The Delaware Electronic Reporting and Surveillance System DERSS

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• The Delaware Electronic Reporting and
  Surveillance System (DERSS)
• Philip G. Cabaud
• Homeland Security Director
• State of Delaware

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DERSS GOAL

• Provide users with the ability to enter, manage,
  and view information in support of disease
  reporting, syndromic surveillance and event
  management

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Public Health Role in Emergency Response
Terrorism

• Early identification of event
• Ongoing assessment of risk
• Case and contact management
• Implement disease control measures

• Provide medical management and infection control
  guidance
• Environmental health assessment
• Carry out Public Health and Medical Plan (ESF-8)

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Identifying an Event The Perfect Surveillance
System

• Real time
• 100 complete reporting
• Surveillance for symptoms and diagnosed illnesses
  (e.g. anthrax)
• Reporting by non-traditional sources
• Easy for health care providers
• Rapid analysis of incoming data

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Identifying an Event Traditional (current)
information flow
Hospital
Lab
Other
Physician
Report Card
Report Card
Report Card
Report Card
Public Health
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Identifying an Event Traditional is not good
enough
Acute Illness
Initial Symptoms
Needed Disease Surveillance
Time Gain
Traditional Disease Detection
Effective Treatment Period
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DERSS

• Automates as much of the current system as
  possible
• Uses national standards (CDCs National
  Electronic Disease Surveillance System)
• More accurate data, faster
• Syndromic surveillance and 65 diagnosed
  diseases
• Enhanced tools for data analysis
• Automatically flags and notifies when aberrations
• HIPAA compliant and secure
• Expandable backbone for other applications

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DERSS Information Flow
WEB
PAPER
Automated Scanning of Databases
DERSS
ANALYSIS INFORMATION OUTPUT
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DERSS Data Sources

• First phase hospitals and laboratory
• Then pharmacies, smaller providers, other
  non-traditional sources
• Secure WEB Portal for entry of individual reports
  if economy of scale too small for automated
  scanning of databases
• Paper reports will continue for partners without
  WEB

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DERSS Analysis

• Automated data checking and elimination of
  duplicate information
• Integration of health information from multiple
  sources
• Extensive analytic tools for event detection and
  epidemiologic decision-making
• Mapping and GIS
• Automated notification of aberrations
• Incident management

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DERSS Prototype Home Page
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DERSS Prototype Alerts Page
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DERSS Includes GIS Capability
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Timeline

• Hospitals participated in pre-development
  assessment (July 2002)
• Contract awarded August 2003 to Northrop Grumman
• Interface with hospitals, laboratories to begin
  in March, 2004
• Base system expected to be completed by Oct 2004
• System capable of expansion (additional data
  sources) thereafter

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Public Health Infrastructure
PublicHealthResponse

• Bioterrorism
• Emerging Infections
• Other Public Health Programs

Essential Scientific Capabilities
Basic Infrastructure