Collaboration for Efficient COVID-19 Surveillance: NNDSS Case Notifications

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Center for Surveillance, Epidemiology, and Laboratory Services is working with Michele Hoover's team to streamline the COVID-19 National Notifiable Diseases Surveillance System (NNDSS) for jurisdictional efficiencies. The timeline showcases the progression from the first CDC-confirmed case to the development and release of the COVID-19 MMG. Efforts include standardizing data formats and increasing the use of GenV2, improving reporting systems, and enhancing overall disease surveillance capabilities.


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  1. Center for Surveillance, Epidemiology, and Laboratory Services Working Together to Promote Jurisdiction Efficiencies to Send COVID-19 National Notifiable Diseases Surveillance System (NNDSS) Case Notifications Michele Hoover, MS Data Standardization and Assistance Team Division of Health Informatics and Surveillance

  2. 2020 Timeline COVID-19 Case Notifications First CDC-confirmed case of COVID-19 2

  3. 3

  4. 2020 Timeline COVID-19 Case Notifications NNDSS can accept COVID-19 reports (all formats) First CDC-confirmed case of COVID-19 4

  5. Generic V2.0 MMG Implementation Status 5

  6. 2020 Timeline COVID-19 Case Notifications NNDSS can accept COVID-19 reports (all formats) 17% sending COVID-19 case notifications through NNDSS, 60% using GenV2 format 21% of those already sending GenV2 for other conditions First CDC-confirmed case of COVID-19 6

  7. 2020 Timeline COVID-19 Case Notifications NNDSS can accept COVID-19 reports (all formats) 17% sending COVID-19 case notifications through NNDSS, 60% using GenV2 format 21% of those already sending GenV2 for other conditions First CDC-confirmed case of COVID-19 Start development of COVID-19 MMG 7

  8. 2020 Timeline COVID-19 Case Notifications NNDSS can accept COVID-19 reports (all formats) 17% sending COVID-19 case notifications through NNDSS, 60% using GenV2 format 21% of those already sending GenV2 for other conditions First CDC-confirmed case of COVID-19 COVID-19 MMG released Start development of COVID-19 MMG 8

  9. Generic v2.0 MMG Implementation Status 9

  10. 2020 Timeline COVID-19 Case Notifications NNDSS can accept COVID-19 reports (all formats) 17% sending COVID-19 case notifications through NNDSS, 60% using GenV2 format 21% of those already sending GenV2 for other conditions 82% sending COVID-19 case notifications through NNDSS, 63% using GenV2 format 93% of those already sending GenV2 for other conditions First CDC-confirmed case of COVID-19 COVID-19 MMG is released Start development of COVID-19 MMG 10

  11. How Did We Improve the Process? Technical Assistance Active outreach to jurisdictions to provide technical assistance (TA) TA is here to help! 11

  12. How Did We Improve the Process? Established Cohorts COVID Cohort Established two cohorts: 1. Jurisdictions using any surveillance system jurisdictions wanting to send case notifications using the COVID-19 message mapping guide (MMG) Non-NBS Surveillance System 2. Jurisdictions using NBS jurisdictions wanting to send COVID-19 case notifications using GenV2 NEDSS Base System (NBS) 12

  13. How Did We Improve the Process? Revised Onboarding Revised Gen V2 and COVID-19 MMG onboarding 13

  14. What is the Revised Onboarding Process for GenV2? Add Event Code CDC confirms receipt of COVID-19 GenV2 messages No major errors identified in GenV2 COVID-19 messages Ongoing production for GenV2 COVID-19 messages 14

  15. How Was Onboarding Process Revised for the COVID-19 MMG? APHL review of onboarding package Test messages reviewed Increased number of limited production messages Production for COVID-19 upon receipt of year-to-date 15

  16. COVID 19 HL7 Data Implementation 16

  17. Special Thanks to State and Local Partners Evan Brown (AL) Tobytha Powell (AL) Brenda Ryals (AL) Megan Tompkins (AK) Nancy Barrett (CT) Alycia McNutt (CT) Kim Wiley (FL) Hope Dishman (GA) Grace Njuguna (GA) Robb Byers (ID) Kathy Turner (ID) Dawn Nims (IL) Nicholas McGee (IL) Megan Patel (IL) Sujata Mallik (KS) Shannon Sandall (KS) Rana Cook (KY) Sravanthi Kotica (KY) Courtney Marshall (KY) Deepak Mekala (KY) Dimple Patel (KY) Judie Hyun (MD) Chandeep Singh (MD) Trevor Brown (ME) Jenna Strathdee (ME) Jim Collins (MI) Carolina Fulper (MI) Ed Hartwick (MI) Theresa Kittle (MS) Stanford Mwasongwe (MS) Kari Campbell (TN) Britney Rust (MS) Vernesia Wilson (MS) Mike Nuss (NE) Harpal Singh (NE) Vibha Gujar (NJ) Shahil Patel (NJ) Stella Tsai (NJ) Joseph Bareta (NM) Isaiah Francis (NM) Rohith Gudipati (NM) Carmela Smith (NM) Michelle Barber (OR) Rob Laing (OR) Kate Goodin (TN) Kayode Olupinyo (TX) Rachelle Boulton (UT) Doug McGowan (UT) Rebecca Early (VA) Jessica Mawdsley (VA) Charlie Castor (VT) Madhumathi Cheruvu (VT) John Davy (VT) Veronica Fialkowski (VT)

  18. Special Thanks NEDSS Base System Team Christi Hildebrandt Jennifer Johnson Maddie Stewart Michael Wodajo APHL Technical Assistance Team Laura Carlton Heather Houston John Park Natalie Raketich Amanda Santander CSTE Shaily Krishan Becky Lampkins

  19. Special Thanks CDC Partners Deborah Adams Lesliann Helmus Sara Johnston Andrew Kuehl Leslyn McNabb Diana Onweh Sandy Price Sandy Roush Alan Schley CDC Data Standardization and Assistance Team Calvin Hightower Amanda Jones Hang Nguyen Tamara Robinson Jessica Rodgers Danielle Tack Melinda Thomas Angela Agunloye Shawn Arshad Josh Bagley Shanterria Maxey Doris McGinness Bill Morrill Diana Onweh Sylvia Murphy

  20. Subscribe to monthly NNDSS newsletter (Case Surveillance News) at https://www.cdc.gov/nndss/trc/news/index.html Access the NNDSS Technical Assistance and Training Resource Center at https://www.cdc.gov/nndss/trc/index.html Request NNDSS technical assistance or onboarding at edx@cdc.gov Next NNDSS eSHARE June 2021 details to come at https://www.cdc.gov/nndss/trc/onboarding/eshare.html For more information, contact CDC 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348 www.cdc.gov The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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