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Bioterrorism and Other Public Health Emergencies

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Slide Presentation by Jeralyn Bernier

On March 3, 2003, Dr. Bernier made a presentation in the Web-Assisted Audioconference entitled Addressing the Smallpox Threat: Issues, Strategies, and Tools.

The is the text version of Dr. Bernier's slide presentation. Select to access the PowerPoint® slides (2.1 MB).

Using AHRQ-supported Practice Based Research Networks (PBRN) To Design, Implement, and Evaluate Communication Strategies

Slide 1


Midwest regional Practice Based Research Network spanning 8 counties in three States Established in 1996 with support from General and Community Pediatrics, CCHMC 45 providers in 22 practices
Ideas generated in "bottom-up" fashion at monthly meetings of members tackling clinical problems
Ongoing support from the Agency for Healthcare Research and Quality (AHRQ) and Cincinnati Children's Hospital Medical Center

Slide 2

This slide contains a screen shot of the home Web page of the CPRG. This page contains an overview of the project, and links to active studies, completed studies, publications, and presentations.

Slide 3

Symptom Surveillance Project

Web-based password protected database
Physicians enter data re: symptom complexes of high prevalence in outpatient office settings, as well as unusual cases
Symptoms as manifest in children
Symptoms likely in transmissible diseases or bioterrorism

Slide 4

Symptom Surveillance—Who?

Practice-based research networks of primary care providers
   CPRG (Cincinnati Pediatric Research Group)
   OPRC (Ohio Pediatric Research Consortium)
Regionally distributed practices
Medical community leaders

Slide 5

Trends Over Time: CPRG at Large

This slide contains a line graph that charts the trends of diseases, over time from 10/6/03-12/7/03, within the CPRG at large. Conditions included on this graph are: fever, rash, blisters, myalgias, ear pain, sore throat, rhinorrhea, cough, hemoptysis, respiratory distress, vomiting, diarrhea, abdominal pain, paresthesias, seizures, headaches, and Dysuria and urinary frequency.

Slide 6

Symptom Surveillance—Unique Features

Bidirectional communication between providers and public health officials
Portal for educating providers to facilitate timely translation of research into practice
Symptoms vs. diagnoses
Community-based providers
Pediatric focus
Interactive graphical output

Slide 7

This slide contains a screen shot of a Web page that shows a data summary in the form of a line graph. The particular data being summarized here is the number of patients presenting with a respiratory infection between 9/12/03 and 11/21/03.

Slide 8

Symptom Surveillance—Provider Motivation

Involvement in ongoing research
Immediate data feedback
Access to public health officials
Office staff rewards
Modest financial remuneration

Slide 9

Symptom Surveillance—Health Department Participation

Regular review/analysis of data
Notices, bulletins to providers
Investigations as needed
Restrained use of alert function to maintain effectiveness
Governing boards

Slide 10

Health Department Communications

This slide contains another screen shot of a Web page showing a health department bulletin alerting providers of a suspected bacterial diarrhea outbreak. The bulletin directs providers to useful resources, including the CDC. This page also contains a "Seasonal Reminder" that November and October are optimal times for flu vaccinations.

Slide 11

Symptom Surveillance—Relevance to Everyday Practice

Answers the commonly posed question, "What's going around?"
More timely detection of naturally occurring outbreaks
Rapid targeted information source

Slide 12

Symptom Complex Data

Slide contains a line graph depicting the trends of symptom complex data within the CPRG from 10/6/03-12/7/03. Symptom complexes included in the graph are: fever with rhinorrhea, cough, headache, or myalgias; fever and sore throat; sore throat, rhinorrhea, cough, and headache; fever and rash; ear pain; vomiting and diarrhea; and confirmed influenza.

Backup Slides

Slide 1

Symptom Surveillance—Future Expansion

Expansion throughout Ohio via health departments and sister PBRNs
Mapping feature with automated analysis
Improved community provider penetration

Slide 2

Symptom Surveillance—Expansion

Daily data entry
Phone triage data collection
Automated analysis of claims/billing data
Automated linkage to corresponding lab data
Improved informational resources

Slide 3

Symptom Surveillance—uses

Discussion of research and preliminary findings
Network/Hospital/Health Department news briefs
Shared practice management tools
Links to information resources
Meeting reminders
Event announcements

Slide 4

Electronic Data Entry Experience

Otitis SNAP study: 12/17 providers
ADD patient encounter study: 15 providers for 691 patients
Obesity study: 100-300 patients per provider
Pilot experience with SSP: 11 unique participants to date

Slide 5

Symptom Surveillance—Customization

Diagnosis and lab test menus to reflect most commonly used in community
Recurring free text responses will be converted to checkbox selections in quarterly updates
Community governing boards will have input

Slide 6

Symptom Surveillance Project—

Health department contacts generated, incl. mode of contact
Time to outbreak detection
User friendliness of survey, device
Participation rates
Provider satisfaction with information feedback

Current as of February 2004

Internet Citation:

Using AHRQ-supported Practice Based Research Networks (PBRN) To Design, Implement, and Evaluate Communication Strategies. Text Version of a Slide Presentation at a Web-assisted Audioconference. Agency for Healthcare Research and Quality, Rockville, MD.

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The information on this page is archived and provided for reference purposes only.


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