Transcript Folie 1 - kflaphi

The SIDARTHa surveillance approach
Kingston, Canada
June 13, 2008
The European Emergency Data Group
Research Network
European Emergency Data (EED) Group
Research Network
 Loosely formed research network of European health researchers,
clinicians, emergency physicians, EMS professionals and health
authority officials
 Aim: comparing EMS systems internationally, defining best
practice and standard procedures, developing monitoring and
surveillance concepts based on EMS data
 since 1996
 partners in 19 European countries and one partner in the USA
EED Group - Research Network
Activities
 1996-2000: EED I & II - Comparing EMS in Birmingham (UK), Bonn
(D) & Santander (ES)
 2002-2006: EED III - European Emergency Data-based Health
Monitoring System (co-funded by European Commission)
 2004-2007: Involvement in EU Injury Data Base Development
(Phase II) (co-funded by European Commission)
 2004-2008: Utstein Standard for European Emergency Medical
Dispatch (co-funded by Leardal Foundation)
 2007-2010: SIDARTHa - European Emergency Data-based
Syndromic Surveillance System (co-funded by European
Commission)
EED Group - Research Network
Output

1996: Krafft, T. and L. García Castrillo-Riesgo (ed.):
Professionalisation or Marketisation in Health Care – EMS in
Transformation. Bonner Geographische Abhandlungen 95. Dümmler.
Bonn. (English/German)

2000: Krafft, T. et al. : European Emergency Data (EED) Project.
Comparing European EMS Systems. Working Report II: Scope, Aims,
Findings. Keese. Bonn.

2003: Krafft, T. et al.: European Emergency Data Project (EED
Project). EMS Data-based Health Surveillance System. In:
European Journal of Public Health 13(3,Suppl): 85-90.

2003: Fischer, M. et al.: Comparison of effectiveness and
efficiency of the EMS systems in Birmingham (UK) and Bonn (D).
In: Anästhesiologie, Intensivmedizin, Notfallmedizin
Schmerztherapie 38: 630-642. (German)

2004: Fischer, M. et al.: Comparison of effectiveness and
efficiency of the EMS systems in Birmingham (UK) and Bonn (D).
In: Der Notarzt 20: 51-63. Reprint. (German)

2006: Krafft, T. et al.: Health Monitoring & Benchmarking of
European EMS Systems: Components, Indicators,
Recommendations. Project Report to the European Emergency
Data Project: EMS Data-based Health Surveillance System
(SPC.2002299). Geomed Research Group. Köln.
SIDARTHa
The European Project
General Objectives
 to contribute to and to enhance the generic preparedness of the
health sector for communicable as well as non-communicable
health threats and emergencies
 improvement of timeliness and cost-effectiveness of European
and national surveillance providing a basis for systematic
syndromic surveillance by
 establishing a system that automatically will transfer, process and
analyse near real-time emergency data and automatically provide
spatial-temporal surveillance reports and alerts.
Project Overview
PHASE I - Conceptualisation
PHASE II - Implementation
Information
Implementation
Possibilities
Needs
Project Coordination
Dissemination of Project Results
Project Evaluation
Evaluation
Administrative Project Structure
WP 1 - Project Coordination
WP 2 - Dissemination of Project Results
WP 3 - Project Evaluation
PHASE I - Conceptualisation
WP 4
Best
practice local
practice
WP 5
EM databased
surveillance
WP 6
Design &
Callibration
Workshop + Steering Committee Meeting
Steering Committee Meeting only
WP
Work Package
M
Month of project time
PHASE II - Implementation
WP 7
Pilot Phase
Specific Objectives
1. Assessment of best and local practice of
emergency data-based surveillance
2. Identification of health threats & definition of
surveillance indicators
3. Identification of average demand patterns &
thresholds for spatial-temporal clustering
4. Specification of user needs by experts from the
relevant health sector target groups
5. Definition of algorithms of the system &
specification of system design
6. Set-up of SIDARTHa
7. Test & evaluation of SIDARTHa’s performance &
recommendations for future use
State
Centre
Tyrol,ofInnsbruck/Austria
 Dispatch
Hospitals
of County
Goeppingen, Goeppingen/Germany
Project
Group
Gernot Vergeiner

