Electronic Case Reporting Development, Implementation, and Expansion in the United States.

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-07-01 Epub Date: 2024-02-27 DOI:10.1177/00333549241227160
Kimberly Knicely, John W Loonsk, Janet J Hamilton, Annie Fine, Laura A Conn
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Abstract

Introduction: The COVID-19 pandemic highlighted the need for a nationwide health information technology solution that could improve upon manual case reporting and decrease the clinical and administrative burden on the US health care system. We describe the development, implementation, and nationwide expansion of electronic case reporting (eCR), including its effect on public health surveillance and pandemic readiness.

Methods: Multidisciplinary teams developed and implemented a standards-based, shared, scalable, and interoperable eCR infrastructure during 2014-2020. From January 27, 2020, to January 7, 2023, the team conducted a nationwide scale-up effort and determined the number of eCR-capable electronic health record (EHR) products, the number of reportable conditions available within the infrastructure, and technical connections of health care organizations (HCOs) and jurisdictional public health agencies (PHAs) to the eCR infrastructure. The team also conducted data quality studies to determine whether HCOs were discontinuing manual case reporting and early results of eCR timeliness.

Results: During the study period, the number of eCR-capable EHR products developed or in development increased 11-fold (from 3 to 33), the number of reportable conditions available increased 28-fold (from 6 to 173), the number of HCOs connected to the eCR infrastructure increased 143-fold (from 153 to 22 000), and the number of jurisdictional PHAs connected to the eCR infrastructure increased 2.75-fold (from 24 to 66). Data quality reviews with PHAs resulted in select HCOs discontinuing manual case reporting and using eCR-exclusive case reporting in 13 PHA jurisdictions. The timeliness of eCR was <1 minute.

Practice implications: The growth of eCR can revolutionize public health case surveillance by producing data that are more timely and complete than manual case reporting while reducing reporting burden.

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美国电子病例报告的发展、实施和扩展。
导言:COVID-19 大流行凸显了对全国范围内卫生信息技术解决方案的需求,该解决方案可改进人工病例报告,减轻美国卫生保健系统的临床和行政负担。我们介绍了电子病例报告(eCR)的开发、实施和全国推广情况,包括其对公共卫生监测和大流行准备工作的影响:方法:多学科团队在 2014-2020 年间开发并实施了基于标准、共享、可扩展和可互操作的 eCR 基础设施。从 2020 年 1 月 27 日到 2023 年 1 月 7 日,该团队在全国范围内开展了扩展工作,并确定了具备 eCR 功能的电子健康记录 (EHR) 产品数量、基础设施内可用的可报告病症数量,以及医疗机构 (HCO) 和辖区公共卫生机构 (PHAs) 与 eCR 基础设施的技术连接。研究小组还进行了数据质量研究,以确定医疗保健组织是否停止了手动病例报告,以及电子病例报告及时性的早期结果:在研究期间,已开发或正在开发的具有 eCR 功能的电子病历产品数量增加了 11 倍(从 3 个增加到 33 个),可报告病例数量增加了 28 倍(从 6 个增加到 173 个),连接到 eCR 基础设施的 HCO 数量增加了 143 倍(从 153 个增加到 22 000 个),连接到 eCR 基础设施的辖区 PHAs 数量增加了 2.75 倍(从 24 个增加到 66 个)。通过对公共福利机构的数据质量进行审查,选定了 13 个公共福利机构辖区的高 级护理人员办公室停止了手工报告个案的做法,转而使用电子个案报告系统报告个案。eCR 的及时性具有实践意义:与人工病例报告相比,eCR 生成的数据更及时、更完整,同时减轻了报告负担。
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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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