Project Summary

In response to the 2009 influenza pandemic, the Indian Health Service leveraged its existing electronic health record to rapidly develop, validate, and implement a national electronic surveillance system to provide timely information on influenza-like illness, influenza vaccination rates, and potential adverse events following vaccination.

Project Team

Team Members
John Redd, IHS
Jim Check, IHS
Terry Cullen, IHS
Larry Layne, IHS
Amy Groom, CDC
Jim Hayslett, IHS
James Keck, CDC


Project Details

Expanding the use of health information technology, specifically the electronic health record (EHR), is a pillar of the Affordable Care Act. EHR systems can help detect and monitor public health emergencies and focus responses by integrating patient care and public health.

In response to the 2009 influenza pandemic, the Indian Health Service (IHS) used its existing EHR, through collaboration with theCenters for Disease Control and Prevention (CDC) and the Food and Drug Administration(FDA), to rapidly develop, validate, and implement a national electronic surveillance system covering over 60% of its facilities serving the historically vulnerable American Indian and Alaska Native population.

This new surveillance system, the IHS Influenza Awareness System (IIAS), provided timely information on influenza-like illness, influenza vaccination rates, and potential adverse events following vaccination. Its results allowed for strategic allocation of limited resources during the pandemic. Because it used existing, routinely collected EHR data, the system accomplished these outcomes at minimal cost.

IIAS reports are posted weekly at www.ihs.gov/flu. IHS is currently expanding this scalable system to include other health conditions. The IIAS highlights how EHR systems can improve public health responses by providing timely health information to both clinicians in the field and agency decision makers.


Additional Information


Background

HHS Innovates is one of the ways we are building an innovative culture at the Department of Health and Human Services. HHS Innovates is a contest that recognizes and rewards action taken on good ideas. To date, HHS employees have submitted nominations of innovations for nearly 500 exciting new staff-driven innovative projects, and our employees have cast over 60,000 votes to select 42 finalists over seven rounds. This project is one of the finalists of HHS Innovates. Learn more about HHS Innovates.