Public Health: Producing and Public Health: Producing and Sharing Knowledge from Health Sharing Knowledge from Health

InformationInformation

Seth Foldy, MDSeth Foldy, MDhealth.e.volutionhealth.e.volution

sfoldy@sbcglobal.netsfoldy@sbcglobal.netMedical College of WisconsinMedical College of Wisconsin

Expert Advice

HealthcareResponse

ThreatRecognition

Disease surveillanceIntelligence reportsEnvironmental surveillance

HealthcareUtilization

Protecting the Perimeter—Infection Control, Decon

Recognition and testingProphylaxis/Treatment

24/7 Alert

Asynchronous ReferenceScreening Tools

Automated Decision Support

Laboratory TestingAstute Clinician

Complaint and Dx CodingPrescribingReporting

Translation

Commun

icatio

nSurveillance

Heads-Up

Milwaukee Heat PlanMilwaukee Heat Plan

Milwaukee Heat Plan (MHD)

Emergency Depts.Homebound Elder

Services

Mental health &Substance Abuse

Meterology (NWS)

EMS, ED and ME

SARS 2003 – Agile Surveillance and SARS 2003 – Agile Surveillance and ResponseResponse

ED screening tool

EDs reportsyndrome volumes

Downloaded by local PH

““Metastatic” SurveillanceMetastatic” Surveillance

..

.

..

.. .

. ...

..

..

.

..

.

.

.

Denver

Phoenix

Twin Cities

Las Vegas

TucsonAlbuquerque

Santa Clara Co

Ft Worth

San Antonio

KCSt. Louis

OK CityTulsa

Monterey

MilwaukeeToledo

Syracuse

Raleigh-Durham

Jacksonville

OrlandoHoustonAustin

Melbourne

.Sacramento

.State ofNew Mexico

.. NorfolkRichmondState of

Missouri.Louisville

EMSystem SARS Surveillance

Akron

EMSystem in place SARS Surveillance Participant

27 hospitals in 4 regions performed surveillanceHundreds downloaded

Email/Internet

Localanalysis

Centralized aberrationanalysis at CDC

CommunityPlanning

Healthcare

Public HealthProcessing

Disease and care statsSurveys

Bio-markers (HgA1C, Lead, PPD+)

Env. inspectionsNew Services

Planning, policy-making

Public Education

Asynchronous ReferenceScreening Tools

Automated Decision Support

Laboratory Results

Complaint and Dx CodingPrescribingPhysical Exam

Translation

Commun

icatio

nSurveillance Provider Educ.

Procedures and Orders

Environmental Change

For More InformationFor More Information

Foldy SL. Linking better surveillance to better outcomes. Foldy SL. Linking better surveillance to better outcomes. MMWR Suppl. – [accepted; target publication date July MMWR Suppl. – [accepted; target publication date July 2004].2004].Foldy S, Barthell EN, Silva JC, Biedrzycki P, Howe DS, Foldy S, Barthell EN, Silva JC, Biedrzycki P, Howe DS, Erme M, Keaton B, Hamilton CL, Brewer LK, Miller G, Erme M, Keaton B, Hamilton CL, Brewer LK, Miller G, Bernstein R, Eby E, Pemble K, Fenton C. SARS Bernstein R, Eby E, Pemble K, Fenton C. SARS Surveillance Project: Internet-enabled multi-region Surveillance Project: Internet-enabled multi-region syndromic surveillance for rapidly emerging disease. syndromic surveillance for rapidly emerging disease. MMWR Suppl – [accepted; target publication date July MMWR Suppl – [accepted; target publication date July 2004]2004]Weisskopf MG, Anderson HA, Foldy S, Hanrahan LP, Blair Weisskopf MG, Anderson HA, Foldy S, Hanrahan LP, Blair K, Torok TJ, Rumm PD. Heat wave morbidity and K, Torok TJ, Rumm PD. Heat wave morbidity and mortality, Milwaukee, Wisconsin, 1999 versus 1995: An mortality, Milwaukee, Wisconsin, 1999 versus 1995: An improved response. Am J Public Health 2002 May; improved response. Am J Public Health 2002 May; 92(5):830-833.92(5):830-833.Barthell EN, Foldy SL, Pemble KR, Felton CW, Greishar PJ, Barthell EN, Foldy SL, Pemble KR, Felton CW, Greishar PJ, Pirrallo RG, Bazan WJ. Assuring Community Emergency Pirrallo RG, Bazan WJ. Assuring Community Emergency Capacity with Collaborative Internet Tools: The Capacity with Collaborative Internet Tools: The Milwaukee Experience. J Public Health Management and Milwaukee Experience. J Public Health Management and Practice 2003 Jan-Feb;9(1):35-42.Practice 2003 Jan-Feb;9(1):35-42.