas: 1) data sharing authority, 2) coordination and implementation of data sharing with a focus on personnel, training, and managing access and 3) communication between local, state, and federal agencies.IntroductionThe DoD and VDH both maintain local ESSENCE installations to monitor the health status of their military and civilian populations, respectively, and submit syndromic surveillance data to the NSSP ESSENCE to foster data sharing and collaborative initiatives among public health entities. Military Treatment Facilities (MTFs), housed on DoD installations, provide healthcare to all service members and their beneficiaries stationed in the area. Service members and their beneficiaries represent a substantial portion of the local community and interact with the civilian population throughout daily activities. Sharing syndromic surveillance data between DoD and public health jurisdictions can provide public health situational awareness among both civilian and military populations to support disease surveillance. DoD and VDH engaged in a pilot project to develop processes and procedures for data sharing, data access, and communication with the aim they can serve as best practices for other jurisdictions seeking to share syndromic surveillance data with DoD.DescriptionThe pilot project began in June 2018 with the Centers for Disease Control and Prevention (CDC) NSSP team providing technical support. NSSP ESSENCE users from the VDH state and local health departments across nine Virginia city/counties participated in the project. VDH shared syndromic surveillance data from 34 healthcare facilities (17 urgent cares, 3 emergency care centers, and 14 hospitals) with DoD, which shared syndromic surveillance data from 18 MTFs (16 clinics and 2 hospitals) in Virginia. To standardize the analysis of syndromic surveillance data and use of NSSP ESSENCE across project participants, myESSENCE tabs were created and shared by between VDH and DoD. The goal was to facilitate and enhance communication between local public health departments and their DoD counterparts through the sharing of syndromic surveillance data.How the Moderator Intends to Engage the Audience in Discussions on the TopicThe moderator will solicit feedback from the audience regarding their data sharing experiences with other entities or agencies, data sharing practices, and ideas for use cases when sharing syndromic surveillance data with DoD.

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