CASE STUDY

Information System Help

Prevent a Public Health Crisis

Presented by :-
DAVE MIHIR (6)
PATEL CHINTAN (29)
PATEL FALGUNI (31)
PATEL RADHA (35)
PRAJAPATI RACHANA (43)
INTRODUCTION
In the world you are find many dire prediction
about large scale loss of life from biological or
chemical attack or an avain influenza.
On may 3,2006 the United States Government
issued on Implication plan for Pandemic
Influenza to improve coordination among
federal ,state, and local authorities.
On such initiative is the BioSence Real-Time
Clinical Connections Program Developed by
the U.S Federal Centers for Disease Control
and Prevention (CDC).
BioSence sits atop a hospitals existing
information system , continually gathering and
analyzing their data through software
The software converts these data to the HL7
data messaging format.

The system summerizes and presents
analytical results by source,day, for each ZIP
code ,state, and metropolitan area using
maps, graph and tables.
Registered state and local public health
agencies as well as hospitals and health care
providers are allowed to access data that
pertain to their jurisdiction.
The traditional process for public health
surveillance is manual and much slower.

Hospitals, physicians and laboratories would
mail or fax paper report to public health
agencies, who would then call health care
providers for more detailed information.

BioSence first became operational in 2004,
when it began gathering daily data from U.S.
Defence Department and Veterans Affairs
(VA) Hospitals and Laboratory Corporation of
America (LapCorp) orders for medical tests.

In late 2005,CDC started to expand the
BioSence network to civilian hospitals in
major metropolitan areas and sharing the
data.

The CDC expects to connect 300 hospitals to
Biosence by the end of 2006.

To transmit data to BioSence, each hospital
must standardize its patient and other
medical data.

Most Hospitals use their own coding
systems for symptoms, disease and
medications.
CDCs contractors would have to work
with the hospitals to translate its data
codes in to the standards used by
CDCSs software.

Q-1. Describe and Diagram the existing
process for reporting and identifying major
public health problems, such as a flu
pendemic.

Q-2. How does BioSence improve this
process?
Diagram the process for reporting and
identifying public health problem using
BioSence.
Q-3. Discuss the pros and cons of
adopting BioSence for Public health
surveillance. Should all hospitals and
public health agencies switch to
BioSence ? Why or why not ?
Q-4. Put yourself in the role of hospital
director at a large urban hospital. Would
you support joining up with the BioSense
system? Why or Why not? What factors
would you want to take into account
before joining?
1.-Existing process for reporting and
identifying major public health problem

Hospitals, Physicians, Laboratory

Mail/Fax

Public Health Agency

Call

Health Care Providers
2.- Diagram-process for reporting and
identifying public health problem using
BioSence
Hospital Existing Information System

Custom software

The HL7 Data Messaging Format

Transmit

CDC






3.The pros and cons of adopting BioSense
for public health surveillance.

Pros: Decreases the time to identify causes, risk
factors, and appropriate interventions; and decreases
the time needed to implement countermeasures and
health guidance.

Cons: Many hospitals have not been anxious to jump
on the bandwagon because the transition would be
burdensome and time-consuming to translate its data
codes into the standards used by CDCs.
4.The role of hospital director at a large
urban hospital
I would support joining up with the
BioSense system. First priority of the
hospital business is not only to make profits
but also to save humans life. In order to
save humans life, information sharing
services and integrated IT are a necessity.


THANK YOU