A Comparison of the Completeness and Timeliness of Automated Electronic Laboratory Reporting and Spontaneous Reporting of Notifiable Conditions

Overhage, J. Marc; Grannis, Shaun J.; McDonald, Clement J.

doi:10.2105/ajph.2006.092700

Cited by 154 publications

(110 citation statements)

References 29 publications

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“…These challenges include the completeness and timeliness of reporting, the accuracy and specificity of the coding of the data, the availability of risk factor information to guide preventive interventions, and the cost of data collection. Reporting of notifiable diseases by physicians has always been viewed as incomplete (37,39). Many health care providers lack adequate knowledge of reporting requirements and are encumbered by the additional workload required to file a report.…”

Section: Limitations Of Current Systemsmentioning

confidence: 99%

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Uses of Electronic Health Records for Public Health Surveillance to Advance Public Health

Birkhead

Klompas

Shah

2015

Annu. Rev. Public Health

264

203

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Public health surveillance conducted by health departments in the United States has improved in completeness and timeliness owing to electronic laboratory reporting. However, the collection of detailed clinical information about reported cases, which is necessary to confirm the diagnosis, to understand transmission, or to determine disease-related risk factors, is still heavily dependent on manual processes. The increasing prevalence and functionality of electronic health record (EHR) systems in the United States present important opportunities to advance public health surveillance. EHR data have the potential to further increase the breadth, detail, timeliness, and completeness of public health surveillance and thereby provide better data to guide public health interventions. EHRs also provide a unique opportunity to expand the role and vision of current surveillance efforts and to help bridge the gap between public health practice and clinical medicine.

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Section: Limitations Of Current Systemsmentioning

confidence: 99%

“…Beginning in the mid-1990s, the timeliness and completeness of public health surveillance were significantly enhanced with implementation of electronic reporting of clinical laboratory test results for notifiable diseases (37,39). However, laboratory data do not contain clinical information about patients.…”

Section: Limitations Of Current Systemsmentioning

confidence: 99%

Uses of Electronic Health Records for Public Health Surveillance to Advance Public Health

Birkhead

Klompas

Shah

2015

Annu. Rev. Public Health

264

203

View full text Add to dashboard Cite

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“…The positive impact of electronic clinical and laboratory reporting systems has been demonstrated in many countries in terms of improved timeliness and completeness. Increased reporting efficiency leads to higher public health awareness of communicable diseases (23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Mandatory Case-based Reporting System for Varicella in the Prevaccine Era

Sočan

2010

Cent Eur J Public Health

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SUMMARYVaricella is a mandatory reportable disease in Slovenia but it is not notifiable in most European countries. The aim of the study was to explore the completeness of mandatory varicella reporting in Slovenia. Data were extracted from three electronic datasets, including: mandatory notifiable communicable diseases dataset (SURVIVAL), health statistics dataset -consultations in primary care (ZUBSTAT), and health statistics dataset -hospitalizations (BOLOB). Age-and sex-specific reporting rates were compared during the period 1997-2006. During the ten-year period studied 168,089 cases were recorded via ZUBSTAT, and 128,222 cases by SURVIVAL. On average 76.2% (range: 62.9%-94.9%) were notified. In both datasets, the notified incidence of varicella was highest for preschool children, with a downward shift in age at contracting varicella. The percentage of notified cases decreased with increasing age. The number of hospitalized cases was low for BOLOB and SURVIVAL. On average 74% of hospitalized cases were reported. The mandatory notification system in Slovenia provides enough information to survey age/sex-specific varicella trends in the prevaccine era.

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“…Automated case ascertainment. Surveillance methodology whereby notifications are automatically generated and electronically submitted to the health department (or equivalent) after laboratory personnel enter a positive anti-HCV antibody test into a laboratory database, without the active involvement of public health workers, medical practitioners or hospital or laboratory personnel [14,27]. Enhanced case ascertainment.…”

Section: Criterion (A) : Physician Classified -No Formal Case Definitionmentioning

confidence: 99%

Identifying newly acquired cases of hepatitis C using surveillance: a literature review

et al. 2012

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Surveillance of newly acquired hepatitis C virus (HCV) infection is crucial for understanding the epidemiology of HCV and informing public health practice. However, monitoring such infections via surveillance systems is challenging because they are commonly asymptomatic. A literature review was conducted to identify methodologies used by HCV surveillance systems to identify newly acquired infections; relevant surveillance systems in 15 countries were identified. Surveillance systems used three main strategies to identify newly acquired infections: (1) asking physicians to classify cases; (2) identifying symptomatic cases or cases with elevated alanine aminotransferases; and (3) identifying cases with documented evidence of anti-HCV antibody seroconversion within a specific time-frame. Case-ascertainment methods varied with greater completeness of data in enhanced compared to passive surveillance systems. Automated systems that extract and link testing data from multiple laboratory and clinic databases may provide an opportunity for collecting testing histories for individuals that is less resource intensive than enhanced surveillance.

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A Comparison of the Completeness and Timeliness of Automated Electronic Laboratory Reporting and Spontaneous Reporting of Notifiable Conditions

Abstract: Automated electronic laboratory reporting improves the completeness and timeliness of disease surveillance, which will enhance public health awareness and reporting efficiency.

Cited by 154 publications

References 29 publications

Uses of Electronic Health Records for Public Health Surveillance to Advance Public Health

Uses of Electronic Health Records for Public Health Surveillance to Advance Public Health

Evaluation of Mandatory Case-based Reporting System for Varicella in the Prevaccine Era

Identifying newly acquired cases of hepatitis C using surveillance: a literature review

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