TM Countermeasure and Response Administration Overview and System Demonstration of V1.4 Webinar Presented to Public Health Project Areas and Partners Jeanne Tropper, MS, MPH CRA Development Team Division of Emergency Preparedness and Response National Center for Public Health Informatics

TM Purpose Conduct overview of CDC’s Countermeasure and Response Administration (CRA) program and tools Demonstrate V1.4 of Countermeasure Administration Tracking application Answer questions

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What is CRA? The program includes people, processes and tools to support the PHIN related activities for project areas and the CDC Currently, CRA includes two major applications: Administration Tracking – tracks “any countermeasure, any event” in detail or in aggregate given to patients Inventory Tracking – monitors prioritized countermeasures within the supply chain; countermeasures include: pharmaceuticals and medical materials

TM Administration Tracking Capability to support mass tracking during an event Genesis was pre-event vaccination system (PVS) for national smallpox vaccination campaign System has been evolved to support any countermeasure, any event Includes the ability to track both detail (person level) and aggregate counts of countermeasures

TM Administration Tracking V1.4 moved into production February 2007 (demonstration) Improved flexibility to track any countermeasure for any event Rapid data entry Improved navigation

TM Administration Tracking The National Pandemic Influenza Plan requires monitoring of scarce pandemic influenza vaccine States/ project areas will be required to track vaccine doses administered and collect and aggregate minimum data elements and transmit weekly to CDC CRA was modified to support multiple ways of accepting the data: Option 1: For states and project areas collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: pipe delimited, XML file, HL 7 Option 2: For states and project areas collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser Option 3: For states and project areas using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated

TM CRA Demonstration Two Scenarios will be used to demonstrate CRA Hepatitis A outbreak in a local restaurant Pandemic influenza outbreak affecting multiple jurisdictions Demonstration to include: Set up tasks Rapid data entry of patients receiving immune globulin (IG) prophylaxis Long form data entry for hepatitis A vaccine Isolation and quarantine record with antiviral prophylaxis Aggregate reporting of vaccine doses administered

TM CRA V1.4 Demonstration

TM CRA Reports and Extracts System-generated extracts Datamart/Analysis extracts containing collected de-identified information available to CDC users Jurisdiction extracts containing all data collected within a single jurisdiction available to Public Health Administrators (PHA) at each jurisdiction User-generated reports Public Health Reports generated by PHA; provide event and organization summaries and lists of patients Clinic Reports generated by Data Entry Specialist (DES); provide clinic information including summaries, patient rosters, and activity reports

TM Inventory Tracking At any given moment, know the location and quantities of critical pharmaceuticals and medical supplies within the private sector Be able to purchase and redirect quickly during an event Envision initial use by CDC; in the future, state PH partners

TM Inventory Tracking Transitioning to new platform Finalizing scope – initial focus on pandemic influenza anti-virals Targeting next influenza season to have data streams from major manufacturers and distributors of antivirals

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When Would CRA be Used? SituationCRA Use Pre-event or early event National Smallpox Vaccination Campaign Pandemic Influenza - Early on to track vaccine – individual level Track program progress – aggregate level Track location of commercial antiviral inventory Post-event (Slower moving) OMS is used locally to investigate the outbreak It is determined to be broad in scope, mass prophylaxis is required Investigation data transferred to CRA repository Aggregate reporting of program progress Post-event (Fast moving) Aerosolized anthrax attack ; mass prophylaxis required within 48 hours

TM CRA Outreach PH Partner Input PHIN Conference 2006, 2007 (upcoming) Webinars: General, Aggregate Reporting Exercises: Alabama, NH CDC Programmatic and Scientific Input COTPER - DEO/OD/SNS NCIRD – ISD/ID NCPDCID/DBPR NCPHI – DAMC/DEPR/DISSS OD/ISO/ICU eRISC/CDC Influenza Exercises The CRA team has and continues to meet with public health partners as well as CDC scientists, epidemiologists and preparedness experts to solicit input on the CRA applications; the resulting list of recommendations has been used as the basis for future development efforts

TM CRA Future Priorities CRA ComponentsFiscal Year 2007 Priorities AdministrationSeptember V1.6.0 to include user configurable architecture, off-line deployment Aggregate Reporting of Pandemic Influenza Vaccine Doses Administered September 2007 – begin testing using seasonal influenza vaccine data and continue over the next fiscal years InventorySeptember 2007 – proof of initial operating capability with data on antiviral supply

TM Next Steps to Using CRA Version 1.4 has been released into production as of February 2007 Demonstration version is available for partner “try outs” Consider using during an exercise PHIN Help Desk first line of contact for accessing CRA Telephone : 8 AM to 8 PM EST

TM CRA Contacts PHIN Phone Issuing digital certificates Getting access to CRA demonstration site Getting access to CRA Exchange, an interactive knowledge sharing and exchange web site ( Problem solving CRA Help General aggregate reporting questions and inquiries

TM Questions?