{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T03:13:54Z","timestamp":1780456434445,"version":"3.54.1"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T00:00:00Z","timestamp":1614124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Indiana State Department of Health to the Regenstrief Institute","award":["R21HS025502"],"award-info":[{"award-number":["R21HS025502"]}]},{"DOI":"10.13039\/100000133","name":"U.S. Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>We sought to support public health surveillance and response to coronavirus disease 2019 (COVID-19) through rapid development and implementation of novel visualization applications for data amalgamated across sectors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We developed and implemented population-level dashboards that collate information on individuals tested for and infected with COVID-19, in partnership with state and local public health agencies as well as health systems. The dashboards are deployed on top of a statewide health information exchange. One dashboard enables authorized users working in public health agencies to surveil populations in detail, and a public version provides higher-level situational awareness to inform ongoing pandemic response efforts in communities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Both dashboards have proved useful informatics resources. For example, the private dashboard enabled detection of a local community outbreak associated with a meat packing plant. The public dashboard provides recent trend analysis to track disease spread and community-level hospitalizations. Combined, the tools were utilized 133\u00a0637 times by 74\u00a0317 distinct users between June 21 and August 22, 2020. The tools are frequently cited by journalists and featured on social media.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Capitalizing on a statewide health information exchange, in partnership with health system and public health leaders, Regenstrief biomedical informatics experts rapidly developed and deployed informatics tools to support surveillance and response to COVID-19.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The application of public health informatics methods and tools in Indiana holds promise for other states and nations. Yet, development of infrastructure and partnerships will require effort and investment after the current pandemic in preparation for the next public health emergency.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocab004","type":"journal-article","created":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T15:42:22Z","timestamp":1610034142000},"page":"1363-1373","source":"Crossref","is-referenced-by-count":81,"title":["Leveraging data visualization and a statewide health information exchange to support COVID-19 surveillance and response: Application of public health informatics"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1121-0607","authenticated-orcid":false,"given":"Brian E","family":"Dixon","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA"},{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8093-6639","authenticated-orcid":false,"given":"Shaun J","family":"Grannis","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"},{"name":"School of Medicine, Indiana University, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connor","family":"McAndrews","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea A","family":"Broyles","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waldo","family":"Mikels-Carrasco","sequence":"additional","affiliation":[{"name":"Indiana Health Information Exchange, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Wiensch","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L","family":"Williams","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umberto","family":"Tachinardi","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"},{"name":"School of Medicine, Indiana University, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J","family":"Embi","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA"},{"name":"School of Medicine, Indiana University, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,24]]},"reference":[{"key":"2021071421222010200_ocab004-B1","year":"2020"},{"issue":"29","key":"2021071421222010200_ocab004-B2","doi-asserted-by":"crossref","first-page":"960","DOI":"10.15585\/mmwr.mm6929e1","article-title":"Population point prevalence of SARS-CoV-2 infection based on a statewide random sample - Indiana, April 25-29, 2020","volume":"69","author":"Menachemi","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2021071421222010200_ocab004-B3","article-title":"Indiana has passed 100,000 cases of the coronavirus. Here's what that means","author":"Rudavsky","year":"2020","journal-title":"Indianapolis Star"},{"key":"2021071421222010200_ocab004-B4","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/978-3-030-41215-9_24","volume-title":"Public Health Informatics and Information Systems","author":"Yoon","year":"2020"},{"key":"2021071421222010200_ocab004-B5","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/978-3-030-41215-9_15","volume-title":"Public Health Informatics and Information Systems.","author":"Meigs","year":"2020","edition":"3rd