1. The Michigan Disease Surveillance System - Update Tim Bolen Regional Epidemiologist Michigan Department of Community Health Bureau of Epidemiology Surveillance Systems Section

2. MDSS VISION

3. The Vision for Bio-Surveillance

5. The Michigan Disease Surveillance System MDSS is a Web based communicable disease reporting system developed for the state of Michigan. MDSS is: –National Electronic Disease Surveillance System (NEDSS) Compliant –Developed Utilizing the Logical Data Model (LDM) – Includes Integrated Geographic Information System (GIS).

6. Overview The Michigan Disease Surveillance Systems contains three major sections: 1.Navigation Buttons on the left side of the page 2.Search methods section on the right of the page 3.Data Display and Task Interface area in the middle of the page.

7. Disease (Case) Management Search for Cases (Two Types) –New Cases are active –Completed Cases that are inactive, both are located in the Case View (the center portion of the screen). Search Methods –Case ID –County –Investigator –Alert Status –Case Status –Disease –Referral and Alert From and To Dates –Last Name –First Name –Geographic Extent –Wild Card Searches

8. Select by Geographic Extent Utilize the Geographic Information System (GIS) tools to select cases.

9. Case Report (Four parts) A.Patient Information B.Disease Form C.Location Information D.History

10. Updating Patient Information Patient Search Assign/Update Patient New Patient Save

11. Report in Adobe ®.pdf Format You may EDIT, view, print and/or save a report in Adobe®.pdf copy Exports on enteric diseases are editable. Click your cursor over an empty blank line that is not in the Case Identifying Information box, and enter information. Place the cursor over check boxes and click to enter a check in the box.

12. Case Reporting Two Types of Reports: –GIS Reports (Geographic Information Systems) –Tabular Reports (Standard Reporting to incorporate graphical display)

13. GIS Reports GIS Reports (Six Easy Steps)

14. GIS Reports CountsRates

18. Tabular Reports

19. Tabular Reports in Oracle ® Discoverer TM 4i Viewer Report Features: You may rerun the report by changing the year and county at the top of the screen. You may create other reports by clicking on one of the Worksheet listing on the left portion of the screen. You may be able to “ drill down ” on a specific item or disease by clicking on a small icon located next to the disease title.

20. Setting a Threshold for Alerts Click the drop down arrow in the Disease field and select the disease name. Tab or click the cursor into the Threshold, Days, and Contact Email fields and enter this data. After entering this data, click the Save Alert button.

21. Case Definitions Disease definitions can be found by clicking on the Case Definitions button. A separate window will pop up.

22. When will MDSS be operational? Piloted in 2002 in 4 Urban Counties Contract signed in February, 2003 After some changes, another pilot is planned (including a more rural LHD) Training planned for August/September 2003 October, 2003 roll-out