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QΦ Dedicated to enhancing the health and safety of Canadians through public health informatics
Queen’s University Public Health Informatics (QPHI) Team
www.quesst.ca
Dr Kieran Moore, Associate ProfessorNovember 14th 2008, TorontoCentre for Studies in Primary CareDepartment of Family Medicine/Emergency Medicine
QPHI Introduction
ObjectivesDiscuss Active Surveillance
Highlight a few projects
Keep within 15 minutes!!!
Thanks to…
KFLA Public HealthMinistry of Health and Long Term CareQueen’s UniversityPHACPSI Foundation
PartnersCommunity Health and Epidemiology
QPHIEnhancing the health of Canadians through Public Health Informatics
Analysis of electronic data sets for real time enhanced surveillance-dashboard
Multiple disciplines-Computer Engineer and Science, Mathematics, Epidemiology, Geography
Google.org Flu watch
Acute Care Enhanced SurveillancePartner with Hospital
Data share agreements
All hospitals have EHR, HL7,SSHA
Acute Care Enhanced SurveillanceTwo way street
Reports-Volume, Demographic and Acuity
Speed of a 747
Active Surveillance6
©2002 Siemens Medical Solutions Health Services Corporation.Siemens Confidential:
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Num
ber o
f Peo
ple
Onset of SymptomsSpecific SyndromeDeaths
Intel
Demographics, Chief Complaint, Visit Data
Lab results, X-Rays, etc.
Courtesy: Michael Wagner, MD, University of Pittsburgh
Biosensors
Potential Strategies for Early Detection
Data Options for Surveillance
Work-schoolAbsenteeism
(i.e. OccupationalHealth)
Primary CareClinic
Emergency Dept
Lab test
Over-the-Counter
Sales
Telehealth
QPHI-CSPC ProjectsAcute Care Enhanced Surveillance MOHLTCOccupational Health July 1 2008Telehealth- December2007Pharmacy Surveillance September 15Primary Health Care PHACGeoconnectionPublic Health Primary Care Integration
Scenarios – RODS Main Page Date accessed:
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Project Vision
“To reduce morbidity and mortality in the community from infectious illnesses by providing the right message to the right people in the right place, at the right time.”
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Infection Watch LiveEnables informed decision making in the community. Provides the community with current Emergency Department utilization data for respiratory and gastrointestinal illness.Representing data by neighborhood enables the community to react to current respiratory and gastrointestinal infections in their area.
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Today’s Maps
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Today’s Maps – Adult Respiratory
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Today’s Maps – Child Respiratory
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Demonstration
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06Telehealth Respiratory Calls (3 day MA)and Respiratory Virus isolates (x3)
All RespFlu A
Flu B
Flu A or B
RSV
PIV
Adeno
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Telehealth Respiratory Calls (x 5)
ED Visits (x1) and Influenza Pos (x3)-Ontario
ED Resp Visits
TelehealthResp Calls
Flu A
Flu B
Flu A or B
Enhanced Surveillance C’sCommunicationCollaborationCapacityCommand and ControlClarity of roles and responsibilitiesCommitment!!!