{"id":378,"date":"2024-02-12T00:30:21","date_gmt":"2024-02-12T00:30:21","guid":{"rendered":"https:\/\/dmi1dev.wpenginepowered.com\/?page_id=378"},"modified":"2024-08-07T12:58:20","modified_gmt":"2024-08-07T12:58:20","slug":"378-2","status":"publish","type":"page","link":"https:\/\/stories.cste.org\/?page_id=378","title":{"rendered":"Laboratory Data Exchange"},"content":{"rendered":"

[et_pb_section fb_built=”1″ next_background_color=”#00165e” disabled_on=”on|off|off” admin_label=”Header” _builder_version=”4.23.1″ background_color=”#00165e” background_enable_image=”off” background_size=”contain” background_position=”bottom_center” background_video_mp4=”https:\/\/stories.cste.org\/wp-content\/uploads\/2023\/12\/Abstract-moving-blue-background.mp4″ height=”438px” custom_margin=”-48px||||false|false” custom_padding=”5px||0vw||false|false” bottom_divider_style=”asymmetric2″ animation_direction=”top” global_colors_info=”{}”][et_pb_row _builder_version=”4.23.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/stories.cste.org\/wp-content\/uploads\/2024\/03\/Site-Logo_v2.png” title_text=”Site Logo_v2″ align=”center” _builder_version=”4.23.1″ _module_preset=”default” width=”30%” width_tablet=”30%” width_phone=”30%” width_last_edited=”on|phone” max_width=”88%” custom_margin=”34px||||false|false” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”off|off|off” _builder_version=”4.23.1″ _module_preset=”default” background_color=”#00165e” background_enable_image=”off” background_position=”top_center” background_vertical_offset=”6%” custom_margin=”||-3px|||” custom_padding=”52px||82px|||” bottom_divider_style=”waves2″ bottom_divider_color=”#00165e” global_colors_info=”{}”][et_pb_row disabled_on=”on|on|on” _builder_version=”4.23.1″ _module_preset=”default” animation_style=”slide” animation_direction=”bottom” disabled=”on” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_tabs active_tab_background_color=”#0c4ed1″ inactive_tab_background_color=”#4b7ec9″ active_tab_text_color=”#ffffff” _builder_version=”4.23.1″ _module_preset=”default” tab_text_color=”#ffffff” background_pattern_horizontal_offset=”24%” background_pattern_vertical_offset=”23%” background_enable_mask_style=”on” background_mask_style=”triangles” background_mask_color=”#4b7ec9″ background_mask_transform=”flip_horizontal” background_mask_size=”cover” max_width=”1060px” hover_transition_duration=”750ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-out” border_radii=”on|13px|13px|13px|13px” border_width_all=”5px” global_colors_info=”{}” transform_styles__hover_enabled=”on|hover” transform_scale__hover_enabled=”on|hover” transform_translate__hover_enabled=”on|desktop” transform_rotate__hover_enabled=”on|desktop” transform_skew__hover_enabled=”on|desktop” transform_origin__hover_enabled=”on|desktop” transform_scale__hover=”104%|104%”][et_pb_tab title=”Laboratory Data Exchange” _builder_version=”4.23.1″ _module_preset=”default” tab_letter_spacing=”3px” global_colors_info=”{}”]<\/p>\n

\"\"\u00a0 Laboratory Data Exchange<\/strong><\/span><\/span><\/p>\n

Certain important health conditions or diseases are required by law to be reported to public health departments to support monitoring and response activities that prevent or reduce the impact of disease. In the past, and still today in many places, when healthcare providers suspected or detected a reportable disease in a patient, a fax, phone call, or electronic form was used to get data to the public health agency, requiring manual effort and time away from clinical responsibilities. With the introduction of electronic case reporting (eCR), the necessary information is automatically extracted from the electronic health record (EHR) and routed to public health agencies, resulting in more timely and complete data, reducing the burden on busy health care providers, and allowing public health to respond more quickly to emergent issues. <\/span><\/p>\n

National Picture: As of November 2023, there are 210 conditions that can be reported using eCR1. This includes a broad range of conditions such as birth defects, infectious diseases, chronic diseases, injuries, and more. Both public health agencies and healthcare providers benefit from the implementation of this technology. One of the most important benefits is the secure and rapid bi-directional data exchange capability between healthcare and public health, enabling state, tribal, local, and territorial (STLT) health departments to respond to both routine and emergency public health diseases and outbreak situations more effectively. Also, eCR affords the opportunity to automatically report many conditions that are diagnosed clinically and are not easily reportable via other electronic means, but that are important public health problems, such as birth defects, injuries, cancer, or occupational\/environmentally caused diseases. Additionally, the reporting burden is removed from healthcare providers and the data entry burden is removed from public health, allowing more time for both parties to focus on understanding the health issues and taking actions to treat patients or prevent further illness. <\/span><\/p>\n

Adoption of eCR technology accelerated greatly during the COVID-19 pandemic. Prior to the pandemic, there were 187 facilities sending eCR for five pilot conditions.2 By the end of November 2023, over 29,600 facilities were using this technology and uptake is projected to continue increasing (see https:\/\/www.cdc.gov\/ecr\/facilities-map.html).3\u202fThe Centers for Disease Control and Prevention (CDC) intends to continue expanding the breadth and depth of adoption of this technology and have integrated it into their Public Health Data Strategy(PHDS). One of the milestones of the PHDS is to have 38 jurisdictions ingesting eCR into their surveillance systems and that the percentage of critical access hospitals ending eCR increases to 35% by the end of 2024.4<\/span><\/p>\n

Quotes: \u201cThis new process\u2014electronic case reporting\u2014is really just… revolutionizing the way that we can get reports from providers. I do expect we\u2019ll see more comprehensive reporting and more timely reporting.\u201d Dr. Kathryn Turner, Deputy State Epidemiologist and Chief, Bureau of Communicable Disease Prevention, Idaho Division of Public Health<\/span>[\/et_pb_tab][et_pb_tab title=”Electronic Case Reporting” _builder_version=”4.23.1″ _module_preset=”default” tab_letter_spacing=”3px” global_colors_info=”{}”]<\/p>\n

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\"\"<\/h1>\n

Laboratory Data Exchange<\/strong><\/a><\/h1>\n

<\/strong><\/p>\n

Definition:\u202f<\/span><\/b>\u00a0<\/span><\/p>\n

Sharing information on laboratory test results and testing demographics is essential for effective disease tracking and emergency response in public health. Laboratory Information Management Systems (LIMS) and <\/span>Electronic Laboratory Reporting<\/span><\/a> (ELR) play pivotal roles in facilitating this information exchange. Both private and public laboratories use LIMS to manage samples and associated data, enabling the identification of reportable diseases, and generating ELRs for transmission to relevant public health agencies.<\/span>\u00a0<\/span><\/p>\n

National Picture:\u202f\u202f<\/span><\/b>\u00a0<\/span><\/p>\n

On a national scale, the Centers for Disease Control and Prevention (CDC) encourages the maintenance and enhancement of LIMS in public health laboratories. With an understanding of current barriers, the CDC supports the implementation of <\/span>Electronic Test Orders and Result Reporting<\/span><\/a> (ETOR), as part of its Public Health Data Strategy (PHDS), to improve data completeness and accuracy compared to traditional paper requisition forms.\u00a0<\/span>\u00a0<\/span><\/p>\n

The CDC\u2019s <\/span>ETOR and ELR goals<\/span><\/a> for the end of 2024 include:<\/span>\u00a0<\/span><\/p>\n