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* add initial content * link to new page * change placeholder name * modify urls, update dibbs pipeline content * shared ui components * use layout components for ecr viewer case study * use arrow functions * use arrow functions for pages
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import Link from 'next/link'; | ||
import { Link as ExternalLink } from '@trussworks/react-uswds'; | ||
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interface ContainerProps { | ||
children: React.ReactNode; | ||
} | ||
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const PageContainer = ({ children }: ContainerProps) => { | ||
return ( | ||
<div className="main ml-auto mr-auto flex items-center justify-center pb-20 lg:pl-[7.5rem] lg:pr-[7.5rem]"> | ||
{children} | ||
</div> | ||
); | ||
}; | ||
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const ContentContainer = ({ children }: ContainerProps) => { | ||
return ( | ||
<div className="content grid max-w-[53rem] grid-cols-1 gap-[3.75rem] pl-[3.75rem] pr-[3.75rem] pt-10"> | ||
{children} | ||
</div> | ||
); | ||
}; | ||
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const SectionContentContainer = ({ children }: ContainerProps) => { | ||
return <div className="flex flex-col gap-3">{children}</div>; | ||
}; | ||
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const ReturnToCaseStudiesLink = () => { | ||
return ( | ||
<Link | ||
className="font-['Public Sans'] text-base font-normal leading-relaxed text-[#3a7d95] underline" | ||
href="/case-studies" | ||
> | ||
Return to all case studies | ||
</Link> | ||
); | ||
}; | ||
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const Text = ({ children }: ContainerProps) => { | ||
return <p className="m-0 flex flex-col gap-6 p-0">{children}</p>; | ||
}; | ||
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const UnorderedList = ({ children }: ContainerProps) => { | ||
return ( | ||
<ul className="list__full-width flex flex-col gap-2 font-semibold"> | ||
{children} | ||
</ul> | ||
); | ||
}; | ||
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const ReadMore = ({ href, linkText }: { href: string; linkText: string }) => { | ||
return ( | ||
<> | ||
<h2>Read more about our work</h2> | ||
<ExternalLink | ||
className="font-['Public Sans'] text-base font-bold leading-snug text-[#3a7d95] underline" | ||
href={href} | ||
target="_blank" | ||
rel="noreferrer noopener" | ||
> | ||
{linkText} | ||
</ExternalLink> | ||
</> | ||
); | ||
}; | ||
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export { | ||
ContentContainer, | ||
PageContainer, | ||
SectionContentContainer, | ||
ReturnToCaseStudiesLink, | ||
Text, | ||
UnorderedList, | ||
ReadMore, | ||
}; |
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import { | ||
ContentContainer, | ||
PageContainer, | ||
ReturnToCaseStudiesLink, | ||
SectionContentContainer, | ||
Text, | ||
UnorderedList, | ||
} from '../_ui'; | ||
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const EcrViewer = () => { | ||
return ( | ||
<PageContainer> | ||
<ContentContainer> | ||
<section id="heading"> | ||
<ReturnToCaseStudiesLink /> | ||
<h1> | ||
Surfacing actionable insights from electronic case reporting data | ||
</h1> | ||
</section> | ||
<section id="challenge"> | ||
<SectionContentContainer> | ||
<h2>The challenge</h2> | ||
<Text> | ||
<span> | ||
Electronic case reporting (eCR) is intended to make disease | ||
reporting faster and easier by automating the process of | ||
exchanging case report information between electronic health | ||
records (EHRs) and public health departments. However, public | ||
health departments often face challenges making use of | ||
electronic case reporting (eCR) data in case ascertainment and | ||
case investigation. | ||
</span> | ||
<span> | ||
When an eCR file arrives at a public health department, it | ||
contains more than just information on the reportable condition | ||
— it also includes data from a patient's entire health record, | ||
such as demographics, diagnoses, comorbidities, occupation, | ||
immunizations, medications, and more. The volume of information | ||
contained within an eCR makes it difficult for public health | ||
staff to figure out why the eCR was sent to them and where it | ||
