TM1

Countermeasure and Response Administration Working Group

Webinar

Webinar Presented August 13, 2008

Jeanne Tropper, MS, MPH jwu0@cdc.gov&

CRA Development TeamDivision of Emergency Preparedness and

ResponseNational Center for Public Health

Informatics

TM2

Agenda• Purpose• CRA Plans• Features and Demonstration• Demonstration Question and

Answer • Discussion of V1.9 Topics• V1.9 Topics Question and Answer • PHIN Conference Events

TM3

Purpose

• Foundation for All Hazards support near completion

• V1.9 likely last release before migrating to open source (OS) environment; closer alignment with OMS and Epi Info ™

• Formalize process for prioritizing development of final release

• Position CRA to move to Outbreak Management (OM) Community of Practice (CoP) governance structure

TM4

What is planned for CRA?• V1.8

• Major features• Aggregate Group & Reporting Enhancements

(with Data Exchange)• Priority groups• National reporting

• Adverse Event Support• Patient Follow-up• Event Reports/Data Extracts Enhancements• Sub-jurisdiction Support• User-Defined Fields Support

• Development complete August 15, 2008• Due for release September 15, 2008• Monthly training to begin September

17, 2008

TM5

What is planned for CRA?, continued

• V1.9• CRA V1.9 estimated release FY 2009 Q2• CRA Working Group meeting at PHIN

Conference to assist in prioritizing features for V1.9

• CRA Working Group continues monthly meetings to review functional requirements for new features

• Possible V1.10 release FY 2009 Q4• Features to be determined by Working

Group and outcome of 2008 Doses Administered Exercise

TM6

What is planned for CRA?, continued

• And beyond…• CRA Working Group evolves into a

Community of Practice (CoP) • CRA transitions to open source

development structure • CRA, Epi Info™, and OMS become part

of an OM Toolset

TM7

CRA Demonstration Scenario

• Pandemic Influenza scenario• Confirmed person-to-person infection in

Indonesia• Student family member of confirmed case

returns to Georgetown in Washington, DC and begins exhibiting symptoms; exposed others including swim team members now in NYC for swim meet

• Passenger on inbound flight from Indonesia exhibiting symptoms; Plane is rerouted to Honolulu, people on the plane are quarantined

TM8

CRA Demonstration

• Data entry of isolation and quarantine record

• Upload of aggregate file

TM9

CRA Future Development Topics

Head of Household Dispensing • Look at all household dispensing options; group

patients by family

Alternate Data Entry • Use barcode scanners, handwriting recognition;

allow multiple data entry points, such as intake and dispensing; allow use of CRA with handheld devices

Ability to Exchange Data with Other PH Systems including but not limited to Immunization Registries, Surveillance, Outbreak Management Systems

• Bi-directional data exchange of aggregate and patient level information in multiple formats

TM10

CRA Future Development Topics, Continued

Population Health Management• Provide for import of population registries - nursing

homes, hospital staff, EMS, etc; track denominator data; patient de-duplication/merge

Data Elements for Patient Intake/Screening • Risk factors; prior and current medical conditions;

contraindications specific to countermeasures of interest

CRA, Epi Info, OMS Integration – what form should it take• Bi-directional data exchange among applications;

same look and feel of applications; developing user-defined variables/questionnaires/forms

TM11

CRA Future Development Topics, Continued

Support Linkages with Strategic National Stockpile and Other Inventory Tracking Systems

• Support linkages with inventory systems; deployment of CRA with SNS Push packs preloaded with countermeasure information

Analysis, Visualization and Reporting • GIS capability; add query function; access to data

entered into online and offline CRA; add staff management reports, duplicate identification, clinic and subjurisdiction countermeasure administration, etc; print user record prior to countermeasure dispensing

TM12

CRA Future Development Topics, Continued

Provide a Patient Consent Form • Document permission for countermeasure

administration, follow-up, tracking and Epi research

Decentralized Deployment• Export data from offline installations to CDC and

other localities; preload user, organization , and event data through import or batch entry; automate updates of offline installations; enhance offline system security ; enhance data encryption ; offer both online and standalone usage

TM13

Working Group Organization Options

• Organize into smaller groups around V1.9 topics

• Organize into smaller groups around functional areas such as

• System setup• Event configuration• Data collection• Reporting

• Work as one large group with one representative from each program and project area

• Work in smaller groups based on usage options

TM14

PHIN Conference Recommendations

• Community of Practice (CoP) Workshop Sunday, August 24 from 1:00 to 5:00 pm• OM CoP Meeting Tuesday, August 26 at 10:30 am• OM CoP Meeting Wednesday, August 27 at 1:30 pm

• CRA related sessions• CRA Workshop & Demonstration Tuesday, August 26 at

7:00 am• Tracking Influenza Vaccine Doses Administered: Pilot

Test of CDC’s Countermeasure and Response Administration System Tuesday, August 26 at 1:30 pm

• Epi Info™, OMS, and CRA Interoperability Workshop Wednesday, August 27 at 7:00 am

TM15

PHIN Conference Recommendations, Continued

• CRA related sessions, continued• Use Cases for CRA at the Local, State and

Federal Levels: Lessons Learned Wednesday, August 27 at 3:00 pm

• Communication Successes and Challenges: Experience from a Nationwide Pilot Project on Tracking Vaccine Doses Administration Using CDC’s CRA System Thursday, August 28 at 10:00 am

• CRA demonstrations at the PHIN booth• Tuesday, August 26 from10:30 am – 11:00 am• Wednesday, August 27 from10:30 am – 11:00 am

TM16

PHIN CRA Working Group Meeting

• Working Group Topics (being finalized)• Purpose• Background on Agile development• Prioritizing features for V1.9 and V1.10• Best practices – other systems• Breakout groups TBD

• Food and drinks will be served