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eCR/RCKMS Community of Practice

The purpose of the eCR/RCKMS Community of Practice Basecamp is to provide staff from state, local, territorial, and tribal public health agencies with a venue to participate in peer-to-peer discussions pertaining to using RCKMS. This Basecamp is not intended for formal communications about RCKMS or eCR and will not be moderated by CSTE staff. For technical issues or assistance with RCKMS, please visit www.rckms.org to submit a ticket. Disclaimer: The statements and responses posted on the eCR/RCKMS Community of Practice are solely the views of the authors and do not necessarily represent the official views of CDC or CSTE.
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMeredith Lichtenstein, CSTELaura ErhartNancy Barrett, Epi 4/PH Informatics SpecialistRita Altamore, EpidemiologistDavid DiCesareWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthAmanda Payne, Senior Consultant at J Michael ConsultingJohn Satre, Informatician at Iowa Department of Public HealthShaily Krishan, Program Manager at CSTEJudie HyunKathy Turner, Deputy State Epidemiologist at IDSara Robinson, ID Epi Program Director at Maine CDCMisty Johnson, Informatician, WI DHSCrystal Snare +376 others
Posted by Nancy Barrett ·

Add timeboxing for influenza and RSV

Hello,
CT would like to request that timeboxing be added for influenza and RSV in advance of the 2023-2024 viral respiratory disease season. We are being asked to push capture of hospitalized cases for the upcoming season from eICR. 

Thanks!

Comments & Events

Jim Collins Jim Collins
That seems like a great rec, Nancy!
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Ann Kayser Ann Kayser
In MN, we would have interest in this as well, but would want to recommend expanding timeboxing past active problems/diagnosis (Ap/Dx) to include laboratory findings timeboxing as well as timeboxing around the patient encounter.
During COVID, we had hospitalization + COVID (Ap/Dx) on and were getting reports triggered meeting these requirements when the encounter type was not a hospitalization because historical encounters were included in the eICR and a hospitalization from YEARS prior was meeting the RCKMS criteria.
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Annie Fine, CSTE Annie Fine
Hi everyone - curious whether flu and rsv are reportable by providers or via ecr in your jurisdictions and whether if not, you plan to make them so! I know there will be a big push around surveillance and situational awareness for these conditions in the fall season.
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Becca Sandahl, Epidemiologist at Colorado Department of Public Health and Environment Becca Sandahl, Epidemiologist
In Colorado hospitalized (and only hospitalized) Influenza and RSV cases are reportable and we have authored them this way in RCKMS.  There is increased interest here as well in using eCR data for surveillance of these conditions.
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
Hi Ann - agree, current lab findings are key. I bow to the greater wisdom on what adjustments are needed. 

Annie - we do not have anything specifically reportable using eCR, however, providers still need to report cases of COVID-19 and COVID-19 hospitalizations, influenza-associated hospitalizations and deaths. RSV is lab reportable only (that may change). COVID-19 deaths we collect also. CT is an EIP site (like MN and CO), so has the full RESP-NET projects (COVID-NET, FluSurv-NET, RSV-NET). These are based off hospitalized cases so being able to leverage eCR is needed. 
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Stephanie Moberg, Epidemiologist at New Mexico Department of Health Stephanie Moberg, Epidemiologist
I would like to echo my support for this, on behalf of New Mexico. Thank you for the suggestion, Nancy!
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Shaily Krishan, Program Manager at CSTE Shaily Krishan, Program Manager
Thank you all for this feedback- it is very useful as we plan for upcoming content releases. Please respond to this thread with any other feedback for timeboxing overall!

Nancy Barrett, Epi 4/PH Informatics Specialist Nancy can you clarify the timeframe of the 2023-2024 viral respiratory disease season?

Ann Kayser Ann thanks for suggestions about expanding scope of timeboxing to lab & encounter criteria- the RCKMS team is actively working to identify the timelines for expansion of Timeboxing to other conditions & other types of criteria. We should have an update on release timelines by late summer!
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
My understanding (and others please correct) is the flu season officially begins October 1st or so and runs through September 30 the next year although the main focus is on Oct 1 or so to April 30. The weeks are counted by MMWR week. COVID of course disrupted this during 2020-2021, 2021-2022, and somewhat the 2022-2023 seasons.

The 'seasonality' for COVID-19 is still not fully determined as we all know.

RSV generally overlaps flu, but the season start, peak, and end can vary. Pre-COVID, from the CDC website, the seasons were as below, but COVID really disrupted this. 
  • RSV season onset (indicating a sustained rise in the number of RSV-positive tests) ranged from mid-September to mid-November.
  • RSV season peak (indicating the maximum number of RSV-positive tests) ranged from late December to mid-February.
  • RSV season offset (indicating a sustained drop in the number of RSV-positive tests) ranged from mid-April to mid-May.
Getting this available by the end of the summer would be great!
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