should go next. To add to this challenge, each eCR file contains | ||
pages and pages of data that don't appear in a consistent order | ||
or with consistent formatting. | ||
</span> | ||
<span> | ||
As a result, it can take significant time and effort for public | ||
health staff to review incoming eCRs. Many public health | ||
departments still choose to manually contact healthcare | ||
providers for clinical information, which remains a | ||
time-consuming and onerous process for both healthcare providers | ||
and public health departments. To fulfill the promise of eCR, | ||
public health staff need to be able to quickly find key | ||
information from incoming eCR data so they can take timely | ||
public health action. | ||
</span> | ||
</Text> | ||
</SectionContentContainer> | ||
</section> | ||
<section id="solution"> | ||
<SectionContentContainer> | ||
<h2>The solution</h2> | ||
<div className="flex flex-col gap-6"> | ||
<Text> | ||
To make eCR data more usable for public health staff, the DIBBs | ||
team has developed the eCR Viewer, an intuitive interface that | ||
surfaces a summary of condition-specific information in a more | ||
readable format at the top of the eCR file. Using the eCR | ||
Viewer, public health staff can easily find data relevant to the | ||
reportable condition. The eCR Viewer also orders and organizes | ||
data consistently regardless of which electronic medical record | ||
system generated the eCR. Because the eCR Viewer makes it easier | ||
for public health staff to find clinical information for case | ||
investigation, eCR becomes a more useful data source, thereby | ||
reducing the need to manually contact healthcare providers. | ||
</Text> | ||
<Text> | ||
To date, the DIBBs team has undertaken the following work | ||
related to the eCR Viewer: | ||
</Text> | ||
<UnorderedList> | ||
<li> | ||
Conducted generative research with staff at public health | ||
departments to understand how eCR fits into case ascertainment | ||
and case investigation workflows | ||
</li> | ||
<li> | ||
Developed concept designs of the eCR Viewer and gathered | ||
feedback from users to develop a lightweight MVP | ||
</li> | ||
<li> | ||
Built out the product vision and measurement plan to ensure | ||
the eCR Viewer will meet the intended impact for time savings | ||
</li> | ||
<li> | ||
Partnered with the General Dynamics Information Technology | ||
(GDIT) team to integrate the eCR Viewer into the CDC's | ||
National Electronic Disease Surveillance System (NEDSS) Base | ||
System (NBS) with pilot jurisdictions | ||
</li> | ||
<li> | ||
Identified pilot jurisdictions to test and validate the eCR | ||
Viewer in their public health data workflows; NBS pilot | ||
partners include the states of Maine and Tennessee | ||
</li> | ||
<li> | ||
Established a pilot partnership with the city of Philadelphia | ||
to evaluate using the eCR Viewer outside of a surveillance | ||
system as a web-based tool hosted by CDC | ||
</li> | ||
</UnorderedList> | ||
<Text> | ||
We are currently commencing pilots with jurisdictions to test | ||
the eCR Viewer in a production data environment and further | ||
validate the tool's downstream public health impact. Our aim is | ||
to scale the eCR Viewer with a wide range of jurisdictions to | ||
turn eCR into the go-to data source for case ascertainment and | ||
investigation. | ||
</Text> | ||
</div> | ||
</SectionContentContainer> | ||
</section> | ||
<section id="results"> | ||
<SectionContentContainer> | ||
<h2>The results</h2> | ||
<UnorderedList> | ||
<li> | ||
Completed design and development of an eCR Viewer MVP and | ||
validated its potential time savings with public health staff | ||
</li> | ||
<li> | ||
Based on user testing with an MVP, the eCR Viewer allows staff | ||
to process an eCR file for case ascertainment in five clicks | ||
rather than twenty-five clicks | ||
</li> | ||
<li> | ||
Based on user journey mapping in Maine, the eCR Viewer enables | ||
staff to process all eCR files in a queue (over 5,000) in just | ||
one week rather than 4.5 months | ||
</li> | ||
</UnorderedList> | ||
</SectionContentContainer> | ||
</section> | ||
</ContentContainer> | ||
</PageContainer> | ||
); | ||
}; | ||
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export default EcrViewer; |
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