Sara Johnston MPH NNDSS Program Lead Virtual CSTE Annual Conference Tuesday June 15 2021 2 What weve been doing Coronavirus Disease 2019 COVID19 3 NNDSS and COVID19 Started receiving NNDSS COVID19 case notifications in late January 2020 ID: 1045158
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1. National Notifiable Diseases Surveillance System (NNDSS) Progress and Future DirectionsSara Johnston, MPHNNDSS Program LeadVirtual CSTE Annual ConferenceTuesday, June 15, 2021
2. 2What we’ve been doing
3. Coronavirus Disease 2019 (COVID-19)3
4. NNDSS and COVID-19Started receiving NNDSS COVID-19 case notifications in late January 2020COVID-19 Message Mapping Guide (MMG) Created in 2 monthsOpen for onboardingReduces burden for case notificationsCase notification processing—moved from a weekly process to daily, including weekends4
5. 5Message Validation, Processing, and Provisioning System (MVPS) HL7 Case Notification Message Volume, January 2020–April 2021
6. Message Validation, Processing, and Provisioning System6
7. New MVPS Portal7
8. New NNDSS Data Processing and MVPS EnhancementsConsolidates processing of NNDSS data into MVPS:HL7Legacy HL7NEDSS Base System [NBS] Master MessageNational Electronic Telecommunications System for Surveillance [NETSS]Provides new functionality:Review messages, errors and warnings, case countsDelete cases or groups of cases (if jurisdiction can't transmit deletion)Verify cases for low-incidence conditions before publicationPerform reconciliation, view line list and reports, State or Territorial Epidemiologist approves annual dataMVPS becomes the source for weekly and annual NNDSS publications8
9. Communication9
10. Introducing the New NNDSS Website!New URL: www.cdc.gov/nndss Overview of case surveillance and NNDSS, including printable and video resources at www.cdc.gov/nndss/aboutSuccess stories of case surveillance in action at www.cdc.gov/nndss/action Data to help inform public health action at www.cdc.gov/nndss/data-statistics Searchable library of case definitions and notifiable conditions lists at https://ndc.services.cdc.gov Technical resource center with MMGs, event codes, MVPS information, and NNDSS news at www.cdc.gov/nndss/trcSend questions and feedback to surveillancepractice@cdc.gov1010
11. NMI Notes is now Case Surveillance News11
12. 12Map – Jurisdiction Implementation of NNDSS HL& Case Notification Messages
13. MMGs and Onboarding13
14. 14Map – Total Message Mapping Guides (MMGs) in Production, 5/14/21
15. Message Mapping Guide Status (as of 5/6/2021)15Message Mapping Guide Status as of 5/6/21
16. Looking to the Future16
17. Data are Moving Slower than DiseaseThe nation’s public health data systems are antiquated and in dire need of security upgrades—paper records, phone calls, spreadsheets, and faxes requiring manual data entry are still are in widespread use and have significant consequences, including delayed detection and response,lost time, missed opportunities, and lost lives.Testimony of Janet Hamilton, Director of Science and Policy at CSTE, who spoke at Public Witness Day, April 9, 2019, Labor, Health and Human Services, Education, and Related Agencies (116th Congress)““17
18. Assessment of NBS to inform modernizationGuidance on modern case-based surveillance systemsAssessment of the implementation of HL7 MMGs for case notifications to inform future directionsPlan MVPS transition to take advantage of cloud-based technology18Data Modernization Initiative
19. Data Quality and VisualizationMonday, June 14, 4:15 PM— Conference Roundtable: “Developing Data Quality Reports or Tools at CDC for Jurisdictions to Use to Monitor Data Submitted to NNDSS”Data Quality and Data VisualizationTuesday, June 15, 4:15 PM—Conference Roundtable: “Developing Visualization Tools for CDC Disease Programs and Jurisdictions to Monitor Diseases Using NNDSS”19
20.