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pdfDistributing Countermeasures and Reporting their Utilizations through an Integrated Informatics Approach: Countermeasure Tracking Systems
Barb Nichols, BS1; Michele D. Renshaw, BS1; Sanjeeb Sapkota, MBBS, MPH1; Stephanie Dulin, BS, MBA1; Guy Faler, MBA, PMP2; Benjamin Erickson, BS1; Sarah Waite, MBA, PMP3; Leslie Lee, BS3; Ulrica Andujar, MPH, CHES1; and Jeanne Tropper, MS, MPH1
Centers for Disease Control and Prevention (CDC); 2Northrop Grumman Information Technology, contracted to CDC and 3SRA International, Inc., contracted to CDC
1
Background
The Pandemic and All-Hazards Preparedness Act (PAHPA) encourages the rapid distribution of
countermeasures and the reporting of their utilization for an efficient containment of
any hazard.
Recent events have shown that information systems are critical in emergency response management.
Public health must be ready at all times to respond to hazardous events, including the capability to
manage information, communicate it and maintain visibility across all levels of public health.
Purpose
The purpose of this poster is to highlight each of the Countermeasure Tracking Systems’ (CTS) components
and their capability to interoperate in order to enhance public health’s response during an emergency. The
four components of the CTS program are:
Inventory Management and Tracking System (IMATS)
Countermeasure Inventory Tracking (CIT) Dashboard
Countermeasure and Response Administration (CRA)
Communications Portal
Overview
Inventory Management and Tracking System
The vision for the CTS IMATS is to increase the capacity of the public health system to track and manage
inventory of medical and non-medical countermeasures during daily operations or an emergency response
event. The IMATS solution will be capable of:
–– Maintaining visibility of inventory, i.e. what is available and on-hand at all levels (state, regional, local
and/or point of delivery),
–– Identifying point of delivery facilities where product is shipped (i.e. hospitals, county health
departments etc.),
–– Determining how much of the product is used/dispensed at the point of delivery location.
CDC collaborated with state and local partners to gather business and technical requirements for the
development of IMATS, which was released in September 2011. Together, the work group identified and
developed system features mapping to nine business processes (Figure 1).
This system will provide public health providers with a tool to track medical countermeasure inventory
during an event down to the local level, report data to CDC, and facilitate warehouse operations including
receiving, staging, and storing of inventory (Figure 2).
IMATS will have data exchange functionality to allow public health providers with existing inventory systems
to continue to use their own systems to electronically report data to CDC.
State and local jurisdictions are offered the opportunity to evaluate IMATS prior to making a decision to
adopt the system for their organization.
As of early February 2012, a total of 99 jurisdictions (24 states, 74 localities, 1 island territory) have expressed
interest in evaluating the system. Of these, 79 jurisdictions have completed or are currently completing
an evaluation of IMATS. A total of 21 jurisdictions (9 states, 12 localities) have adopted IMATS for their
organization as their primary or backup system, one of which is a statewide implementation of IMATS.
Figure 1. IMATS Business Process and Features
Figure 2. Inventory Management and
Tracking System
Countermeasure and Response Administration
Inventory
Management and
Tracking System
Countermeasure
and Response
Administration
CTS
Interoperability
Countermeasure
Inventory Tracking
Dashboard
Communications
Portal
CTS Interoperability
CRA is an emergency preparedness and response asset useful for any event involving tracking of vaccine
administration, dispensing of pharmaceuticals and medical materiel, or implementation of social distancing
measures (Figure 5).
CRA has its genesis in the Pre-Event Vaccination System (PVS) for the national smallpox vaccination campaign.
The system supports both detail and aggregate counts of countermeasures during an event, and has evolved
over time to support an all-hazards response.
CDC has collaborated with the 62 project areas* in preparedness and response activities to ensure CRA is
adaptable to support various scenarios and events.
CRA is a flexible all-hazards system that:
–– Reduces the need for development of new applications each time there is a new event.
–– Supports the analysis of safety, coverage, and effectiveness during an event which improves patient
outcomes.
