tm 1 2008 vaccine doses administered exercise (dax) discussion of options 2 & 3: submitting...
Post on 18-Dec-2015
214 Views
Preview:
TRANSCRIPT
TM1
2008 Vaccine Doses Administered Exercise (DAX)
Discussion of Options 2 & 3: Submitting Aggregate Reports using the Web-Based User Interfaces of the CDC’s CRA System
June 24, 2008
Presentation by:
Immunization Services DivisionNational Center for Immunization and
Respiratory Diseases and
Division of Emergency Preparedness and Response
National Center for Public Health Informatics
TM2
Agenda• Learning Objectives• Background• DAX Summary• Data Entry and Reporting Workflow• Option 2 Details• Option 3 Details• Confirm Aggregate Report Details• CDC Resources and Contacts• Questions and Answers
TM3
Learning Objectives
• Understand Options 2 & 3 for capturing aggregate counts in the CRA system
• Understand Project Area reporting of aggregate counts to CDC using the CRA system
• Understand the operational steps and decisions to be made for Options 2 & 3
• Understand the CDC technical support available for Options 2 & 3
TM4
Background
• The National Strategy for Pandemic Influenza: Implementation Plan calls for monitoring of the appropriate use of a scarce pandemic influenza vaccine
• To accomplish this, states/project areas will track vaccine doses administered and collect and aggregate minimum data elements and transmit weekly to CDC
TM5
DAX Summary
• The 2007 pilot demonstrated project areas’ ability to collect and report to CDC and CRA’s technical capability to accept and aggregate data
• The 2008 exercise expands on this capability to test the following:• Weekly reporting• Increased volume• Priority group tracking
TM6
DAX Summary (continued)
DAX 2008 Data Set• Partner – from Project Area Valid Value List• Event – DAX2008• Start Date – Beginning date of the reporting
period• End Date – Ending date of the reporting period• Vaccine Type – from CVX codes for seasonal
influenza vaccine• Doses Administered – Aggregate count for
each General Population Priority Group
TM7
DAX Summary (continued)
• Report data weekly for four consecutive weeks from eight or more clinics during the timeframe of Oct. 1 – Dec. 31, 2008; fully successful criteria:• Weekly reporting: aggregate reporting data
is sent by Tuesday for the previous reporting week (Sunday through Saturday; MMWR week); for any four consecutive weeks
• Increased volume: data is from a minimum of eight clinics over the course of the four weeks
• Priority group tracking: each general population priority group is tracked
TM8
Options for Aggregate Reporting to CDC
• Option 1: For states and project areas collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: flat file (pipe-delimited), XML file, HL7
• Option 2: For states and project areas collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser
• Option 3: For states and project areas using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated
TM9
Data Entry and Aggregate Reporting
• Data Entry Specialist at clinic enters vaccine doses administered for the clinic
• Project Area POC reports the aggregate doses administered for the project area to CDC (by end of day – 11:59pm Tuesday following the week being reported)• Doses administered data for clinic and/or
person level is aggregated and displayed on screen
• Project Area POC with PHA rights confirms and reports the aggregate counts to CDC
TM10
Option 2: Clinic Level Data Entry using CRA Web Form
Summary of Option 2 • Clinic staff collects summarized data for
doses administered • As clinics occur, the data entry staff enters
counts via CRA’s web-based aggregate reporting user interface
• Counts are entered at the clinic level by vaccine type; product and lot are optional
TM11
Option 2: Clinic Level Data Entry using CRA Web Form (continued)
Process Considerations• Determine who will enter information on-
line
Technical Considerations• Staff entering data on-line must have
access to the internet via web browser• Staff accessing CRA must have a digital
certificate
TM12
Option 2: Responsibilities
• Clinic Level• Enter aggregate data into CRA system for the clinic
if using at clinic level• Project Area Level
• Define and load clinics in CRA system• Identify data entry staff for each clinic in CRA
system• Oversee responsibilities; will be able to see and edit
entered data in CRA system• Confirm and report aggregate data (entered by
provider/local public health) to CDC• CDC
• Store and secure entered data• Create national reports
TM14
Project Area Reporting
• CRA system will provide counts based on Project Area data entered
• Project Area POC confirms aggregate dose counts
• Confirmed counts are submitted to CDC
TM16
Option 3: Patient Level Data Entry using CRA
Summary of Option 3• Clinic staff collects patient level
