Saranath

If you can choose 5 diseases to be part of the surveillance system, what diseases that you will choose?

I agree that having active detection of hypertension is really important. Diagnosis of hypertension is simple and cheap. Early detection and treatment would really help to prevent complications of the disease.

Great! I’m thinking about having active case detection for influenza. As influenza is quite a common disease, if we have to do active case detection after index case reported by passive case detection. How much workload and cost would it be? For prevention of an outbreak, we can do quarantine of suspected cases and probably clean the e…[Read more]

So, you would like to integrate entomological information into the system. Entomological information could be a part of syndromic surveillance, as this information could be a proxy for dengue transmission in the area.

Yes! We need a research support. The surveillance system should produce effective data for research; and research should provide results that benefit to the surveillance system.

Clinicians in the hospitals actually play an important role for outbreak detection, as most index cases are likely be reported from hospitals. But doctors usually pay more attention to the treatment of patients, rather than reporting the information to public health authorization.

I also agree that we need an evidence to support that the…[Read more]

Yes. Data quality and timeliness of report are very important for outbreak detection and response. Although the system has advanced modules for early warning, but it still relies on the quality of data in the system.

As an informaticians, you should not release or disclose information of others without their consent. As this scenario is about HIV, a sensitive information, it’s obvious that disclose the patient’s information is not appropriate and may result in negative consequences.

What if your mom’s friend was admitted with general diseases (non-…[Read more]

Wow! Totally understand your situation. It’s a big challenge for developing and implementing a system for such a big organization, with many stakeholders involved. I’m not sure if it would work or not, if we could try to adopt the agile development process that we learned in project management topic. This process may help to speed up the sys…[Read more]

Leadership commitment is another factor to determine the success of a system. If the high level staff did not accept the system, it would be difficult to maintain the system at full function.

Hello Patcharapol, training might not be that effective if the users still do not have good awareness and desired. You ask people to learn for the thing that they don’t want to use. They might not pay much attention to the training.

Penpitcha, you raised an interesting point! A system that has been shown to be successful in one place might not be successful when implementing in another place. Each organization (even at small level) has its own culture and system, the system must be able to customize to fit with local users.

Thanks for sharing your experience on banking system. IT implementation in financial sector is far beyond healthcare system. One reason that I think is that in healthcare sector, there is no solid financial gain from the investment, as compared with business and financial sectors. This could make the investment in HIT a bit slower. But at least,…[Read more]

It seems that the system is successfully implemented. Beside a technical problem that you would like the system to be improved. Could you think about what make the system successful? Why would people like to use the system?

CDSS (if well designed) could provide a potential benefit to the EMR. The uses would see the benefit of filling data in the EMR system. However, if not well designed, the CDSS would be ignored and may create negative consequence to the EMR system.