–– Allows for data exchange with existing state registry systems.
CRA has been utilized for:
–– Tracking vaccine and antivirals administered during H1N1 and pandemic influenza exercises.
–– Community mitigation measures during a pandemic influenza exercise.
–– Tracking antibiotic dispensing during an anthrax exercise.
The CRA application is designed to provide project areas the flexibility to transmit individual and aggregate
data to CDC via one of three reporting options (Figure 6).
During an all-hazards response, CTS will consolidate data from the commercial drug sector, state and local
inventory, the point of delivery level, and individual dispensing to create a more complete inventory supply
picture that provides situational awareness and extends the visibility of the inventory.
The CTS program supports an integrated systems approach, comprised of closely related informatics
components to enhance public health capabilities during an emergency response.
All four system components have a similar “look and feel” and use the same security mechanism that allows a
seamless transition between systems, enhancing ease of use and support of just-in-time training.
The 2009 H1N1 pandemic influenza event tested capabilities of existing CTS applications and prompted
the need for additional components to further enhance public health efforts.
Data exchange capabilities within CRA and IMATS will allow existing registries and inventory management
systems to easily transmit data to CDC.
Figure 5. CRA System
Figure 6. Data Reporting Options via CRA
H1N1 Event and Outcomes:
–– In addition to the tracking of vaccine doses administered, the CRA system also tracked aggregate data
of antiviral and personal protective equipment (PPE) inventory on hand and at the state, regional, and
local levels.
–– The Division of Strategic National Stockpile (DSNS) was asked to provide information to multiple
agencies regarding countermeasure inventories at state and local levels. The lack of a means to collect
this information highlighted DSNS’ need for an increased visibility down to the delivery level. DSNS
partnered with CTS to build an inventory management and tracking system to assist public health
providers during a response.
–– Development of a Communications Portal was initiated to provide a central place for disseminating
critical information regarding inventory management to DSNS partners and receiving their feedback
in a timely manner during a public health emergency.
Communications Portal
Countermeasure Inventory Tracking Dashboard
Also referred to as the Countermeasure Supply Chain Dashboard, this tool is used by DSNS to construct a
nationwide inventory supply picture (Figure 3).
The primary purpose of the CIT Dashboard is to assist federal and state officials with decision-making for the
release of stockpiled assets.
–– Provides graphic visualization of the overall supply chain, including data on production, current supplies,
and ability for manufacturers and distributors to meet current demand.
–– Provides key information on countermeasure availability to meet demands in the near future (available
supply) and in the long term (production).
–– The CIT application was enhanced to provide federal leaders with a “dashboard” report of critical H1N1
supplies available within the commercial drug sector to assist in decision making.
Figure 3. Inventory Tracking Dashboard
The Communications Portal is a content management system which consolidates important up-to-date event
response information in one place ensuring timely and efficient communication during an emergency event
(Figure 4).
Acknowledgements
The portal will include the following key features for public health providers:
–– Horizontal and vertical content sharing across and within organizations
–– Publishing of announcements & alerts
• Emergency Use Authorization (EUA) and Investigational
New Drug (IND) information
• Lot recalls
Document management
Management of users within organizations
Figure 4. Communications Portal
CDC internal partners
––
Division of Informatics Solutions and Operations (DISO)
––
Division of Strategic National Stockpile (DSNS)
––
Immunization Services Division (ISD)
CDC external partners
––
62 Public Health Emergency Preparedness (PHEP) grantees
––
Regional, state, and local public health providers
Contractors from Northrop Grumman and SRA International, Inc.
Resources
CTS: http://www.cdc.gov/phin/tools/cts/
Email [email protected]
Definitions
*Project areas: CDC’s 62 Public Health Emergency Preparedness grantees, which includes 50 states, District of Columbia,
three major metropolitan cities, three US territories and five US freely associated states.
The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Office of Surveillance, Epidemiology, and Laboratory Services
Public Health Informatics and Technology Program Office
CS228722
| File Type | application/pdf |
| File Modified | 2012-02-09 |
| File Created | 2012-02-09 |