information locally • Patient level data are entered into
CRA (at minimum core data elements)
• Clinic may choose to enter additional patient level information
TM17
Option 3: Patient Level Data Entry using CRA
Process Considerations• Determine who will collect and enter
data and at what level of detail vaccination data will be collected
• CDC’s CRA system can collect detailed individual level information in addition to core data elements; additional elements are for Project Area use only
TM18
Option 3: Patient Level Data Entry using CRA
Technical Considerations• Staff entering data on-line must
have access to the internet via web browser
• Staff accessing CRA must have a digital certificate
TM19
Option 3: Responsibilities
• Clinic Level• Enter individual data into CRA system
• Project Area Level• Define and load clinics in CRA system• Identify data entry staff for each clinic in CRA
system• Oversee responsibilities; will be able to see and edit
entered data in CRA system• Confirm and report aggregate data (entered by
provider/local public health) to CDC• CDC
• Store and secure entered data• Create national reports
TM22
CDC Technical Support
• Get access to the CRA Demo system (http://crademo.cdc.gov) contact the PHIN Help Desk (PHINTech@cdc.gov)
• Apply for an SDN Digital Certificate at https://ca.cdc.gov; for password contact the PHIN Help Desk (PHINTech@cdc.gov)
• Contact the CRA Help at CRAHelp@cdc.gov to request access to the CRA Exchange area of CDC Team website (https://team.cdc.gov)
TM23
Option 2 and 3: Action Items
• Identify a Point of Contact (POC)• Confirm decision to use Option 2 or
3• Confirm all individuals entering
data have digital certificates by August 29
• Option 2 - Identify the method and process for aggregation by August 29
TM24
Option 2 and 3: Action Items (continued)
Reporting Week and Clinic Confirmation by September 12
• Confirm the 4 week period for which the Project Area will participate in the exercise• Minimum of 4 consecutive weeks• Average of 2 clinics per week with a
minimum of 8 total clinics
TM25
Cities Readiness Initiative (CRI) Heads up
• Funding for continuation of the Public Health Emergency Preparedness (PHEP) Cooperative Agreement Interim Progress Report guidelines
• Using information collected through a sample of seasonal influenza vaccination clinics, each grantee will report to CDC data on vaccination doses administered
• The group of participating seasonal influenza vaccination clinics must include at least one in each CRI metropolitan statistical area and at least one in each of an equal number of non-CRI venues. The latter may be urban, suburban, exurban, or rural and are to be selected in consultation with your DSNS program consultant
• A list of CRI/MSA by states will be provided
TM26
Phase I: Pre-Exercise Planning
Apr-Sep 2008
CDC
Tasks
DAX 2008 Task ExpectationsPhase II: Exercise
Oct-Dec 2008
Phase III: Post-Exercise
Jan-Mar 2009 Webinars-Orientation &
Introduction
Webinars-Option specific; DAX updates; open Q&A; option specific final exercise preparations
Selection of POC
Conf. Calls-Individual project areas; follow up for Q&A
PHIN conference
Identify & submit option choice
Development & Deployment-Version 1.8 release
DAX-Receive clinical data from 62 project areas
Finalize & submit reporting weeks & clinic location (CRI)
Review option guide
Develop feedback questionnaire
Respond to feedback questionnaire
Develop After Action Report
Conf. Call-After action review exercise feedback
Obtain digital certificates
Briefings and conf. presentations
Participate in After Action Review
Submit seasonal influenza vaccine doses administered data to CDC
Exercise support & trouble shoot
PA
Tasks
TM27
Points of Contact and Resources• Charles Williams, CRA Team, Division of Emergency
Preparedness and Response cewilliams@cdc.gov or crahelp@cdc.gov • Submit POC information and option choice• Obtain access to CRA Exchange
• CRA Help E-mail CRAHelp@cdc.gov • General aggregate reporting questions and inquiries
• PHIN Help Desk E-mail PHINTech@cdc.gov • Issuing and renewing digital certificates• Getting access to CRA demonstration site• Problem solving
• To get a copy of this presentation: http://www.cdc.gov/phin/cra
TM28
Upcoming Webinars and Meetings
Date Event Topic
July 9 Conference Call CRI Requirement and Open Q&A for Option 1
July 23 Conference Call CRI Requirement and Open Q&A for Options 2 and 3
August 6 Conference Call General Information and Questions
August 21-22
Doses Administered and Safety Training Conference
Doses Administered Reporting Training and 2008 Exercise
August 24-28
PHIN Conference Public Health Informatics: Collaboration at the Crossroads
September 10
Webinar Exercise Overview and Refresher
September 17
Webinar Release of CRA Version 1.8
October 1 DAX 2008 Kickoff
top related