Validation of a Syndromic Case Definition for Detecting Emergency Department Visits Potentially Related to Marijuana

Abstract

OBJECTIVES:

Reliable methods are needed to monitor the public health impact of changing laws and perceptions about marijuana. Structured and free-text emergency department (ED) visit data offer an opportunity to monitor the impact of these changes in near-real time. Our objectives were to (1) generate and validate a syndromic case definition for ED visits potentially related to marijuana and (2) describe a method for doing so that was less resource intensive than traditional methods.

METHODS:

The Evolution of BioSense: Lessons Learned and Future Directions

The BioSense program was launched in 2003 with the aim of establishing a nationwide integrated public health surveillance system for early detection and assessment of potential bioterrorism-related illness. The program has matured over the years from an initial Centers for Disease Control and Prevention–centric program to one focused on building syndromic surveillance capacity at the state and local level.

Introducing: Future MFT Facility Administration Tool – User Interface and Functionality

The NSSP Support Team will present an overview on the plans for a future Master Facility Table user interface (UI) designed to replace the current excel-spreadsheet update process. The presentation will feature mock-ups of the UI screens, descriptions of the proposed functionality, and allow time for Q&A. The future UI is proposed to:

·         Be supported through the AMC and allow sites to view, add, and edit facility information,

·         Allow the system to automatically update server tables as appropriate based on defined business rules, and

NSSP Weekly Technical Updates for 2017

This is the technical weekly update report which the project director at the CDC (Mike Coletta) gets from the technical support company (ICF), summarizing the current status of work on the National Syndromic Surveillance (NSS) Platform.

Evaluation of DoD Syndrome Mapping and Baseline for ICD-9-CM to ICD-10-CM Transition

The Department of Defense conducts syndromic surveillance of health encounter visits of Military Health System (MHS) beneficiaries. Providers within the MHS assign up to 10 diagnosis codes to each health encounter visit. The diagnosis codes are grouped into syndrome and sub-syndrome categories. On October 1, 2015, the Health and Human Services-mandated transition from ICD- 9-CM to ICD-10-CM required evaluation of the syndrome mappings to establish a baseline of syndrome rates within the DoD. The DoD data within the BioSense system currently utilizes DoD ESSENCE syndrome mappings.

Early effect of validation efforts of Massachusetts syndromic surveillance data

As a participant in the National Syndromic Surveillance Program (NSSP), the Massachusetts Department of Public Health (MDPH) has worked closely with our statewide Health Information Exchange (HIE) and National Syndromic Surveillance Program (NSSP) technical staff to collect and transmit emergency department (ED) data from eligible hospitals (EHs) to the NSSP. Our goal is to ensure complete and accurate data using a multi-step process beginning with pre-production data and continuing after EHs are sending live data to production.

Objective

Using Sydromic Surveillance to Track E-cigarette Related Emergency Department Visits

The North Dakota Department of Health (NDDoH) investigated the feasibility of using syndromic surveillance (SyS) data to identify health care visits due to electronic cigarette (e-cigarette) use. E-cigarettes have been associated with injuries and fatalities in all age groups, including young children attracted to the colorful liquid nicotine carriage packaging [1]. Previously, poison control data was the only resource available to the NDDoH for e-cigarette adverse outcomes surveillance.

Objective

BioSense Platform Data Flow - Part 3 - Legacy Data Conversion and Transition Plan

The National Syndromic Surveillance Program (NSSP) is conducting a three-part webinar series to describe how data will flow to the BioSense Platform. This comprehensive series explores how data are ingested into the BioSense Platform and ESSENCE application and how BioSense 2.0 data are being migrated.

BioSense Platform Data Flow - Part 2 - Introduction to ESSENCE Configuration for BioSense Platform

The National Syndromic Surveillance Program (NSSP) is conducting a three-part webinar series to describe how data will flow to the BioSense Platform. This comprehensive series explores how data are ingested into the BioSense Platform and ESSENCE application and how BioSense 2.0 data are being migrated.

BioSense Platform Data Flow - Part 1- Data Ingestion into the BioSense Platform

The National Syndromic Surveillance Program (NSSP) is conducting a three-part webinar series to describe how data will flow to the BioSense Platform. This comprehensive series explores how data are ingested into the BioSense Platform and ESSENCE application and how BioSense 2.0 data are being migrated.

Part 1: Data Ingestion into the BioSense Platform will describe the overall data flow and data structures for the BioSense Platform. The webinar will present the rationale behind the proposed data elements and processing requirements for the new data archive.  

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This Knowledge Repository is made possible through the activities of the Centers for Disease Control and Prevention Cooperative Agreement/Grant #1 NU500E000098-01, National Surveillance Program Community of Practice (NSSP-CoP): Strengthening Health Surveillance Capabilities Nationwide, which is in the interest of public health.