TM1
Countermeasure and Response Administration Working Group
Webinar
Webinar Presented August 13, 2008
Jeanne Tropper, MS, MPH [email protected]&
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