ed"},{"key":"2021071421222010200_ocab004-B6","first-page":"373","volume-title":"Health Informatics: Practical Guide","author":"Dixon","year":"2018","edition":"7th ed"},{"key":"2021071421222010200_ocab004-B7","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/978-3-030-41215-9_14","volume-title":"Public Health Informatics and Information Systems.","author":"Magnuson","year":"2020"},{"issue":"23","key":"2021071421222010200_ocab004-B8","doi-asserted-by":"crossref","first-page":"2373","DOI":"10.1001\/jama.2020.7239","article-title":"COVID-19 and the need for a national health information technology infrastructure","volume":"323","author":"Sittig","year":"2020","journal-title":"JAMA"},{"issue":"6","key":"2021071421222010200_ocab004-B9","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/j.amepre.2020.07.024","article-title":"Deficient response to COVID-19 makes the case for evolving the public health system","volume":"59","author":"Dixon","year":"2020","journal-title":"Am J Prev Med"},{"key":"2021071421222010200_ocab004-B10","author":"Cortez"},{"key":"2021071421222010200_ocab004-B11","author":"Stein"},{"key":"2021071421222010200_ocab004-B12","author":"Tahir"},{"key":"2021071421222010200_ocab004-B13","author":"Meyer"},{"key":"2021071421222010200_ocab004-B14","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1111\/1475-6773.12343","article-title":"Statewide hospital discharge data: collection, use, limitations, and improvements","volume":"50","author":"Andrews","year":"2015","journal-title":"Health Serv Res"},{"issue":"6","key":"2021071421222010200_ocab004-B15","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1093\/jamia\/ocaa037","article-title":"Rapid response to COVID-19: health informatics support for outbreak management in an academic health system","volume":"27","author":"Reeves","year":"2020","journal-title":"J Am Med Inform Assoc"},{"key":"2021071421222010200_ocab004-B16","first-page":"85","volume-title":"Public Health Informatics and Information Systems","author":"Dixon","year":"2020","edition":"3rd ed"},{"key":"2021071421222010200_ocab004-B17","first-page":"267","volume-title":".","author":"Overhage","year":"2016"},{"key":"2021071421222010200_ocab004-B18","first-page":"361","article-title":"An integrated surveillance system to examine testing, services, and outcomes for sexually transmitted diseases","volume":"245","author":"Dixon","year":"2017","journal-title":"Stud Health Technol Inform"},{"key":"2021071421222010200_ocab004-B19","first-page":"1440","article-title":"Leveraging health information exchange to construct a registry for traumatic brain injury, spinal cord injury and stroke in Indiana","volume":"2017","author":"Rahurkar","year":"2017","journal-title":"AMIA Annu Symp Proc"},{"issue":"1","key":"2021071421222010200_ocab004-B20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/17538157.2012.678451","article-title":"Linking health information technology to patient safety and quality outcomes: a bibliometric analysis and review","volume":"38","author":"Whipple","year":"2013","journal-title":"Inform Health Soc Care"},{"key":"2021071421222010200_ocab004-B21","article-title":"Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers","author":"Madhavan","year":"2020","journal-title":"J Am Med Inform Assoc"},{"issue":"Pt 1","key":"2021071421222010200_ocab004-B22","first-page":"488","article-title":"Pulling back the covers: technical lessons of a real-world health information exchange","volume":"129","author":"Zafar","year":"2007","journal-title":"Stud Health Technol Inform"},{"issue":"3","key":"2021071421222010200_ocab004-B23","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1177\/0033354920914318","article-title":"Improving notifiable disease case reporting through electronic information exchange-facilitated decision support: a controlled before-and-after trial","volume":"135","author":"Dixon","year":"2020","journal-title":"Public Health Rep"},{"key":"2021071421222010200_ocab004-B24","first-page":"402","author":"Fidahussein","year":"2011"},{"key":"2021071421222010200_ocab004-B25","year":"2020"},{"key":"2021071421222010200_ocab004-B26","year":"2020"},{"issue":"1","key":"2021071421222010200_ocab004-B27","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1067\/mem.2002.120794","article-title":"A randomized, controlled trial of clinical information shared from another institution","volume":"39","author":"Overhage","year":"2002","journal-title":"Ann Emerg Med"},{"issue":"5","key":"2021071421222010200_ocab004-B28","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1377\/hlthaff.24.5.1214","article-title":"The Indiana network for patient care: a working local health information infrastructure. An example of a working infrastructure collaboration that links data from five health systems and hundreds of millions of entries","volume":"24","author":"McDonald","year":"2005","journal-title":"Health Affairs (Millwood)"},{"key":"2021071421222010200_ocab004-B29","year":"2012"},{"issue":"5","key":"2021071421222010200_ocab004-B30","first-page":"50","article-title":"Using electronic health record data to improve community health assessment","volume":"5","author":"Dixon","year":"2016","journal-title":"Front Public Health