LEAD APPLICATION MOHSAIC

Patty OsmanPatty OsmanEpidemiology SpecialistEpidemiology Specialist

Missouri Department of Health and Senior ServicesMissouri Department of Health and Senior ServicesDivision of Environmental Health and Communicable Disease PrevenDivision of Environmental Health and Communicable Disease Preventiontion

Office of SurveillanceOffice of Surveillance

Missouri’s Environmental Tracking Network

MOHSAIC:•Environmental & health condition reports

•Health management data•Assessments •Laboratory and hospital data•Birth – death information

GIS:•Spatial display of environmental risk contributors

•Spatial distribution of health conditions

•Jurisdictions (legislative districts, city/county/state boundaries, etc.)

Other Agency Data:•Internal health data not in MOHSAIC•External environmental data (NaturalResources, Conservation, EPA, etc.)

Birth LoadsName, DOB, Sex, Race, DCN

Other Birth Info

Births

Medicaid Encounters

Dept. of Social Services

DCN, Medicaid Enrollment, CA/N, Aging EDL, Managed

Care Info, FAMIS

Neometrics

Metabolic & New Born Hearing Results

Audiological Assessment

Private Physician Records

WIC

Health Management& Regulated

•Registration, Demographics,Scheduling, Inventory

•Immunizations•TB•Family Planning•Service Coordination•EPSDT/HCY•Traumatic Brain Injury Eligibility•Tel-Link•Lead•Family Care Safety Registry•Narcotics & Dangerous Drugs•Lead Inspection & Abatement•Child Care Licensing•Accredited Training Registry

•CommunicableDisease

•HIV/AIDS•STD•TB

Surveillance

Laboratories

Highway Patrol

Inte

grat

ed D

atab

ase

State-Wide Network or Web Access

DNR/EPA

Real-Time LinkData Merge

Inte

grat

ed D

atab

ase

MOHSAIC DESCRIPTION

•(MOHSAIC) Missouri Health Strategic Architecture and InformationCooperative

•Transactional application that provides a centralized and integrated database

•It is a .Net application with an Oracle backend•Data model for this surveillance system is compliant with NEDSS and PHIN standards

•Allows entry, storage and retrieval of epidemiological information of interest to public health in a centralized database through the department’s secure wide area network (WAN)

•Replaces current multiple systems used for surveillance

MOHSAIC Description (cont.)

• Export of required data to CDC and other entities in a format consistent with national standards and/or local requirements

• Population-based registry containing a record for all children born in Missouri since January 1, 1994

• All services the child receives will be available for cross-reference and assurance of data quality

• Automatic interface with Department of Social Services Medicaid registry for eligibility and access to additional information.

MOHSAIC Description (cont.)

• Data entry utilizing electronic import from laboratories or manual data entry

• Provides statewide access to child and address information to assist in case management and risk assessment activities with appropriate security safeguards

• Addresses verified and standardized using the Sagent geocoder

• Linkage with Office of Lead Licensing and Accreditation to register and monitor abatement projects

Data Path of a Child into MOHSAICState PublicHealth Lab

(SPHL)

Nig

htly

Bat

chChild & Blood

Test in UDS

Nig

htl

y B

atch

Holding filefor nightly batch job

Insert into CONVERSION

tables for UDS_IN

Find match for child

DoesPOSSIBLE

Exist?

DoesMATCHExist?

Run Match Screen

Use existing MOHSAIC client

as PARTY

Create new MOHSAIC client to use as PARTY

Attach all data to the

PARTY

Fetch PAYMENT SOURCE from DSS

Move client to MOHSAIC

YesNo

Yes

No

Automated Process

Nightly Batch Job

Involves User interaction

Data

LEGEND

E L E V A T E D B L O O D L E A D F A X

2 4 u g /d L - V E N O U S B L O O D L E A D L E V E L / S A M P L E T Y P E

1 /1 3 /2 0 0 5 D A T E S P E C IM E N C O L L E C T E D

M O B E R L Y R E G IO N A L M E D IC A L C N T R H E A L T H C A R E P R O V ID E R 'S N A M E

(8 1 6 ) 2 6 3 -8 4 0 0 P R O V ID E R 'S P H O N E N U M B E R

Q U E S T D IA G N O S T IC S IN C O R P O R A T E D R E P O R T IN G L A B O R A T O R Y /O R G A N I Z A T IO N

O S M A N , B R Y C E C L IE N T N A M E (L A S T , F IR S T , M I)

1 2 /2 1 /2 0 0 2 D A T E O F B IR T H

M A L E W H IT E G E N D E R R A C E

R A N D O L P H C O U N T Y O F R E S ID E N C E

9 0 4 S 4 T H S T , M O B E R L Y , M O 6 5 2 7 0 -1 8 3 9 A D D R E S S (S T R E E T O R R U R A L R O U T E , C IT Y , S T A T E , Z IP C O D E )

(6 6 0 ) 2 6 3 -6 7 9 2 P A R E N T /G U A R D I A N P H O N E N U M B E R A S H B U R N , D A W N

M E D I C A I D E L I G I B I L I T Y D C N # 5 7 9 7 2 7 0 7 P a y m e n t S o u rc e : M IS S O U R I C A R E , L C

L P H A s h o u ld c o n ta c t th e H M O le a d c a s e m a n a g e m e n t s ta f f to a d v is e o f e b l m e m b e r s o th e H e a lth P la n c a n b e g in L e a d C a s e M a n a g e m e n t S e rv ic e s . (p e r th e M C + c o n tra c t )

A u th o r iz a tio n s :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ S u n d a y , A p r il 1 7 , 2 0 0 5 S IG N A T U R E F A X D A T E

CHILD WEB SUMMARY

• Snapshot of available child health information

• Integration of data from multiple sources• Summary may be accessed by providers,

local public health agencies, Medicaid managed care plans and the state health department

FUTURE DIRECTIONS

• Initial implementation completed in August 2004.• All STELLAR sites converted to MOHSAIC by

Fall, 2005• ABLES and other Environmental Conditions, such

as heavy metals, carbon monoxide poisoning and hypo and hyperthermia will be incorporated in the integrated application to facilitate data exchange and linkage projects.