NLRAD ELR SAHO CX Survey - SLT (Revised)

OMB Approved 0579-0377, expires 02/2022

NLRAD Electronic Lab Reporting Project

Questions for State Animal Health Officials

Surveillance Design and Analysis

2150 Centre Ave Bldg B

Fort Collins, CO 80526

USDA APHIS Veterinary Services (VS) is starting a new project to have Laboratories report test findings electronically to satisfy the U.S. National List of Reportable Animal Diseases (NLRAD) system standards. We would like to gather your input about what you would like from this system. To help better this new system please complete this survey by …

The NLRAD Standards will require information to be collected for two categories: Notifiable Diseases and Conditions and Monitored Diseases (Figure 1). Within the Notifiable Diseases and Conditions category, three sub-categories of diseases have been identified: emergency incidents (such as foreign animal disease investigations, e.g., Rift Valley fever, Virulent Newcastle disease, African swine fever), emerging disease incidents (e.g., SARS-CoV-2/Cov-19 Virus), and regulated disease incidents (e.g., Spring viremia of carp, equine infectious anemia, Pullorum disease). Monitored diseases generally are those that are endemic (present) in the United States (e.g., Bovine viral diarrhea, Tularemia, Enzootic abortion of ewes).

Figure 1. NLRAD disease list structure.

NLRAD - NOTIFIABLE DISEASES

This first section of questions will discuss notifiable diseases. These include emergency incidents, emerging disease incidents, and regulated disease incidents. When answering the questions below please think about your current practices with any laboratories reporting information on notifiable diseases. We understand that each laboratory may have different practices and these practices may be dependent on the disease being reported. Therefore, answer the questions below for any practices done by any laboratories that reports results on any notifiable diseases.

1. How do you receive results from any laboratory for NOTIFIABLE diseases? Please check all that apply.

Lab electronically messages results directly to a state database or system as an HL7 message

Lab electronically reports results directly to a state database or system as a spreadsheet

Lab manually enters results to a state system and the SAHO downloads or views the report, such as a spreadsheet

Lab calls SAHO’s office with preliminary results

Lab emails preliminary report to SAHO’s office, such as an attached pdf or spreadsheet

Lab calls SAHO’s office with final results

Lab sends final report to SAHO’s office by regular mail

Lab emails final report to SAHO’s office, such as an attached pdf or spreadsheet

Other, Please Specify

2. In your office, who receives any laboratory results for NOTIFIABLE diseases? Please check all that apply.

Tribal Veterinarian

Assistant Tribal Veterinarian

Field epidemiologists

Office staff

Other, Please Specify

3. Are there any differences in any laboratory reporting for the three categories of notifiable diseases, emergency incidents (such as foreign animal disease investigations), emerging disease incidents, and regulated disease incidents?

Yes

No

4. If you answered YES to #3 and you believe there are differences in reporting across labs or across notifiable diseases, please explain in more detail below:

NLRAD - MONITORED DISEASES

This section of questions will focus on monitored diseases. Monitored diseases are generally those that are present in the U.S. and are reported to OIE in 6-month and annual reports. APHIS uses the data it gathers to monitor disease trends. For NLRAD monitored diseases, state veterinarians are required to report disease occurrence (e.g. presence/absence) monthly; however additional information may be requested or provided voluntarily to monitor disease trends and enhance response and control efforts. When answering the questions below please think about your current practices with any laboratories reporting information on monitored diseases. We understand that each laboratory may have different practices and these practices may be dependent on the disease being reported. Therefore, answer the questions below for any practices done by any laboratories that reports results on any monitored diseases.

5. How do you receive results from any laboratory for MONITORED diseases? Please check all that apply.

Lab electronically messages results directly to a tribal database or system as an HL7 message

Lab electronically reports results directly to a tribal database or system as a spreadsheet

Lab manually enters results to a tribal system and the SAHO downloads or views the report, such as a spreadsheet

Lab calls SAHO’s office with preliminary results

Lab emails preliminary report to SAHO’s office, such as an attached pdf or spreadsheet

Lab calls SAHO’s office with final results

Lab sends final report to SAHO’s office by regular mail

Lab emails final report to SAHO’s office, such as an attached pdf or spreadsheet

Other, Please Specify

6. In your office, who receives any laboratory results for MONITORED diseases? Please check all that apply.

Tribal Veterinarian

Assistant Tribal Veterinarian

Field epidemiologists

Office staff

Other, Please Specify

Current Reporting

Please provide responses regarding your current reporting system for both notifiable and monitored diseases.