Serv Sys Res"},{"issue":"Suppl 3","key":"2021071421222010200_ocab004-B31","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/00333549111260S310","article-title":"Incorporating geospatial capacity within clinical data systems to address social determinants of health","volume":"126","author":"Comer","year":"2011","journal-title":"Public Health Rep"},{"key":"2021071421222010200_ocab004-B32","author":"Holcomb","year":"2020"},{"key":"2021071421222010200_ocab004-B33","author":"Mills","year":"2020"},{"key":"2021071421222010200_ocab004-B34","author":"DePompei","year":"2020"},{"key":"2021071421222010200_ocab004-B35","author":"DePompei","year":"2020"},{"key":"2021071421222010200_ocab004-B36","doi-asserted-by":"crossref","DOI":"10.1136\/jech-2018-211654","article-title":"Glossary for public health surveillance in the age of data science","author":"Chiolero","year":"2020","journal-title":"J Epidemiol Commun Health"},{"key":"2021071421222010200_ocab004-B37","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jbi.2014.03.011","article-title":"The long road to semantic interoperability in support of public health: experiences from two states","volume":"49","author":"Dixon","year":"2014","journal-title":"J Biomed Inform"},{"issue":"2","key":"2021071421222010200_ocab004-B38","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1093\/jamia\/ocv084","article-title":"Consolidating CCDs from multiple data sources: a modular approach","volume":"23","author":"Hosseini","year":"2016","journal-title":"J Am Med Inform Assoc"},{"key":"2021071421222010200_ocab004-B39","first-page":"940","article-title":"Integration of FHIR to facilitate electronic case reporting: results from a pilot study","volume":"264","author":"Dixon","year":"2019","journal-title":"Stud Health Technol Inform"},{"key":"2021071421222010200_ocab004-B40","first-page":"1797","article-title":"A service oriented architecture approach to achieve interoperability between immunization information systems in Iran","volume":"2014","author":"Hosseini","year":"2014","journal-title":"AMIA Annu Symp Proc"},{"key":"2021071421222010200_ocab004-B41","author":"Grannis","year":"2010"},{"issue":"1","key":"2021071421222010200_ocab004-B42","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/s12911-017-0491-8","article-title":"Completeness and timeliness of notifiable disease reporting: a comparison of laboratory and provider reports submitted to a large county health department","volume":"17","author":"Dixon","year":"2017","journal-title":"BMC Med Inform Decis Mak"},{"issue":"2","key":"2021071421222010200_ocab004-B43","article-title":"Leveraging health information exchange to support public health situational awareness: the Indiana experience","volume":"2","author":"Grannis","year":"2010","journal-title":"J Public Health Inform"},{"issue":"4","key":"2021071421222010200_ocab004-B44","doi-asserted-by":"crossref","first-page":"621","DOI":"10.2105\/AJPH.2016.303063","article-title":"Public health 3.0: time for an upgrade","volume":"106","author":"DeSalvo","year":"2016","journal-title":"Am J Public Health"},{"issue":"e1","key":"2021071421222010200_ocab004-B45","doi-asserted-by":"crossref","first-page":"e150","DOI":"10.1093\/jamia\/ocw139","article-title":"Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York","volume":"24","author":"Unruh","year":"2017","journal-title":"J Am Med Inform Assoc"},{"issue":"4","key":"2021071421222010200_ocab004-B46","doi-asserted-by":"crossref","first-page":"e125","DOI":"10.1016\/j.amepre.2018.11.009","article-title":"Impact of risk stratification on referrals and uptake of wraparound services that address social determinants: a stepped wedged trial","volume":"56","author":"Vest","year":"2019","journal-title":"Am J Prev Med"},{"issue":"8\u20139","key":"2021071421222010200_ocab004-B47","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1093\/jamia\/ocz113","article-title":"Challenges with quality of race and ethnicity data in observational databases","volume":"26","author":"Polubriaginof","year":"2019","journal-title":"J Am Med Inform Assoc"},{"issue":"3","key":"2021071421222010200_ocab004-B48","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1093\/jamia\/ocv156","article-title":"Assessing race and ethnicity data quality across cancer registries and EMRs in two hospitals","volume":"23","author":"Lee","year":"2016","journal-title":"J Am Med Inform Assoc"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/advance-article-pdf\/doi\/10.1093\/jamia\/ocab004\/35939846\/ocab004.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/28\/7\/1363\/38983283\/ocab004.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/28\/7\/1363\/38983283\/ocab004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T21:24:02Z","timestamp":1626297842000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/28\/7\/1363\/6106131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,24]]},"references-count":48,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,2,24]]},"published-print":{"date-parts":[[2021,7,14]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocab004","relation":{},"ISSN":["1527-974X"],"issn-type":[{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,7,1]]},"published":{"date-parts":[[2021,2,24]]}}}