North Carolina Electronic Disease Surveillance System

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North Carolina Electronic Disease Surveillance
System

• Del Williams
• Communicable Disease Branch
• North Carolina Division of Public Health

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What is NC EDSS

• The NC Electronic Disease Surveillance System is
  a PHIN compliant secure web-based disease
  surveillance system designed to collect ALL
  communicable disease surveillance information and
  childhood and adult lead surveillance data. It
  also includes an Outbreak Management module.

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Background

• Initial RFP from CDC regarding a NEDSS
  surveillance system received in 2000
• NC applied for funding in 2001/2002
• During the spring of 2003 requirements gathering
  was initiated. This process continued through
  the remainder of the year
• NC published a RFP in 2005

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Background

• NC selected Consilience Software (based in
  Austin, TX) as the vendor to develop our EDSS
• With this vendor we were able to have a head
  start with development of a TB reporting module
  developed by the Massachusetts DOH

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Current Status of NC EDSS

• The North Carolina Electronic Disease
  Surveillance System is in the final stages of
  design and implementation (development of the
  enhanced system started in January 2006)
• Twenty-two counties are currently using NC EDSS
  for TB surveillance, monitoring DOT and TST
• The first pilot for general communicable disease
  and bacterial STD reporting was in March of 2008
• Fifty-seven counties are using NC EDSS for CD and
  bacterial STD reporting. These counties probably
  account for 75 of the STD morbidity

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Current Status of NC EDSS

• This process has been a team activity. The
  members have changed over the course of our
  development, but it has always been a team
  approach.
• There have been members from DPH IT, SLPH, TB,
  IB, CD and HIV/STD.
• Both childhood lead and adult lead surveillance
  activities have also been represented.

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Current Status of NC EDSS

• At the time of initial implementation, data going
  back to 1992 for communicable diseases other than
  STDs were converted to NC EDSS record layout
• Gonorrhea reports from March 2005 forward were
  converted and chlamydia reports from January 2008
  forward were converted.
• There are records for over 10,000 persons in the
  system as of now representing reports for TB, all
  reportable diseases other than STDs and some GC
  and CT reports

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Plans for the future (cont)

• HIV/AIDS and syphilis surveillance activities
  will be added during the fourth quarter of 2008/
  first quarter of 2009 in the HIV/STD regional
  offices
• Regional STD-MIS databases containing syphilis
  cases and partner information and HIV partner
  information will be converted and loaded
• Continued rollout of communicable disease and
  bacterial STD reporting in local health
  departments will continue incrementally over the
  remainder of 2008
• At the point where all health departments have NC
  EDSS deployed, the use of the paper reporting
  instruments from the local health department to
  Raleigh ends

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Plans for the future (cont)

• The Branch plans for an aggressive training and
  rollout schedule over the remainder of 2008
• The advantage to both the local health
  departments and the state office is evident
  during the pilot phase and delaying
  implementation is not an option

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Plans for the future (cont)

• NC EDSS provides for receipt of HL-7 Electronic
  Laboratory Reporting eliminating another source
  of paper reporting and data entry
• The initial rollout for the first pilot required
  ELR be in place for two laboratories (SLPH and
  LabCorp)
• Other commercial laboratories as well as hospital
  laboratories will be approached and the ELR
  reporting mechanism for each individually
  tailored as deployment proceeds

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Plans for the future (cont)

• Will private providers be able to report using NC
  EDSS? Current plans do not support this option
  but DPH is discussing the possibility
• However, reporting from hospitals, prioritized to
  those with Public Health Epidemiologists is
  planned

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Contact information

• NCEDSS Helpdesk (Kristen Jacobs)
• 919-715-5548
• 877-625-9259

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