Matthias Fischer





Federal
Government,
Department
of Service,
Public Health,
Organisation of
 National
Emergency
Medical
Budapest/Hungary
Care Institutions,
Gabor GöblBrussels/Belgium
Agnes Meulemans
 San Martino University
Genoa/Italy Riesgo (Spain)
Prof. Dr.Hospital,
Luis Garcia-Castrillo
Emergency
Medical
Service
Prague/Czech
Republic
Francesco Bermano
emergency medicine,
leader of a district EMS, emergency data analysis
Milana Pokorna
 Haukeland University
Hospital,
Bergen/Norway
Dr. Thomas
Krafft
(Germany)
Universitad
de
Cantabria
(Spain) – Public
Financial
issues
Capital Guttorm
Region
of
Denmark,
Devision
of
Planning
and
Development,
 Prof.
Dr.
Helmut
Brand
–
Professor
for European
Health,
Head
of
Brattebo
health geography, experience
in leading an EMS
system,
emergency
Copenhagen/Denmark
Department
International
Health, Faculty of
Health, Medicine
& Life
Sciences,
dataofanalysis,
GIS/spatial-temporal
analyses,
EED Project
leader
Geomed
Research
GmbH
(Germany)
–
Technical
issues
Freddy
Lippert
University
of Maastricht,
Netherlands
 University
of Cantabria,
Santander/Spain

2
–
GEOMED
DE
–
Methodology
data processing, analysis, reporting
Luis Castrillo Prof. Dr. Freddy Lippertof
(Denmark)
Dr. Enrico
Davoli -ofProgramme
Manager,
Health Organization Regional
University 
Hospital,
Department
Anaesthesiology
andWorld
Intensive
emergency
medicine,
national
health
authority
representative, medical
 Subcontracting
partners
–
Technical
programming
of data
transfer,
Office
for
Europe,
Department
for
Emergency
Medical
Services,
Barcolona/Spain
Care,
Kuopio/Finland
 University Hospital,
Antalya/Turkey
director
of regional
EMS
processing,
analysis,
reporting
Jouni Kurola
Hakan
 Yaman
Prof. Dr. Javier Llorca - Professor for Public Health and Epidemiology, University
Ing. Gernot
Vergeiner
(Austria)
of Cantabria,
Santander/Spain

SATYAM
Computer
Services,
Inc. Hyderabad/India
Emergency Medical Service
for
Province
Hauts
 EMS dispatch, leader de
of aSeine,
high-performance state dispatch centre,
 Jerry Overton,
MA
Director,
Richmond
Ambulance Authority, USA; first site in the
Garches/France
emergency data analysis
Michel Baer USA that implemented the emergency data-based surveillance system First
Watch™Prof.
in 2002
Dr. Matthias Fischer (Germany)

 Emergency
dataof
analysis,
of a state
Dr. Santiago
Rodriguezmedicine,
- Director,emergency
Health Service
District organiser
of Cantabria,
emergency medicine registry
Santander/Spain

Prof. Dr. Prof.
MarkDr.
Rosenberg
- Professor
of Geography & Professor of Community
Alexander
Krämer (Germany)
Health and
Epidemiology,
Queen’s University, Kingston/Canada
 Public
health, epidemiology/biometry,
internal medicine, health
surveillance
N.N. - DG SANCO (Health Threat Unit) & ECDC