7. What system(s) do you use now to summarize information about notifiable and monitored diseases that you report to USDA? Please check all that apply.

Tribal-owned instance of CoreOne

Surveillance Collaboration Services (SCS)

USAHERDS

Other, Please Specify

8. Do you have any challenges in the way lab information is received and transferred into the NAHRS/NLRAD reporting system?

Yes

No

9. If you answered YES to #8 and you believe there are challenges in the way lab information is received and transferred into the NAHRS/NLRAD reporting system, please explain in more detail below:

Future Reporting

The goal of this project is to improve NLRAD reporting to both tribal veterinary offices and to APHIS. For the next set of questions, please provide responses regarding how you would like to report information in the future.

10. In the future, what information do you need from the labs, that you cannot get from other sources, to support decision making on NOTIFIABLE diseases? Please check all that apply.

	Data Field			Data Field
	Animal ID			Sample ID assigned by sample collector
	Animal species			Sample type (example: nasal swab, lung, etc.)
	Animal Location: Premises ID			Date Sample was collected
	Animal Location: State			Lab accession number
	Animal Location: Zip Code			Sample ID assigned by laboratory
	Animal Location: Address			Diagnostic Test: Type
	Animal age			Diagnostic Test: Date performed
	Clinical signs			Diagnostic Test: Result
	Case/herd history			Diagnostic Test: Interpretation
	Herd type			Other, please specify
	Vaccination history
	Owner: Name
	Owner: Address
	Reason for sample submission

11. In the future, what information do you need from the labs, that you cannot get from other sources, to support decision making on MONITORED diseases? Please check all that apply.

	Data Field			Data Field
	Animal ID			Sample ID assigned by sample collector
	Animal species			Sample type (example: nasal swab, lung, etc.)
	Animal Location: Premises ID			Date Sample was collected
	Animal Location: State			Lab accession number
	Animal Location: Zip Code			Sample ID assigned by laboratory
	Animal Location: Address			Diagnostic Test: Type
	Animal age			Diagnostic Test: Date performed
	Clinical signs			Diagnostic Test: Result
	Case/herd history			Diagnostic Test: Interpretation
	Herd type			Monthly number of diagnostic tests conducted
	Vaccination history			Monthly number of confirmed cases
	Owner: Name			Monthly number of susceptible animals
	Owner: Address			Other, please specify
	Reason for sample submission

12. For the options listed below, please rank the top 3 ways you would like to see future reporting of NLRAD information to APHIS with the selection placed in the top position being your highest priority

___	No change to the current process: have lab send results directly to your office, your office reports NLRAD results to APHIS via current reporting process
___	Lab electronically messages results to APHIS which would be routed to your tribe’s system and your office reports via NAHRS
___	Lab electronically messages results to APHIS, but results would only be available to APHIS after your office has reviewed and approved for release
___	Lab electronically messages results to APHIS, with results accessible to your office and to APHIS simultaneously

13. Is there any other option you would prefer for reporting of NLRAD information to APHIS that is not listed above?

14. In the future, how would you like to be notified that results are available for review? Please check all that apply.

Email

Text

Other, Please Specify

15. Is there anything else that would help you with report NLRAD information to APHIS?

Yes

No

16. If you answered YES to #15, and have suggestions on how to improve the reporting of NLRAD information to APHIS, please provide your suggestions below:

If you would like to contact us with any additional questions or input, below are contact names and information
Leah Estberg, DVM, MPVM, PhD VMO Veterinary Informaticist Center for Informatics (CFI) Strategy and Policy USDA APHIS Veterinary Services Mobile: 970-631-6517 Email: [email protected]	Jane A. Rooney, D.V.M. Veterinary Medical Officer (Epidemiology) NLRAD Coordinator Center for Epidemiology and Animal Health Strategy and Policy USDA APHIS Veterinary Services Ph: 970-494-7397 Mobile: 301-789-3064 Email: [email protected]

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