1. TM 1 Countermeasure and Response Administration Overview and System Demonstration of V1.7 Webinar Presented April 29, 2008 Jeanne Tropper, MS, MPH CRA Development Team Division of Emergency Preparedness and Response National Center for Public Health Informatics

2. TM 2 Agenda Background V1.7 New Features System Demonstration Development Priorities Question and Answer

3. TM 3 What is CRA? Genesis was Pre-Event Vaccination System (PVS) for national smallpox vaccination campaign Capability to support mass tracking during an event System has since evolved to support any countermeasure, any event; may include medical interventions such as vaccinations, pharmaceuticals and non-medical interventions such as patient isolation and quarantine or social distancing measures Includes the ability to track both detail (person level) and aggregate counts of countermeasures

4. TM 4 Implementation Options Centralized implementation – application is centrally located and managed by CDC; accessible using any standard web browser in conjunction with a CDC issued digital certificate Offline implementation - new with V1.7, CRA may be deployed offline on a stand-alone basis

5. TM 5 What is New with CRA? V1.7 due for release May 5, 2008 Offline Capability Rapid Data Entry for Multiple Countermeasures User Configurable Screens Simplified Event Setup Improved User Navigation Enhancements to Aggregate Reporting

6. TM 6 CRA Demonstration New Hampshire Anthrax Event Long Beach Teen Clinic Pandemic Influenza Event

7. TM 7 Definitions Countermeasure – intervention taken to help prevent and/or slow the spread of disease; countermeasures may include medical interventions such as vaccinations, pharmaceuticals and non-medical interventions such as patient isolation and quarantine Event – public health programs or emergency responses that require the administration of countermeasures User Roles – CRA has role based user access; the user can only access system functions appropriate to their role; two roles Public Health Administrator (PHA) Data Entry Specialist (DES) Aggregate Reporting – CRA has updated to support project areas reporting a subset of data to the CDC; the capability was established to support vaccine doses administered during a pandemic; however, it could be applied to any situation

8. TM 8 CRA Demonstration NH Anthrax Event – demonstrate simplified data collection process Rapid data entry of doxycycline Edit patient record Patient search Generate reports

9. TM 9 CRA Demonstration Long Beach Teen Clinic – demonstrate new event set up and ability to customize screens Setup event with one vaccine Customize person demographics and add organizations Edit event and add second and third vaccine

10. TM 10

11. TM 11 Aggregate Reporting of Pandemic Vaccine Doses Administered The National Pandemic Influenza Plan calls for monitoring of pandemic influenza vaccine CRA modified to support multiple ways for project areas to collect, aggregate and transmit a minimum data set to CDC: Option 1: Project area has their own system; three different data exchange formats: pipe delimited, XML file, HL 7 Option 2: Project area collects data manually, an aggregate reporting screen was added to CRA Option 3: Project area uses CRA data is aggregated

12. TM 12 CRA Demonstration Pandemic Influenza Event Data entry of aggregate counts for NYC Flu POD Generate aggregate extract

13. TM 13 CRA Future Development  TBD based on user input  Candidate features include:  Interoperability with immunization registries  Interoperability with other CDC applications  Rapid data entry via bar- coding, optical scanning, other  Possible architectural changes to support level to security in some instances  Features include :  Offline Capability  Rapid Data Entry of Multiple Countermeasures  User Configurable Screens  Simplified Event Setup  Improved User Navigation  Usability enhancements:  Tool-tips for tracking groups  Context sensitive help  Aggregate Reporting Enhancements  Candidate features include :  Patient Registration (with Import and Search)  Adverse Event Support  Patient Follow-up  Event Reports/Data Extracts Enhancements  Sub-jurisdiction Support  User-Defined Fields Support  Aggregate Group & Reporting Enhancements (with Data Exchange)  Priority groups  National reporting

14. TM 14 Ongoing Outreach Public Health Project Area and Partner Input Exercises: Alabama, California, Maryland, New Hampshire Inquiries via the “CIC” PHIN Conferences: 2006, 2007, 2008 (scheduled 08/2008) Webinars: Aggregate Reporting Webinars: General CDC Programmatic and Scientific Input COTPER – DEO/DSLR/DSNS CCID – NCIRD/ISD/ID; NCPDCID/DBPR, NCZVED/DFBMD Exercises: Pandemic Influenza, Anthrax (scheduled 08/2008) NCPHI – DAMC/DEPR/DISS/DISSS/OD OD/ISO/ICU The CRA team continuously solicits input from public health; recommendations are used as the basis for ongoing development efforts.

15. TM 15 Re-initiate User Work Group Initial webinar to be scheduled late May/early June 2008 Review enhancement list Establish priorities via user ranking Workshop at PHIN Conference in August 2008 Review prioritized enhancements User feedback in focused areas, e.g., reporting, person-level data entry, other More information to follow in mid-May

16. TM 16 Getting Started with CRA Version 1.7 is scheduled for release into production on May 5, 2008 Consider using during an exercise Demonstration version is available for partner “try outs” PHIN Help Desk first line of contact for accessing CRA Telephone 1-800-532-9929: 8 AM to 8 PM EST Email: Phintech@cdc.govPhintech@cdc.gov

17. TM 17 Questions?