QΦ 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 Moore, Associate ProfessorNovember 14th 2008, TorontoCentre for Studies in Primary CareDepartment of Family Medicine/Emergency Medicine

QPHI Introduction

ObjectivesDiscuss Active Surveillance

Highlight a few projects

Keep within 15 minutes!!!

Thanks to…

KFLA Public HealthMinistry of Health and Long Term CareQueen’s UniversityPHACPSI Foundation

PartnersCommunity Health and Epidemiology

QPHIEnhancing the health of Canadians through Public Health Informatics

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

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

Google.org Flu watch

Acute Care Enhanced SurveillancePartner with Hospital

Data share agreements

All hospitals have EHR, HL7,SSHA

Acute Care Enhanced SurveillanceTwo way street

Reports-Volume, Demographic and Acuity

Speed of a 747

Active Surveillance6

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

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Onset of SymptomsSpecific SyndromeDeaths

Intel

Demographics, Chief Complaint, Visit Data

Lab results, X-Rays, etc.

Courtesy: Michael Wagner, MD, University of Pittsburgh

Biosensors

Potential Strategies for Early Detection

Data Options for Surveillance

Work-schoolAbsenteeism

(i.e. OccupationalHealth)

Primary CareClinic

Emergency Dept

Lab test

Over-the-Counter

Sales

Telehealth

QPHI-CSPC ProjectsAcute Care Enhanced Surveillance MOHLTCOccupational Health July 1 2008Telehealth- December2007Pharmacy Surveillance September 15Primary Health Care PHACGeoconnectionPublic Health Primary Care Integration

Scenarios – RODS Main Page Date accessed:

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Project Vision

“To reduce morbidity and mortality in the community from infectious illnesses by providing the right message to the right people in the right place, at the right time.”

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Infection Watch LiveEnables informed decision making in the community. Provides the community with current Emergency Department utilization data for respiratory and gastrointestinal illness.Representing data by neighborhood enables the community to react to current respiratory and gastrointestinal infections in their area.

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Today’s Maps

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Today’s Maps – Adult Respiratory

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Today’s Maps – Child Respiratory

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Demonstration

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Flu B

Flu A or B

RSV

PIV

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Telehealth Respiratory Calls (x 5)

ED Visits (x1) and Influenza Pos (x3)-Ontario

ED Resp Visits

TelehealthResp Calls

Flu A

Flu B

Flu A or B

Enhanced Surveillance C’sCommunicationCollaborationCapacityCommand and ControlClarity of roles and responsibilitiesCommitment!!!