TM1

Countermeasure and Response Administration Overview and System

Demonstration of V1.7

Webinar Presented April 29, 2008

Jeanne Tropper, MS, MPHCRA Development Team

Division of Emergency Preparedness and Response

National Center for Public Health Informatics

TM2

Agenda• Background• V1.7 New Features • System Demonstration• Development Priorities• Question and Answer

TM3

What is CRA?

• Genesis was Pre-Event Vaccination System (PVS) for national smallpox vaccination campaign

• Capability to support mass tracking during an event

• System has since evolved to support any countermeasure, any event; may include medical interventions such as vaccinations, pharmaceuticals and non-medical interventions such as patient isolation and quarantine or social distancing measures

• Includes the ability to track both detail (person level) and aggregate counts of countermeasures

TM4

Implementation Options

• Centralized implementation – application is centrally located and managed by CDC; accessible using any standard web browser in conjunction with a CDC issued digital certificate

• Offline implementation - new with V1.7, CRA may be deployed offline on a stand-alone basis

TM5

What is New with CRA?

• V1.7 due for release May 5, 2008• Offline Capability• Rapid Data Entry for Multiple

Countermeasures• User Configurable Screens• Simplified Event Setup • Improved User Navigation • Enhancements to Aggregate Reporting

TM6

CRA Demonstration

• New Hampshire Anthrax Event• Long Beach Teen Clinic• Pandemic Influenza Event

TM7

Definitions

• Countermeasure – intervention taken to help prevent and/or slow the spread of disease; countermeasures may include medical interventions such as vaccinations, pharmaceuticals and non-medical interventions such as patient isolation and quarantine

• Event – public health programs or emergency responses that require the administration of countermeasures

• User Roles – CRA has role based user access; the user can only access system functions appropriate to their role; two roles• Public Health Administrator (PHA)• Data Entry Specialist (DES)

• Aggregate Reporting – CRA has updated to support project areas reporting a subset of data to the CDC; the capability was established to support vaccine doses administered during a pandemic; however, it could be applied to any situation

TM8

CRA Demonstration

• NH Anthrax Event – demonstrate simplified data collection process• Rapid data entry of doxycycline • Edit patient record • Patient search• Generate reports

TM9

CRA Demonstration

• Long Beach Teen Clinic – demonstrate new event set up and ability to customize screens• Setup event with one vaccine• Customize person demographics and

add organizations• Edit event and add second and third

vaccine

TM10

TM11

Aggregate Reporting of Pandemic Vaccine Doses Administered

• The National Pandemic Influenza Plan calls for monitoring of pandemic influenza vaccine

• CRA modified to support multiple ways for project areas to collect, aggregate and transmit a minimum data set to CDC:• Option 1: Project area has their own system; three

different data exchange formats: pipe delimited, XML file, HL 7

• Option 2: Project area collects data manually, an aggregate reporting screen was added to CRA

• Option 3: Project area uses CRA data is aggregated

TM12

CRA Demonstration

• Pandemic Influenza Event• Data entry of aggregate counts for

NYC Flu POD• Generate aggregate extract

TM13

CRA Future DevelopmentVersion 1.7.0

Scheduled DeploymentMay 5, 2008

Version 1.8.0Scheduled Deployment

September 15, 2008

Version 1.9.0 Scheduled Deployment

Estimated Q2 FY2009

TBD based on user input Candidate features

include:

Interoperability with immunization registries

Interoperability with other CDC applications

Rapid data entry via bar-coding, optical scanning, other

Possible architectural changes to support level to security in some instances

Features include:

Offline Capability Rapid Data Entry of Multiple

Countermeasures User Configurable Screens Simplified Event Setup Improved User Navigation Usability enhancements:

Tool-tips for tracking groups

Context sensitive help Aggregate Reporting

Enhancements

Candidate features include:

Patient Registration (with Import and Search)

Adverse Event Support Patient Follow-up Event Reports/Data Extracts

Enhancements Sub-jurisdiction Support User-Defined Fields Support Aggregate Group &

Reporting Enhancements (with Data Exchange)

Priority groups National reporting

TM14

Ongoing Outreach

Public Health Project Area and Partner Input

Exercises: Alabama, California, Maryland, New Hampshire

Inquiries via the “CIC”

PHIN Conferences: 2006, 2007, 2008 (scheduled 08/2008)

Webinars: Aggregate Reporting

Webinars: General

CDC Programmatic and Scientific Input

COTPER – DEO/DSLR/DSNS

CCID – NCIRD/ISD/ID; NCPDCID/DBPR, NCZVED/DFBMD

Exercises: Pandemic Influenza, Anthrax (scheduled 08/2008)

NCPHI – DAMC/DEPR/DISS/DISSS/OD

OD/ISO/ICU

The CRA team continuously solicits input from public health; recommendations are used as the basis for ongoing development efforts.

TM15

Re-initiate User Work Group

• Initial webinar to be scheduled late May/early June 2008• Review enhancement list • Establish priorities via user ranking

• Workshop at PHIN Conference in August 2008 • Review prioritized enhancements• User feedback in focused areas, e.g.,

reporting, person-level data entry, other• More information to follow in mid-May

TM16

Getting Started with CRA

• Version 1.7 is scheduled for release into production on May 5, 2008

• Consider using during an exercise• Demonstration version is available for

partner “try outs”• PHIN Help Desk first line of contact for

accessing CRA• Telephone 1-800-532-9929: 8 AM to 8 PM

EST •  Email:  Phintech@cdc.gov

 

TM17

Questions?