Pandemic response from public health authorities’ inability to obtain data from hospitals

• The biggest problem with reported electronic surveys is that hospitals do not have the right to send data – it is because public health agencies do not have the right to receive it, according to a new report published in the Journal of the American Medical Informatics Association.

• More than four in 10 U.S. hospitals say their local, state, and public health facilities are unable to access data on computers, reflecting a decade-long investment in IT infrastructure and other untapped sectors money comes from its government partners, analysts seen.

• Intravenous medicine in the area of the forecast will be some of the most serious problems by COVID-19 can say the public health facility is unable to access medical data on a computer, indicating that the most important area is some of the minima to raise the configuration, data- the regenerative enters the disease.

An effective response to the pandemic requires accurate, real-time data sharing between providers and public health authorities so that the government can monitor outbreaks and allocate resources as needed.

The lack of a national and interoperable reporting infrastructure was one of the main criticisms of the Trump administration’s handling of the pandemic, which infected nearly 1.7 million people and killed 99,000 people in the United States on Wednesday.

The CMS requires that hospitals be able to electronically send and receive health information, including laboratory results and monitoring data for the syndrome, to and from public health agencies such as your Department of Health. For more than a decade, vendors have invested significant resources in their IT infrastructure due to a variety of federal incentive programs, although EHR implementation in the United States remains patchy due to cost and other obstacles.

The JAMIA study, one of the first to examine data from health reports, analyzed 2018 American Hospital Association data to identify hospital-reported barriers to reporting surveillance data, as well as Institute data. Global Health Report on the likely impact of the coronavirus pandemic on hospital capacity at the hospital reference region (HRR) level. The researchers hypothesized a 40% infection rate in the population over 12 months.

The team identified 31 high-need HRRs found in the upper room of planned beds needed for COVID-19 patients. More than half of the hospitals in the region said the public health authority could not receive data electronically.

This suggests that the areas most likely to be overwhelmed by the pandemic have some of the least interoperable data sharing characteristics, making it difficult to respond to the outbreak.

The researchers found that the most common obstacle to data sharing across the country, reported by 41% of hospitals, was the inability of public health authorities to receive data electronically.

The second most common report, reported by 32% of hospitals, concerned interface issues such as cost or complexity of implementation followed by difficulties in extracting data from the EHR (14% of hospitals report), different data standards (up to 14%), hospitals that cannot send data (8%), and hospitals that do not know which health authorities should send the data at (3%).

The researchers also found significant differences between states in hospitals. Public health authorities were unable to receive the requested data electronically. This ranged from 83 percent of hospitals in Hawaii and Rhode Island to 40 percent in New Jersey and Virginia, and none in Delaware.

Geographic variation is likely due to different funding priorities in different locations, as some agencies may receive only certain data or interact with a number of electronic medical records. This patchy IT implementation creates a mixed picture of disease progression in the United States, although the Centers for Disease Control and Prevention is working to automate the COVID-19 notification process.

The study has some important limitations. This is a relatively one-sided description of the problem, as the researchers did not have access to the data or survey results from public health authorities. And since the AHA survey results were available two years ago, the EHR landscape may have changed since 2018.

However, the researchers urged policymakers to strengthen the IT capabilities of public health authorities, especially as states begin to reopen in the fall despite an increasingly likely recurrence of the virus.

“Policymakers will be committed to investing in IT public health systems as well as comprehensive health information systems to monitor COVID-19 in the long run and prepare for future infectious diseases.” said A Hol Holmgren, a student at doctorate from Harvard Business School. Nate Apathy, a doctoral student at the Richard M. Fairbanks School of Public Health at Indiana University; and Julia Adler-Milstein, a professor in the Department of Medicine at the University of San Francisco, wrote.