The Affordable Care Act: MCV/PCV & Pertussis

描述（由申请人提供）：这笔拨款将补充田纳西州卫生部新发感染项目（EIP）的流行病学和实验室能力，以帮助满足几个关键的公共卫生需求。我们要求新的公共卫生管理员2作为所有EIP活动的高级行政经理。这个人将负责监督所有EIP项目和研究之间的拨款管理、财政报告、人事和行政协调。我们将聘请一名新的流行病学家，负责协调EIP项目和站点之间的数据管理活动，并就互操作性问题与CDC进行协调。他们将负责确保EIP在国家电子卫生倡议的背景下得到适当的代表和整合，以改善电子实验室报告和医院传染病报告。要求提供资金，以支持为全州监测人员和卫生部门流行病学家举办的关于eip相关主题的季度网络研讨会。我们将为田纳西州所有医院的感染预防工作人员提供使用国家健康保险网络的培训。除了这些核心能力建设工作外，田纳西州将继续积极参与EIP流感项目，并启动一项监测透析患者血液感染的新项目（DA-BSI）。在流感活动方面，将增加两名监测官员（一名全职，一名兼职），扩大外联范围，特别注重从集水区医院获取样本，用于进行rRT-PCR诊断。DA-BSI研究的总体目标是制定可持续的监测方法，并描述DA-BSI的流行病学。标准化报告和DA-BSI流行病学知识将有助于制定和评估预防这些疾病的干预措施。我们将聘请一名护士积极参与疾病预防控制中心的方案制定，并前往参与验证研究的透析中心进行现场图表审查。

DESCRIPTION (provided by applicant): This grant will supplement epidemiology and laboratory capacity within the Tennessee Department of Health Emerging Infections Program (EIP) to help meet several critical public health needs. We are requesting a new Public Health Administrator 2 to function as a senior administrative manager for all EIP activities. This person will have responsibility for oversight of grant management, fiscal reporting, personnel and administrative coordination among all EIP programs and studies. We will hire a new epidemiologist who will have responsibility for coordination of data management activities across EIP programs and sites, as well as coordination with CDC regarding interoperability issues. They will be responsible for ensuring that EIP is appropriately represented and integrated in state-level efforts to improve electronic laboratory reporting and hospital communicable disease reporting in the context of national eHealth initiatives. Funding is requested to support quarterly webinars for surveillance staff and health department epidemiologists statewide on EIP-related topics. We will offer training on the use of NHSN to infection prevention staff at all Tennessee hospitals. In addition to these core capacity-building efforts, Tennessee will continue to actively participate in EIP Influenza projects, and launch a new program for surveillance of bloodstream infections in dialysis patients (DA-BSI). For influenza activities, two additional surveillance officers (one full-time, one part-time) will expand outreach with specific attention to obtaining specimens from catchment hospitals for rRT-PCR diagnosis. The overall objective of the DA-BSI study is to develop sustainable methodology for surveillance and to describe the epidemiology of DA-BSI. Standardized reporting and knowledge of DA-BSI epidemiology will allow for the development and evaluation of interventions to prevent them. We will hire a nurse who will actively participate in protocol development with CDC, and travel to dialysis centers participating in the validation study for on- site chart reviews.