NC EDSS Basics

NC EDSS Basics

Lauren DiBiase, MS &Amy Sloane, BANorth Carolina Center for Public Health Preparedness

NC Center for Public Health Preparedness/UNC-CH/December 2009

Webinar Agenda Searching for an event vs. searching

for a person Proper use of the Investigation Trail Review of tabs on Dashboard Manual lab entry guidance Entering data into the Rapid Entry Wizard NC EDSS Resources/Training Schedule Wrap-up/ Your Questions

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Searching for an event

Before creating a new event in NC EDSS, you should always conduct an event search to make sure the event does not already exist

Click on Search Event icon on Dashboard toolbar

Users are only able to view events for groups that they belong to (e.g., CD, TB) and that are within their jurisdiction (e.g., Duplin county)

NC Center for Public Health Preparedness/UNC-CH/December

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Searching for an event

You can search by any of the criteria on the Search Case screen; however, you may want to start out by searching on just a few criteria (e.g. name and disease) to cast a wide net

NC EDSS only displays EXACT matches in the Search Results

Search with wildcards (*)

If you do not find the event you are looking for, proceed with creating a new event.


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Searching Event Examples

Christopher Wallace (E. coli)

Natalie Merrick Nguyen (Gonorrhea)


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Searching for a person

First perform an event search! If you do not find any matching results proceed with creating a new event

Click on Create Event icon on Dashboard toolbar


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On the Create Event screen:1. Select a Disease2. Select/Search Person • Make sure your patient does not already exist in NC EDSS• It is possible that your patient is in NC EDSS as a resident

of another county• Person search will search entire system – not just in your

county• Users are NOT able to see WHY person is in system (no

disease association)

Example – Maria Powell (Chlamydia)NC Center for Public Health

Preparedness/UNC-CH/December 2009 7


If you do not find the person, click Cancel to return to the Create Event screen.

On the Create Event screen, continued:3. Enter demographic info (be as complete as possible)

• Be sure to enter the patient’s county of residence (if no county is selected, no other users in your county will be able to find this event if they searched for it)

4. Click “Add” – system searches for duplicates

5. Click “Save” - opens new event on Dashboard

Example – Judy Jackson (Measles)


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Proper use of the Investigation Trail

When an event is first created, in order to acknowledge that your LHD group is working on the event, you must complete the following fields in the Investigation Trail:

Date Assigned-Reassigned Group Classification status

When you re-assign an event to another county-level group in the Inv. Trail, you also must change the NC County of Residence for the Event field


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What’s wrong with these screen shots?

The next few slides contain screen shots of the Investigation Trail in an event.

Something was done incorrectly in each example.

We will poll the audience to see if you can identify the error


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Example 1


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Example 2


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Example 3


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Example 4


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Example 5

Review of Tabs on Dashboard

Event Data: where you will find the Question Packages & Wizards

Lab Results: where electronic lab data is stored and where you need to go to manually key in lab results

Concerns: Focus on concerns in red on the Dashboard; do not submit an event to DPH that has concerns unless you explain why the data can’t be obtained/fixed


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Review of Tabs on Dashboard

Persons: where you need to update most demographic information (these fields are locked in the Demographic Question Package); all information contained in the Persons tab is a part of the person’s record and will be the same in any other event that person has in NC EDSS

Tasks: where you can create tasks specific to the event open on the Dashboard

Event History: provides a record of what has been done in the event, including who did each action and when it was done; if an ELR fed into the event, the user name appears as ‘Feed’


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Required Fields on Lab Results Screen

Specimen Info

Specimen Date Specimen Number Specimen Source

Tests

Test Result Result Local Description (if you select a non-specific test)

Lab Facility

Lab Facility

Ordering Facility (If different than the lab which performed the test)

Lab Facility

Ordering Provider

Name Address (except if your LHD is the ordering provider)

Phone

Result Local Description field

The organism identified should be listed in the “Result Local Description” field any time the test or test result entered by the user does not specifically identify the organism.

For example, if a generic test such as “culture” is selected, the user must enter the organism identified.

The rationale for this guidance is to ensure that the

test and result entered apply to the disease being reported.


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Other Guidance on Manual Lab Entry

For serologies, please include the “Ref Range” field

If the lab facility is not found on pick list, please select ‘other’ – then enter the name in the ‘lab facility (other)’ field

If the ordering lab facility is not found on pick list, please select ‘other’ – then enter the name in the ‘ordering lab facility (other)’ field

Susceptibilites are only required for TB, but we encourage you to enter them for GCD, if available


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Entering data into the Rapid Entry Wizard

The Rapid Entry Wizard contains fields from both the Part I (Report/Morbidity Card) and Part II (Surveillance) forms

Use the blue bar headings to help you find fields from each of the forms

Wizards are time savers Prevents you from having to open the Question

Packages individually


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Part 1 Form

Required to complete for all diseases

Only form needed for bacterial STDs

You must enter all information on Part 1 form into NC EDSS

Wizard to use = CD Rapid Entry Wizard (formerly known as Communicable Disease Report Wizard)

NC Center for Public Health Preparedness/UNC-CH/August 2009

Part 2 Form

Used for the collection of data during investigation of a CD or VPD.

Contains questions specific to each reportable disease

For majority of diseases, collected data on Part 2, can be entered into the CD Rapid Entry Wizard

This is the same wizard you will use to enter Part 1


Part 2 Form

On the paper form, sections that are found in the Wizard are denoted with the computer icon

Information contained in these ‘wizard’ sections must be entered into NC EDSS! (You should still collect all info on form)

State SME may require additional information to be entered into NC EDSS, if needed.



Part 2 Form

Some low incidence diseases (e.g. anthrax) do not have a wizard (but, they still have a Part 2 surveillance form that must be completed!)

For these diseases, all information collected during case investigation should be entered into NC EDSS via individual Question Packages


Diseases with no Part 2 Wizard

Vaccinia SARS Malaria Smallpox Rabies, Human Leprosy

Hepatitis B, acute

Psitticosis Vibrio, vulnificus Vibrio, other Cryptosporidiosis Legionellosis Anthrax Brucellosis Creutzfeldt-Jakob Disease Hantavirus Monkeypox Plague Q Fever Tularemia Leptospirosis



Resources

NC EDSS Help Desk at NC DPH 919-715-5548 or (877)-625-9259 [email protected] Use Event ID only – no names or SS #s Available 8 am – 5 pm, M-F

NC Communicable Disease website http://www.epi.state.nc.us/epi/gcdc/manual/toc.html Click on the NC EDSS logo in the Table of Contents Guidance on various topics, past Webinar

presentations, etc.NC Center for Public Health

Preparedness/UNC-CH/December 2009 30

http://www.epi.state.nc.us/epi/gcdc/manual/toc.html

2010 Training Schedule

January 12-13 CD (Intro) Training in Asheville

January 14: TB Training in Asheville

February 9-10: CD (Intro) Training in Greenville

March 16-17: CD (Intro) Training in Winston-Salem


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Wrap - Up

Thank you for participating!

A web link to a brief evaluation survey will be emailed to you

Your feedback is important to us!

A copy of these Webinar PPT slides will be emailed to you

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Questions


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Documents

NC EDSS Basics