Environmental Scan Survey Questions and Responses
1. What stakeholders or partners do you interact with in collecting AR data, e.g. types of individuals, types of facilities, or organizations?
- State Public Health Lab
- Commercial Labs (LabCorp, Quest, Mayo)
- Acute Care Hospitals
- Clinical Micro Labs
- Dir of Nursing at LTCFs
- LTACH
- Infection Preventionists at facilities
- CDC/ALRN (Wadsworth, NY)
- Loinc/Snomed for CP-CRE/CRE (many different choices/options)
- HL7
- Vendors – LIS, ADT, infection prevention systems (e.g. MedMined, TheraDoc), EHR systems
- Family members, private nurses – especially if patient not in a facility
- International projects (subset of US partners)
- Clinicians – may work with clinicians more for outpatient settings
- Drug treatment, if patient is drug user
- Visiting nurses – especially outpatient
- State health department
- Regional health information organizations (RHIOs), HIEs
- Patient safety and quality organizations
- Researchers, academic institutions
- Local health departments
2. What publications, guidance documents, plans, reports, surveys, or other written resources should we be aware of when planning our environmental scan? Please include attachments, citations, or links where possible.
- MA Internal SOPs - See attached MA SOP for CRE and MCR1 (C. auris in progress)
- CSTE Best Practices Document -https://www.cste2.org/Publications/CRE_ELR_Best_Practices_FINALv1.0_20170515.pdf
- CSTE Operational Guidance - https://www.cste2.org/Publications/CP_CRE_Operational_guidance_20170601.pdf
- CSTE Website (Position statements)
- CDC Inter-facility Patient Transfer form - https://www.cdc.gov/hai/pdfs/toolkits/infectioncontroltransferformexample1.pdf
- Oregon CRE Toolkit (http://www.oregon.gov/oha/PH/DiseasesConditions/DiseasesAZ/CRE1/cre_toolkit.pdf)
- CDC Interim Guidance for Public Health Response to MDROs (https://www.cdc.gov/hai/outbreaks/docs/Health-Response-Contain-MDRO.pdf)
- Prevention Tools Kits (HAI) - https://www.cdc.gov/hai/prevent/prevention_tools.html
- Journals
- Clinical microbiology informatics: http://cmr.asm.org/content/27/4/1025.full.pdf
- ARLN documentation
- NHSN documentation
- Information on systems for malaria, TB, STDs, enterics
- NARMS, whole genome sequencing
- HL7, MMGs
3. What tools, systems, software, hardware, or other technical elements should we consider in our environmental scan?
- Surveillance system
- Paper and fax for labs/medical notes, not sharing information between systems electronically (MA transfer a CRE case to Rhode Island)
- LIMS (internal and external systems)
- ELR (state system and external facilities) - 2.3 vs 2.5 HL7 message
- Antibiograms (Adobe LifeCycle)
- Ability to receive susceptibility data
- SaTScan
- WebGIS (ESRI)
- Notepad ++
- 7 Edit
- NHSN
- XDRO registries
- Internal infection control systems (e.g. Theradoc, MedMined)
- WHONet
- Third party intermediaries for data exchange, e.g. AIMS
- ARLN portal
- Redcap
- Local, homegrown products
- Visualization tools, e.g. tableau, WebGIS, Sanger Institute tools – spatial epidemiology, WGS analysis, micro react
- NARMS
- HL7, MMGs
4. Any other information we should be aware of?
- Lots of challenges around receiving the labs with susceptibilities - ELR vs Paper (data entry time and QA on manual data entry)
- Facility ELR reporting challenges – both using proper test/result as well as syntax (parent/child, reference ranges)
- Working with Lab staff at facilities
- How to track patients between facilities (network diagram)
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Thanks for sending this out. I couldn’t find it on Basecamp. Will reply a bit later today.
Marisa
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Hi Monica,
Please see below in red font. I didn’t have much to add.
Best,
Marisa
Here are a few small comments. Thanks!
The correct capitalizations are:
1. “WHONET”
2. “REDCap” for “Research Electronic Data Capture”
For relevant guidance/publications, I would add the CLSI M39 document:
https://clsi.org/standards/products/microbiology/documents/m39/
I look forward to seeing everyone seeing Atlanta.
John