Value of Electronic Case Reporting
eCR can dramatically improve the effectiveness of case reporting and overarching health surveillance of communities.
Implementing and using interoperable technologies and data
standards with a shared infrastructure can safeguard critical
communication that is executed during times of potential incidents or outbreaks. 1 There are numerous aspects of the value
of eCR to consider.
HIM professionals and other healthcare stakeholders require less training time because there is minimal manual data
entry involved, which can result in far fewer errors. The ability
to identify and select codes that “trigger” automated reporting may derive from Logical Observation Identifiers Names
and Codes (LOINC), Systematized Nomenclature of Medicine
(SNOMED), and International Classification of Diseases (ICD)
for state and local health officials.
Standardization of data elements, vocabularies, and technologies improves compliance with state and local public
health reporting requirements for healthcare organizations
and public health agencies.
In addition, early detection of cases results in earlier in-
tervention as well as a reduction in disease transmission,
which improves clinical efficiencies and patient outcomes
through the development of infrastructure that enables the
bidirectional collection and sharing of information and
provides feedback. 2
Challenges to Adoption and Implementation
eCR implementation challenges affect all stakeholders within
the process for case reporting and has a significant impact on
Challenges that should be addressed include:
Technical barriers include the omission of robust technical
infrastructure, a lack of data, and missing messaging stan-
dards, all of which impede the interoperability of systems nec-
essary for seamless transmission of data.
Organizational barriers include a lack of suitable guidance
and assistance for investment in the organizational infrastructure, which is necessary for public health jurisdictions
and healthcare providers. Legal and privacy issues also serve
as a potential deterrent to the collection of personal, identifiable information for potential cases.
Workforce barriers include the training and awareness
needs of health IT professionals, epidemiologists who will be
using eCR, and healthcare providers and staff who will be implementing and transmitting eCR data. 3
Making the Electronic Case
THE DIGITAL BRIDGE developed a decision flow for successfully managing case reporting through electronic means.
Source: Mac Kenzie, Bill. “Electronic Case Reporting (eCR).” http://www.digitalbridge.us/db/wp-content/uploads/2017/04/eCR-Digital-Bridge-webinar-Part-2_0.pdf.