CDRs Communicable Disease Reports How and Why

1
CDRs (Communicable Disease Reports)How and Why?

• STATEWIDE STD MEETING
• September 2, 2009
• Arshad Aziz
• ADHS/STD Epidemiologist

2
OLD CDR FORM
3
NEW CDR FORM
4
NEW CDR FORM
5
NEW CDR FORM

• New Communicable Disease Reports
• http//www.azdhs.gov/phs/hvstdhpc/CDRReportFinal_f
  ill3.pdf
• It is pdf file and fill able but you can not
  save data.

6
Reporting

• Updated Administrative Rules for Provider
  Reporting (R9-6-202)
• http//www.azdhs.gov/phs/oids/code.htm

7
(No Transcript)
8
Reporting

• All providers should submit a report within five
  working days after a case or suspect case is
  diagnosed, treated, or detected.
• All laboratories should submit a report within
  five working days after obtaining a positive test
  result or a test result specified on this page.

9
Reporting (Contd)
10
Reporting (Contd)

• So Who Reports to Whom?
• Administrative Code requires Health Care
  Providers to report STDs to the Local Health
  Agency.
• "Local health agency" means a county health
  department, a public health services district, a
  tribal health unit, or a U.S. Public Health
  Service Indian Health Service Unit.
• Administrative Code requires Local Health
  Agencies to report to the State STD Program.

11
Reporting (Contd)

• What Do We Want?
• Providers report directly to their county health
  department
• Other local health agencies receiving reports
  forward the report to the county health
  department
• County health departments report to the STD
  Program and also to other local health agencies
  (i.e., tribal health units, IHS health units)

12
Why?----- Importance of Reporting

• Effective public health surveillance and disease
  control
• To ensure effective treatment and follow-up of
  cases
• Early detection and prevention
• To monitor disease trends over time

13
Why?----- Importance of Reporting

• To identify high risk groups
• To allocate resources- Racial disparity issues
• In February of 2009, ADHS staff developed a
  missing race letter to be sent to providers
  that have reported chlamydia and gonorrhea cases
  as required but not included the race/ethnicity.
  These missing race letters were sent to
  approximately 700 providers in March 2009 and we
  received race/ethnicity information for 1160
  cases. This information was entered into central
  database.
• To develop policy and design prevention programs

14
Why?----- Importance of Reporting

• To support grant application and CDC
• performance measures
• CDC Required Performance Measures beginning with
  2005 grant cycle
• Medical and Lab Services (1 measure)
• Partner Services (6 measures)
• Surveillance and Data Management (3 Measures)
• Clinical Services (4 Measures)
• Syphilis Elimination - Enhanced Surveillance
  (1Measure)
• STD Program staff may call on County STD staff to
  request information necessary to respond to the
  CDC performance measures

15
Arizona Department of Health Services2010
Comprehensive Sexually Transmitted Disease (STD)
Prevention SystemsCooperative Agreement No. 1
H25 PS0013852009 Interim Progress
ReportAPPENDIX A Required Data Tables
16
CDR RECEIVED, Arizona 2006-2008
Note Syphilis cases are not included
17
CDR Received, Arizona 2006-2008
Note Syphilis cases are not included
18
Syphilis Cases Lag Time Between Collection and
CDRs Received Dates, Arizona 2006-8
19
Gonorrhea Cases- Lag Time Between Collection and
CDRs Received Dates, Arizona 2006-8
20
Chlamydia Cases- Lag Time Between Collection and
CDRs Received Dates, Arizona 2006-8
21
Violation of reporting rules

• Under Arizona Administrative Code (AAC) R9-6-202,
  203, 204, and 205, a health care provider, an
  administrator of a health care facility or
  correctional facility, an administrator of a
  school, child care establishment, or shelter, or
  their authorized representatives shall submit a
  communicable disease report to the local health
  agency.

22
Violation of reporting rules

• Violation of reporting rules is a class III
  misdemeanor and is subject to referral to the
  facility's licensing agency or provider's state
  licensing board.

23
Contact Information

• Arshad Aziz
• Epidemiologist II
• Arizona STD Control Program
• 150 N.18th Ave Phoenix AZ 85007
• P [phone]
• F [phone]
• Email aziza_at_azdhs.gov
• Kerry M. Kenney
• Sr. Public Health Advisor
• Arizona STD Control Program
• 150 North 18th Avenue, Suite 140
• Phoenix, Arizona 85007
• Phone [phone]
• Fax [phone]
• E-Mail kenneyk_at_azdhs.gov

24
ADHS STD WEBSITE

• http//wwW.azdhs.gov/phs/oids/std/index.htm