Title: BioSense:%20Using%20Health%20Data%20for%20Early%20Event%20Detection%20and%20Situational%20Awareness
1BioSense Using Health Data for Early Event
Detection and Situational Awareness
- DIMACS Working Group on BioSurveillance Data
Monitoring and Information Exchange - February 23, 2006
- Blake Caldwell, MD, MPH
- Senior Advisor
- Coordinating Center for Health Information and
Service - Centers for Disease Control and Prevention
2BioSense Real-time (RT)
- Vision
- Provide capabilities for early event detection
and situational awareness for public health - Approach
- Enable real-time delivery of emergency room,
ambulatory, and acute care data from hospitals to
BioSense - Provide electronic views, analytics, and
reports for national, state, and local public
health, hospital, and government officials
3Health Situational Awareness
- Confirm or refute existence of an event
- Environmental signal
- Suspect illness
- Intelligence warning
- Monitor ongoing event and effectiveness of
response - Ascertain size of event
- Ascertain rate of spread
- Track efficacy of response efforts
- Monitor for adverse events
- Know when an event has passed
4BioSense RTImplementation Concepts
- Real-time transmission of existing clinical
diagnostic and health information - Industry-accepted standards used where they
exist developed where standards do not yet exist - Data transformation to standards occurs at
hospital level, contributing to local electronic
health record activities
5BioSense RTImplementation Concepts(continued)
- Simultaneous access of data for analysis and
visualization by all jurisdictional levels of
public health (hospital, city, county, state,
national) - System is robust, flexible, and intended for dual
and future use - Harmonized with PHIN, the NHIN Public Health
architecture
6BioSense Clinical Data
- A rich clinical data source to include
- Patient-level data
- Demographics (obvious identifiers removed)
- Preliminary/Working/Discharge Diagnoses
- Discharge disposition
- Chief complaint, symptoms, vital signs
- Procedures and orders (Lab, Radiology, Pharmacy)
- Laboratory results
- Hospital-level data
- Resources and bed utilization
7BioSense Hospital Recruitment
- Hospitals prioritized by focusing on
- Large metropolitan areas
- Top 5 emergency departments by volume in area
- Existing IT infrastructure, especially ED system
- Health systems with multiple hospitals
- Recommended by local public health
- Hospitals and public health generally
enthusiastic - BioSense RT recently supported by the Council on
State and Territorial Health Epidemiologists
(CSTE)
8Cities with BioSense Hospitals - 2005
Commitments
- Las Vegas, NV
- Los Angeles, CA
- Miami, FL
- Milwaukee, WI
- Philadelphia, PA
- Phoenix, AZ
- Portland, OR
- San Diego, CA
- St. Louis, MO
- Washington D.C.
- Atlanta, GA
- Baltimore, MD
- Boston, MA
- Chicago, IL
- Columbus, OH
- Dallas, TX
- Denver, CO
- El Paso, TX
- Indianapolis, IN
9Hospital Commitments to BioSense, 2005
Beth Israel Deaconess and Boston Childrens
Oregon Health Sciences University
Aurora (13)
Jefferson Health (13)
Stroger (3)
Denver Health
University Medical Center
Regenstrief (17)
LA County and Childrens LA
Mount Carmel (3)
Johns Hopkins (3)
BJC Healthcare (13)
Banner Health (5)
Washington Hospital Center (7)
Tenet (2)
Sharp (4) and UC San Diego (2)
Gwinnett Health System (2)
Miami Childrens
Cook Childrens and Baylor (14)
19 Cities
110 Hospitals
10BioSense Implementation in 2005
Beth Israel Deaconess
Aurora (13)
Jefferson Health
Stroger
University Medical Center
Mount Carmel (3)
Washington Hospital Center (6)
Sharp (4)
Gwinnett Health System (2)
10 Cities
32 Hospitals
11BioSense Implementation Timeline
Dec06
Dec05
Aug06
Apr06
10 cities 65 initial hospitals
9 cities 45 hospitals
12 addl BioWatch cities ? hospitals
12Priorities for 2006
- Continue enrollment
- Become operational
- Negotiate MOUs with CSTE/states
- Implement Pan Flu expansions
- Convene Vanguard Groups April
- (hospital participants, state and local health
departments, scientists) -
-