MRAIA manages the public health node, in which healthcare institutions provide data for electronic transmission to State and Federal agencies.
Public Health Reporting
MRAIA has been designated as an agent of the State of Illinois for public health data needs. MRAIA developed and hosts a certified software system for reporting immunization, syndromic surveillance, and electronic laboratory reporting data to public health agencies. The software system is certified through CCHIT for Stage I and Stage II of meaningful use. MRAIA's transformation engine processes EHR data from clinics and health systems and after standardizing the data structure, terminology mapping, application of our rules engine, and validation of the message content, data are transmitted to the appropriate public health agencies. We route data to the Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE), Illinois National Electronic Disease Surveillance System (I-NEDSS), and to the Federal Centers for Disease Control and Prevention's BioSense program and their National Healthcare Safety Network Surveillance system (NHSN). To achieve these goals, MRAIA collaborates closely with the Chicago Department of Public Health, Illinois Department of Public Health, the Office for Health Information Technology, the Illinois Health Information Exchange, and the Centers for Disease Control and Prevention (CDC).
Public Health Operations
Mass Immunization Web System
Tracking immunization delivery was an important component of the public health response to the novel H1N1 pandemic of 2009. The rapid large scale distribution of vaccine to local health departments and the need for urgent delivery of vaccine to the population through mass immunization campaigns eclipsed opportunities to develop electronic methods for tracking vaccinations. MRAIA collaborated with the Chicago Department of Public Health (CDPH) to develop a web-based system for collecting immunization data from mobile clinics and ad hoc immunization sites during future crises. To improve efficiency and accuracy of data entry, CDPH immunization managers pre-populate certain fields, such as vaccine information statement dates, type of vaccine, and vaccine lot numbers. Real-time report functionality enables situation awareness and deployment of resources from a central location; managers monitor the number of vaccines administered and the patient queue.
School Based Immunization Web System
In addition to the mass immunization web system, MRAIA also hosts the web interface and database for a school-based immunization program (Health4Chicago). Health4Chicago is committed to providing health promotion and free at-school immunization for Chicago youth.
MRAIA hosts the XDRO registry. The initial focus of the registry was on Carbapenem-resistant Enterobacteriaceae (CRE), which are extensively drug resistant organisms (XDROs) with few treatment options. CRE are increasingly detected among patients in acute and long term care healthcare facilities. In response to the CRE public health threat, the Illinois Department of Public Health (IDPH) guided development a web-based infection prevention tool called the XDRO registry.
Data Management, Research and Quality Improvement
MRAIA works closely with the Hektoen Research Institute, and the Collaborative Research Unit at the Cook County Health and Hospitals System. These collaborative teams have developed the IT infrastructure for several projects, to include platforms for computer-assisted telephone interviews (CATI), call center functions--to include SMS or email messaging. MRAIA has served as a developer for the open source PopHealth Stage 2 clinical quality measure tool. The development team has worked with the Office of the National Coordinator for Health Information Technology's community transformation grant for which Clinical Care Documents are parsed and quality measures produced.
MRAIA set up data management for a multicenter trial of ventilated ICU patients. The trial was to test awakening and breathing trials for ventilated patients and included over 10 hospitals at five geographically separate sites.
Health Information Exchange
MRAIA has partnered with the Illinois Office of Health Information Technology and the Illinois Health Information Exchange to facilitate interoperable connections between providers and hospitals. The Public Health Node functions as a service of connectivity through the Illinois Health Information Exchange.