Improving Surveillance of Communicable Disease in Canada
e-Health ePoster Library. Knight B. Jun 5, 2017; 167128; EP04.04
Beverly Knight
Beverly Knight
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Abstract
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Purpose/Objectives: The capture and management of unsolicited Lab Test Results is needed to manage Public Health Surveillance of Communicable Diseases. Automated exchange between labs and public health agencies is not yet in place in all jurisdictions. This session will demonstrate how Public health resources led by Infoway have developed the data needed to automate management of communicable diseases.

Methodology/Approach: Identify a jurisdiction who would lead the work Establish an open, group based community platform available for clinicians, ehealth representatives, vendors, developers, and others interested in working collaboratively. Develop a model to identify the required data elements and drive the values required. Leverage previous work Adapt the approach as knowledge evolves and as resources and participants are available. Publish the content so other jurisdictions could leverage the work.

Finding/Results: Manitoba agreed to lead the development of 3 data sets based on the previously developed Communicable Disease data set. These data sets were intended to be used by those working in public health information systems to capture required data consistently and correctly to enable the management of communicable disease cases and outbreak management from both a jurisdictional perspective and a national perspective. Interested stakeholders were solicited to participate in the development including Public Health Agency of Canada, IBM, the Canadian National Microbiology Lab, and other jurisdictional lab and public health stakeholders interested in this work. Infoway established a space on InfoCentral for the stakeholders to come together to connect with experts, host meetings, and collaborate in the development of the data sets. The following data sets were developed: Causative/Etiologic agent Disease Presentation Disease Staging

Conclusion/Implication/Recommendations: During the development of the data sets it was clear that a lack of clinical practice standards made it challenging to agree on the model and the data. Public health is an area where jurisdictions have different regulations making it also challenging for Public Health Agency of Canada and others who need to use the point of care data in communicable disease surveillance do use the data for national surveillance. It was challenging to “harmonize” the data to suit most stakeholder needs. And in the end there was a very valuable outcome agreed to by all who participated. Manitoba recognized and appreciated the other stakeholder input to make the data sets as “future proofed” as possible as Panorama evolves. The data sets are being used regularly to assist surveillance clerks in interpreting complex lab results to consistently and correctly input the data in the Manitoba Panorama system. This has resulted in better management of communicable disease in Manitoba.

140 Character Summary: This session will provide an approach and lessons learned that public health and other stakeholders can leverage in their ehealth projects.
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