The Affordable Care Act: MCV/PCV & Pertussis

说明(申请人提供)：本合作协议将通过增强现有EIP网络的流行病学和实验室能力来改善监测基础设施，为以下方面提供额外支持：1.人员，特别是负责多项EIP活动的人员；2.与传染病有关的教育和培训；3.改进符合适用联邦标准的信息技术，以及在公共卫生合作伙伴之间交换与多项EIP活动相关的信息的能力；4.加强EIP站点能力，以a)支持评估和验证门诊透析中心透析患者中与医疗保健相关的血流感染的拟议报告指标，以及b)监测和评估2009-2010年甲型流感(N1N1)大流行后流感的负担。建议的活动1、2和3--人员、培训、信息技术活动1、2和3，我们要求为在DPH实验室工作的1名全职教育微生物学家提供资金。该人员将负责与FoodNet活动相关的微生物(沙门氏菌、志贺氏菌、大肠杆菌、弧菌)以及主动细菌核心监测项目(肺炎链球菌、脑膜炎奈瑟氏菌、单核细胞增生性李斯特菌、流感嗜血杆菌)的样本测试。我们正在申请一名0.5 FTE流行病学家的经费，他将在传染病科工作，协助食物和水传播的暴发，以及监测与流感相关的住院和死亡情况。该提案中的资金还将支持对生态工业园工作人员流行病学家的培训，以获得和提高成功开展生态工业园活动所需的技术技能。培训在佐治亚州亚特兰大的埃默里大学举行。它们包括食源性和水源性疾病的控制、流行病学和分析方法。CT EIP是DPH和耶鲁大学公共卫生学院合作的成果。耶鲁大学开展的EIP项目依赖于耶鲁IT员工的计算机支持，他们被指派为整个公共卫生学院社区提供服务，或者在紧急情况下通过电话获得IT技术支持。然而，随着这些项目所需数据的数量和复杂性的增加，为了最好地利用流行病学家的人力资源，并与卫生部和疾控中心共享信息，需要更多的信息技术支持。正在申请资金，以支持一名.5 FTE程序员/分析员，为耶鲁环境保护计划的工作人员提供所需的计算机和数据库专业知识。至少，此人将获得“桌面支持”认证，并具有计算机网络安全背景。拟议活动4a。流感卫生部正在申请资金，以支持一名0.5 FTE流行病学家1，他将研究与流感相关的住院和死亡问题。目前，1.5FTE流行病学家由EIP为这些劳动密集型和时间敏感型活动提供支持。我们还为耶鲁大学EIP的0.5FTE研究助理申请资金，以开展流感负担预测项目的活动。该人员将直接与CDC和其他EIP站点合作，开发适用于所有站点的标准协议。还要求提供额外经费，以提供所需的计算机和数据库支助，以聘请一名.3全员当值工程师/分析员。该项目旨在开发一种估算流感病例、住院和死亡人数的模型。该模型的开发将为决策者在评估预防和控制措施时提供必要的信息。练习4.B。医疗保健相关感染-(非ACA资金)卫生部正在申请资金，以支持EIP合作协议医疗保健相关感染计划末期肾透析血流监测特别试点项目。该项目是由医疗保险和医疗补助服务中心和疾控中心发起的预防透析患者血流感染倡议的一部分。新英格兰网络将担任该项目的集团管理员，招募透析提供者，执行培训和CDC用户支持等行政职能，确保向国家数据系统正确提交准确的数据，并向CMS和CDC报告从项目中吸取的经验教训。这些资金将包括支助一名项目协调员，他将与供应商沟通，并鼓励在保留项目中登记，以及一名行政助理，他将协助项目协调员进行沟通，并协助项目所有方面的工作。

DESCRIPTION (provided by applicant): This cooperative agreement will improve surveillance infrastructure through enhancement of the epidemiology and laboratory capacity of the existing EIP network by providing additional support for: 1. Personnel, especially those who have responsibilities across multiple EIP activities; 2. Education and training related to infectious diseases; 3. Improvements in information technology consistent with applicable federal standards and the capacity to exchange information pertinent to multiple EIP activities among public health partners; 4. Enhancement of EIP site capacity to a) support the evaluation and validation of proposed reporting metrics for healthcare associated bloodstream infections among dialysis patients in outpatient dialysis centers and b) monitor and assess the burden of influenza following the 2009-2010 Influenza A (N1N1) pandemic. Proposed Activities 1, 2, and 3 - Personnel, Training, IT For activities 1, 2, and 3, we are requesting funding for 1 FTE Microbiologist who works at the DPH Laboratory. This person will be responsible for testing of specimens for organisms related to FoodNet activities (Salmonella, Shigella, E. coli, Vibrio) as well as the active bacterial core surveillance project (Streptococcus pneumoniae, N. meningitidis, Listeria monocytogenes, Haemophilus influenzae). We are requesting funding for a .5 FTE Epidemiologist who will work in the Infectious Diseases Section and assist with food and water-borne outbreaks, and surveillance for influenza associated hospitalizations and deaths. Funds in this proposal will also support training of EIP staff epidemiologists to acquire and improve technical skills needed for successfully conducting EIP activities. The trainings are held at Emory University in Atlanta, GA. They include control of foodborne and waterborne diseases, epidemiology and analytical methods. The CT EIP is a collaborative effort between the DPH and Yale University School of Public Health. The EIP projects conducted at Yale have relied on computer support from Yale IT staff who are assigned to provide service to the entire School of Public Health community or from IT technical support by telephone in emergency situations. However, with the increasing amounts and complexity of data needed for these projects, to best use epidemiologist staff resources, and to share information with the DPH and CDC, additional IT support is needed. Funds are being requested to support a .5 FTE Programmer/Analyst to provide needed computer and database expertise to the staff of the Yale EIP. At a minimum, this person will be certified in 'desktop support' and have a background in computer network security. Proposed Activity 4a. Influenza The DPH is requesting funding to support a .5 FTE Epidemiologist 1 who will work on influenza associated hospitalizations and deaths. Currently, 1.5 FTE epidemiologists are supported by the EIP for these labor intensive and time sensitive activities. We are also requesting funds for .5 FTE Research Associate at the Yale EIP to carry out the activities of the Influenza Burden Projection Project. This person will work directly with CDC and other EIP sites in the development of the standard protocol to be used at all sites. Additional funds are also requested for a .3 FTE Programmer/Analyst, who will provide the needed computer and database support. This project aims to develop a model for estimating the number of cases, hospitalizations and deaths due to influenza. Development of the model will provide needed information to policy makers when evaluating prevention and control measures. Activity 4.b. Healthcare Associated Infections - (Non-ACA funds) The DPH is requesting funds to support the EIP cooperative agreement Healthcare Associated Infections Program End Stage Renal Dialysis Blood Stream Surveillance special pilot project. The project is part of an initiative for the prevention of blood stream infections among dialysis patients initiated by the Center for Medicare and Medicaid Services and CDC. The Network of New England will be the Group Administrator for the project, enroll dialysis providers, conduct administrative functions such as training and user support with CDC, assure the correct submission of accurate data into the national data system, and report on the lessons learned from the project to CMS and CDC. The funds will include support for a Project Coordinator who will communicate with providers and encourage enrollment in retention in the project and also an administrative assistant who will assist the project coordinator with communication and assist in all aspects of the project.