202806 Lessons learned: Training and implementation of an electronic surveillance system in North Carolina

Wednesday, November 11, 2009

Lauren M. DiBiase, MS , UNC Center for Public Health Preparedness, University of North Carolina at Chapel Hill, Chapel Hill, NC
Amy B. Sloane, BA , North Carolina Center for Public Health Preparedness, University of North Carolina at Chapel Hill, Chapel Hill, NC
Allison M. Connolly, MA, MPH , North Carolina Division of Public Health, Raleigh, NC
Rachel A. Wilfert, MD, MPH, CPH , UNC Center for Public Health Preparedness, University of North Carolina at Chapel Hill, Chapel Hill, NC
The North Carolina Electronic Disease Surveillance System (NC EDSS) is a centralized Web-based system for disease reporting that is expected to improve the timeliness, reliability and accuracy of reportable communicable diseases in North Carolina. In 2008, staff from every NC local health department (LHD) (n=85) received face-to-face training on use of NC EDSS to report communicable diseases to the North Carolina Division of Public Health. Subsequent to the training, on-site technical assistance was provided during the week each LHD began to use the system. This presentation discusses the challenges related to LHDs transitioning from reporting to the NC DPH via the existing paper-based system to reporting using NC EDSS. It describes the training plan design and resources needed to train all health departments statewide in such a short period of time. The presentation will identify aspects of the training and on-site assistance that were successful and areas where improvements can be made. It will discuss results from self-reported post-training evaluation data and results collected from user audits, an audit of the data each user has entered into the system. The presentation also examines the factors which may have impacted users' success at utilizing NC EDSS.

Learning Objectives:
Describe the challenges and resource commitment needed to adequately prepare local health department staff to transition to an electronic surveillance and reporting system. Identify aspects of the electronic surveillance system training and implementation plan that were successful, as well as aspects that can be improved. Discuss factors that may have impacted NC EDSS users’ success.

Keywords: Professional Training, Public Health Informatics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ms. Lauren DiBiase is the training coordinator for NCCPHP's contract with the NC Division of Public Health to train public health employees on the NC Electronic Disease Surveillance System, an online communicable disease reporting system that is being implemented in all local health departments in North Carolina over the next 2 years. Lauren has a MS in epidemiology from the Harvard School of Public Health, and a BS in biology from UNC. Since January 2006, she has been a research associate at the Sheps Center on the National Partnerships to Help Pregnant Smokers Quit. She was previously the program manager for the HRSA preparedness grant at the New York City Department of Health, working in 71 New York City hospitals around bioterrorism preparedness.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.