00:00
Today, we're going to talk about the power of
local, regional,
national and international surveillance
systems and how we use them to make
clinical decisions for individuals and the
entire world.
00:13
Surveillance systems like the National
Syndromic Surveillance Program or
the NSSP, they're the vigilant sentinels of
our healthcare
ecosystem. Now, these systems monitor health
data to
detect, prevent and respond to disease
outbreaks.
00:32
They are instrumental in disaster response
and planning.
00:36
They act as a lighthouse during a storm,
kind of guiding our responses and our
strategies. Now, like with any other
technology, there are different types of
surveillance systems and different
terminology to describe them.
00:49
A syndromic surveillance system uses two
things, both active and
passive. Active is a collection of specific
real-time
data and passive is waiting on routinely
submitted reports.
01:02
We use these to mobilize a rapid response
when disaster happens
so these systems monitor illness clusters or
impact of
weather or other disasters early.
01:15
Now this is before patients are officially
cared for and given diagnoses by the
medical providers.
01:22
This real-time data can be used to make
decisions and reduce
morbidity and mortality.
01:29
For example, these systems were incredibly
important when COVID 19 first
appeared, first de-identified ed records,
their
chief complaint and their discharge
diagnosis.
01:42
Next, medical examiner reports this was the
cause of death or
increases in volumes by region.
01:50
Clinical lab volumes, types and amounts of
tests being run was
another indicator.
01:56
Now the information and data pieces were
continuously being verified and used
for dashboard applications.
02:03
Now these are what enabled media outlets,
private and public consumers, to
see and to understand across regions,
countries and the world
what was happening with Covid 19.
02:15
Now, these systems sound amazing.
02:18
However, there are some challenges of these
systems that the informatics professional
needs to consider.
02:24
First of all, systems have the ability not
only to talk and
listen, but also to understand each other.
02:32
How people input data changes, how the
system can organize it.
02:37
It takes considerable time, financial and
human
resources, to transition systems to using
electronic rather than the human-centric
structured data collection and input
systems.
02:49
Next, a significant challenge is the
integration of complex
and siloed systems.
02:56
Now these are often governed and funded
independently.
03:00
All members of the team, from senior
management to the end user need to
be invested in creating the most usable,
goal-oriented systems
possible by identifying the ways electronic
information can be managed and used for
the maximum benefit.
03:16
Increasing adoption of electronic health
records and health information exchange
systems is of great benefit to the power of
the surveillance
system to increase this power.
03:27
The Centers for Medicare and Medicaid
Services, CMS, dictate that
public health agencies have to
electronically submit data significant to
public health, such as immunization registry
and communicable disease data.
03:42
Before we move on to another concept, let's
review with an informatics perspective.
03:47
Consider how your healthcare organization
can make better clinical decisions with
these tools.
03:53
Surveillance systems provide valuable data
or clues that can
guide clinicians in making informed
decisions or enhancing patient care
and ultimately improving public health
outcomes.
04:06
For instance, real-time syndromic
surveillance data can alert
clinicians to emerging health threats such
as disease outbreaks, which allows
them to take immediate action.
04:18
Imagine working in a busy urban emergency
room and you have a client who presents with
signs and symptoms of a foodborne illness.
04:26
You ask yourself, Is this isolated to the
person or related to a community
source like contaminated food from a
restaurant or grocery store?
Checking surveillance systems can answer
that question for you.
04:40
Let's take a look at a surveillance system
resource from the Centers of Disease
Control and consider how it can be used to
manage this patient.
04:49
Control and consider how it can be used to
manage this patient.
04:50
This is the CDC's website.
04:52
If you're curious about whether this
patient's situation is unique or part of
outbreaks, just scroll down and click on the
foodborne
outbreaks. Once you're here, the first thing
you'll notice is a major outbreak
warning at the top of the screen.
05:08
Now, this is great information for you to
know when evaluating every patient who
presents with any GI symptom.
05:15
However, if you're curious about current or
specific outbreaks and
whether your patient might be affected by
it, simply scroll down and click
on current and past foodborne outbreaks.
05:28
Once you're there, you'll hopefully find all
the information you might need.
05:33
But what if you think the outbreak is
regional to just your area and you're not
sure what to do?
In those cases, you can click here and
follow these steps.
05:44
Here, you'll find all the information you
need organized in a
comprehensive and easy-to-follow manner.
05:52
So I encourage you to explore the site on
your own.
05:54
Just download the materials from this video
and you can navigate through all of this by
yourself.