to be nominated by institutions
The European Health Surveillance
Complex
EU surveillance concept
European Health Emergency Network - Actors
Other European
Commission’s
Directorates General
European
Commission’s
Directorate General
Health and Consumers
European Centre for
Disease Prevention and
Control
European
Commission’s Health
Threat Unit (HTU)
Emergency
Operations
Centre
Health Emergency
Operations Facility
(HEOF)
27 EU Member States
Health Ministries
World Health
Organization Regional
Office for Europe
European Health Surveillance / Alert Network
Other European
Commission’s
Directorates General
Other Alert Systems
European
Commission’s
Directorate General
Health and Consumers
European Centre for
Disease Prevention and
Control
Dedicated Surveillance Networks / TESSy
EWRS/Rapid Alert Systems
MedISys
27 EU Member States
Health Ministries
World Health
Organization Regional
Office for Europe
National Surveillance
Systems
CISID / GOARN
DSN – Dedicated Surveillance Networks
 BSN = Basic Surveillance Network
 DIPNET = The Diphtheria Surveillance Network
 DIVINE = Prevention of emerging (food-borne) enteric viral infections
 EARSS = European Antimicrobial Resistance Surveillance System
 EISS =The European Influenza Surveillance Scheme
 ENIVD = European Network for Diagnostics of “Imported” Viral Diseases
 Enter-net = Dedicated surveillance network for enteric pathogens
 ESAC = European Surveillance of Antimicrobial Consumption
 ESSTI = European Surveillance of Sexually Transmitted Infections
 EUCAST = European Committee on Antimicrobial Susceptibility Testing
 EU-IBIS = Invasive Bacterial Infections Surveillance in the European Union
 EuroCJD = European Creutzfeldt Jakob Disease Surveillance
 EuroHIV = European Centre for the Epidemiological Monitoring of AIDS
 EuroTB = Surveillance of Tuberculosis in Europe
 EUVACNET = A Surveillance Community Network for Vaccine Preventable
Diseases
 EWGLINET = European Surveillance of travel associated legionnaires’
disease
 IPSE = Improving Patient Safety in Europe
EWRS – Early Warning and Response System
MedISys – Medical Intelligence System
SIDARTHa
The Anticipated Surveillance System
Intended System Design
MedISys
European Health
Surveillance System
Automatic Data
Processing/
Analysis
Emergency
Professionals
Risk Communication
Platform
EWRS
Website
Automatic
Data Transfer
DSN/
RAS
Alert
Communication/
Support
DSN
Dedicated
Surveillance
Network (disease
specific)
EWRS
Early Warning &
Response System
MedISys Medical
Intelligence
System
RAS
Rapid Alert
Systems, e.g., RASCHEM (chemical
emergency)
Local Health
Surveillance
System
Local Health
Surveillance
System
Local Health
Surveillance
System
Local Health
Surveillance
System
Hospital A
EMS A
Hospital B
EMS B
National
Health
Authority
Local Health
Authority
Intended System Design – Local Level
Emergency
Professionals
Risk Communication
Platform
European Health
Surveillance System
Local Health Surveillance System
Automatic Comparison with Threshold
GIS-based Automatic Generation of
Spatial-Temporal Thresholds
Automatic Syndrome Generation
Automatic Historical Data Analysis
Automatic Data Cleansing
Local Health
Authority
EMS A
Intended System Design – European Level
Emergency
Professionals
Risk Communication
Platform
European Health Surveillance System
European
Report /
Alert
National
Report /
Alert
Local
Report /
Alert
A
B
C
D
6
9
7
3
9
2
8
4
GIS-based Analysis Tool
Local Health
Surveillance
System
Local Health
Surveillance
System
Local Health
Surveillance
System
SIDARTHa – System‘s Strengths
Local surveillance unit based at single institution
 Aggregation level low: takes local specificities into account
 Reduces data volume
 Reduces trouble with privacy/data protection (no raw data
leaves the institution)
 Increases acceptance and distribution
European surveillance unit
 Enabling cross-border surveillance (local-regional-national-EU
levels)
 Risk communication for emergency professionals between
institutions
Real-time routine data transfer
 No batch transfer, but real-time transfer right after incidence
 No manual data input, no additional staff time
Thank you!