quest for quality kpha pre-conference september 20,2011
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Quest for Quality KPHA Pre-Conference September 20,2011. Susan Dickman, MSIT KS-EDSS Coordinator Kansas Dept of Health and Environment Bureau of Epidemiology & Public Health Informatics [email protected]. What is Disease Surveillance?. - PowerPoint PPT PresentationTRANSCRIPT
Quest for QualityKPHA
Pre-ConferenceSeptember 20,2011
Healthy Kansans living in safe and sustainable environments.
Susan Dickman, MSIT KS-EDSS Coordinator Kansas Dept of Health and Environment Bureau of Epidemiology & Public Health Informatics [email protected]
Healthy Kansans living in safe and sustainable environments.
What is Disease Surveillance?
Necessary for targeting public health efforts. Cannot prevent and control diseases if:
We do not know which diseases are infecting people and How often or where they are occurring.
Surveillance is the: On-going Systematic collection Analysis Interpretation and distribution of health data to describe
and monitor health events.
Healthy Kansans living in safe and sustainable environments.
Performance Measures and Quality Indicators
What is a Performance Measure? The specific representation of a capacity, process,
or outcome deemed relevant to the assessment of performance. A performance measure is quantifiable and can be documented.
What is a Quality Indicator? It is an agreed-upon process or outcome measure
used to determine the level of quality achieved.
Healthy Kansans living in safe and sustainable environments.
PHAB Performance MeasuresStandard 1.2: Collect and maintain reliable, comparable, and valid data
that provide information on conditions of public health importance and on the health status of the population.
Standard 1.3: Analyze public health data to identify trends in health problems, environmental public health hazards, and social and economic risk that affect the public’s health.
Standard 1.4: Provide and use the results of health data analysis to develop recommendations regarding public health policy, processes, programs or interventions.
Standard 2.1.5 A: Monitor timely reporting of notifiable/reportable diseases, lab test results, and investigation results.
Healthy Kansans living in safe and sustainable environments.
Why Track Performance Measures in KS-EDSS? Public Health Preparedness Capabilities
Capability 13 Function 1: Conduct public health surveillance and detection Function 2: Conduct public health and epidemiological
investigations Function 3: Recommend, monitor, and analyze mitigation
actions Function 4: Improve public health surveillance and
epidemiological investigation systems
Healthy Kansans living in safe and sustainable environments.
Tracking Performance Measures
Healthy Kansans living in safe and sustainable environments.
Performance quality Timeliness indicators
Additional fields to be added to KS-EDSS LHD Report Date Case Creation Date Investigation Start Date Investigation Complete Date Case Closed Date
Data quality Quality Indicator Tracking
Why Track Quality Indicators? Improve individual investigation data quality
Better data for use in future projects
Send more complete picture of disease in Kansas to CDC
Determine how we can make KS-EDSS more user friendly
Healthy Kansans living in safe and sustainable environments.
Our Quest for Quality hits a Roadblock
KS-EDSS in 2007 Four phases planned over 2+ years
Core infectious disease surveillance --> Fully integrated, modular system
Trouble “Go live” five months late Deadlines missed for key development milestones Major functions never implemented
Vendor contract terminated July, 2009 The intervening years October, 2010
Parts of TB-PAM inoperableHealthy Kansans living in safe and sustainable environments.
Healthy Kansans living in safe and sustainable environments.
Why Replace KS-EDSS?
Healthy Kansans living in safe and sustainable environments.
System not user friendly Continued in-house development, maintenance
expensive Still don’t have full functionality required by
original project design TB PAM continues to “limp along” Questionable long-term sustainability
Comparison of KS-EDSS & TriSano
Healthy Kansans living in safe and sustainable environments.
KS-EDSS vs. TriSanoKS-EDSS TriSano COTS Hepatitis B perinatal not
included in system No ad-hoc forms Limited case management No contact tracing ELR difficult to implement No task/workflow Limited data export Limited reports
MOTS Hep B perinatal included Form Builder – ad hoc
forms Robust case management Contact tracing & elevation ELR 2.5.1 ready Built in task and workflow Data warehouse (AVR)
Healthy Kansans living in safe and sustainable environments.
Resolving KS-EDSS IssuesKS-EDSS TriSano
Supplemental forms incorporated in core system
TB not a separate module – incorporated into core system
Form Builder – fix fields AVR allows for much more
complete data analysis and less error
Healthy Kansans living in safe and sustainable environments.
Supplemental form errors Issues with data not saving TB PAM screen not
functioning Losing case because
address change Font small, difficult to read Misspelling in fields Report errors
Quality Case Management with TriSano
Healthy Kansans living in safe and sustainable environments.
Smart Search used to find individuals already in system
Demographic, clinical, laboratory, epidemiological and investigation data included
Contacts can be added Notes and Tasks can be
added, including repeating tasks
Files can be attached Copying a case – either
shallow or deep Routing to a queue or
individual investigator Repeat encounters Print, export or delete Core Customizer to tailor Form Builder for
extensions
www.kdheks.gov
Healthy Kansans living in safe and sustainable environments.