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Turning STD Surveillance Data into Action: OASIS Outcome Assessment through Systems of Integrated Surveillance.

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Presentation on theme: "Turning STD Surveillance Data into Action: OASIS Outcome Assessment through Systems of Integrated Surveillance."— Presentation transcript:

1 Turning STD Surveillance Data into Action: OASIS Outcome Assessment through Systems of Integrated Surveillance

2 OASIS (Outcome Assessment through Systems of Integrated Surveillance)  NCHSTP–funded demonstration project initiated in 1998  Purpose at that time was to improve state and local surveillance capacity Integrated interpretation and use of data (STD, HIV, TB, reproductive health) Data quality improvement Data analysis & dissemination Matching datasets Geocoding & mapping Enhanced behavioral surveillance Interdepartmental collaboration Community linkages

3 New York City Baltimore San Francisco OASIS Project Sites: past and present Currently active sites Past sites Texas Missouri California Oregon Washington Michigan Indiana Ohio New York State Massachusetts Virginia North Carolina Florida Colorado

4 Examples of activities in which OASIS has been involved over the years

5 Using Geographic Information Systems (GIS) to Enhance Surveillance  Geocoding  Address correction  Morbidity assignment  Mapping  Routine Surveillance Trend analysis  Case visualization Rapid response & outbreaks Education & advocacy  Spatial analysis / research applications


7 GIS Capacity Survey - 2005  Survey of 65 project areas 85% response rate  46% of project areas do not use GIS Lack of time Lack of skill Not sure why useful  Of those that do, most use ArcView Opportunities for licensing agreements, STD-specific training  Broad range of how confidentiality addressed Need for confidentiality guidelines

8 Matching Data Sets  Matching is an inexpensive, efficient way to augment knowledge Co-infection Missing information Case finding Re-infection  Can be made easy/simple Automated matches Data warehouses NEDSS-like systems  Can improve collaboration with other programs  Can provide actionable results Interpret carefully Even negative match can provide info

9 Other Sources of Data  Registries (ex: birth, death,HIV/AIDS)  Hospital databases  Laboratory databases  Service utilization records  Surveys (ex: BRFSS, PRAMS)  Incarceration records  Substance abuse treatment program records  Commercial data (ex: pharmaceutical sales)  Census data

10 Washington State - HIV Prevalence Among Infectious* Syphilis Cases, 1994 - 2002 *Primary, secondary and early latent syphilis          199419951996199719981999200020012002 Year 0 20 40 60 80 100 Number of Cases 0 10 20 30 40 50 60 Percent HIV+ All Infectious Syphilis Cases Percent HIV+ 

11 California Unilab and FPACT Claims Data : Female Chlamydia Positivity By Age and Race/ Ethnicity Dec00-Jul01

12 Enhanced Gonorrhea Surveillance 2003 - 2005  Developed common set of data elements  Piloted wide variety of methodologies STD clinic vs. population-based sampling Patient vs. provider interview In-person vs. telephone

13 STD Surveillance Network (SSuN)  SSuN is an ongoing sentinel surveillance system  SSuN was developed out of OASIS  Purpose: to improve national capacity to detect, monitor, and respond to emerging trends in STDs and related behaviors

14 Other activities, not direct products of OASIS, but “In the spirit of OASIS….”  Data quality improvement Improvement of reporting timeliness Development of inter-program data use policies  Data analysis & dissemination Hardware/software/training Web-based access to surveillance & program data  Community linkages On-line community-based provider resource directory Statewide Gonorrhea Advisory Panel

15 OASIS – Present  It has evolved into an unfunded STD surveillance workgroup  Purpose: to identify ways to improve collection, analysis, dissemination, and utilization of STD surveillance data  It is a joint effort by CDC, state, and local health departments STD/HIV collaborative development of data confidentiality guidelines Identification of synergies for HIV/STD surveillance Development of national STD surveillance capacity survey Implementation of GIS survey recommendations Dissemination of lessons learned

16 OASIS – Current activities  Carried out a survey of level of STD/HIV/TB program integration at project sites  Will conduct a data confidentiality workshop at the 2008 National STD Prevention Conference  Exploring new collaborations with NCSD  Preparing a multi-manuscript publication of highlights of OASIS accomplishments

17 Summary OASIS is an STD surveillance workgroup that works to identify and discuss key surveillance issues Its identity has been re-defined over the years, but its commitment to improve surveillance remains

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