Q 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 MooreJune 13thth 2008Centre for Studies in Primary CareDepartment of Family Medicine/Emergency Medicine

QPHI Introduction

QPHI Agenda Relax! Discussion! Feedback! Share ideas! Review Projects! Future Direction Follow up in September

Thanks to…

Department of Family Medicine and the CSPC

Physician Services Incorporated Foundation

Ministry of Health and Long Term Care KFLA Public Health-Queen’s University Bank of Nova Scotia

PartnersCommunity Health and Epidemiology

TEAM…and associates

Tara Donovan Adam Van Dyke Jeff Aramini Glenn Guthrie Dillan Fernando Alex Perry Elizabeth Rolland Andrew Kurc Jaelyn Caudle

QPHI Enhancing the health of Canadians through Public

Health Informatics

Analysis of electronic data sets for real time enhanced surveillance-dashboard

Multiple disciplines-Computer Engineer and software,Mathematics, Epidemiology, Geography

Public Health Astute clinician Laboratory System-Reportable Diseases Passive system…needs to be activated

Speed of a 747

Active Surveillance6

©2002 Siemens Medical Solutions Health Services Corporation.Siemens Confidential:

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Onset of Symptoms

Specific Syndrome

Deaths

Intel

Demographics, Chief Complaint, Visit Data

Lab results, X-Rays, etc.

Courtesy: Michael Wagner, MD, University of Pittsburgh

Biosensors

Potential Strategies for Early Detection

Vital statistics and Coroner data

Data Options for Surveillance

Work-schoolAbsenteeism

(i.e. OccupationalHealth)

Primary CareClinic

Emergency Dept

Lab test

Over-the-Counter

Sales

Telehealth

Meat and tomatoes…

QPHI-CSPC Projects Acute Care Enhanced Surveillance MOHLTC Occupational Health July 1 2008 Telehealth- December2007 Pharmacy Surveillance August 15 Primary Health Care PHAC Geoconnection ASSET CRTI CCC

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and Respiratory Virus isolates (x3)

All RespFlu A

Flu B

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RSV

PIV

Adeno

Additional in the works… Virological self sampling Enabled through telehealth as per DL Cooper

et al.

Cooper et al 292 callers sent kits 42 percent returned 16.2 % PCR positive Influenza 7.4 days between call and lab analysis Earliest reports of the season

CODIGEOSIM …geosimulation tools for simulating spatial

temporal spread patterns and evaluating health outcomes of communicable disease

Dr Rosenberg, Dr Chen, Dr Moore Multi site-York, Laval, Queen’s McMaster 5

universities, 22 researchers Lymes, West Nile and Influenza

CODIGEOSIM ) the creation of mathematical models, environmental models, mobility

models, population risk models, and dynamic simulation tools to explore the spatiotemporal spread patterns and optimal control measures for a variety of communicable diseases; 2) the dynamical modeling, analysis and simulation, visualization and evaluation of the vulnerability and responses of different communities to the potential outbreak of emerging or reemerging communicable diseases and the effectiveness of corresponding human intervention measures; 3) the development of geosimulation and decision support systems for public health officers that integrate the aforementioned models, data and information, and enable what-if analyses through the specification of various kinds of scenarios such as climate/environmental change, host mobility and intervention plans.

PHL…started Resp pathogen data regionally from PHL Data analysis temporally and spatially 4 years of data to detect if there is a “normal”

spatial spread for influenza specifically Effect of vaccine efficacy / mismatch on

temporal and spatial spread Dr Majury…and a RA

CPCSSN-feasibility PHAC Canadian Primary Care Sentinel Surveillance

Network for Chronic Disease 7 networks across Canada EMR surveillance Long term tracking 5 major illnesses: Depression, Hypertension,

Diabetes, Osteoarthritis, COPD Andrew Kurc

FHT and Public Health-funded MOHLTC Evaluation of the integration of Public Health

and family health teams Both are tasked with Health Promotion and

disease prevention Integrated, evidence based approaches Cooperation and Coordination

NRC ASSET project-Advanced Syndromic

Surveillance and Emergency Triage Glenn providing technical support and

analysis Kieran providing ED/SS support

Geoconnections: Infectious Disease Simulation Tool-A

Geospatial Decision Support System Peel Public Health U of Waterloo QPHI SAS Canada

ISDS Raleigh North Carolina December 2-5th 2008 Submissions now! 3 tracks

Future ESSENCE collaborations Consultations? Grant ideas …..Jeff

Telehealth – All Respiratory Calls (3 day MA)

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Telehealth Respiratory Calls (3 day MA)

and Flu A isolates

All Resp

Flu A isolates