The eHARS Dashboard A tool for monitoring HIV surveillance activities Michael Eberhart, MPH Philadelphia, PA HIV Surveillance Requires complete and accurate data Multiple sources – – Various report mechanisms Changing procedures/requirements Passive and active surveillance Electronic data – Parsing/cleaning/importing HIV Surveillance Frequent evaluation and review Respond to subtle changes – – Identify gaps Compare with historical trends Not just cases – – – – – Facilities Labs Physicians Completeness Workflow eHARS Data Person dataset – New cases and demographic trends Document dataset – – – – Report sources and methods Laboratory tests Death reports TTH (for incidence surveillance) eHARS Dashboard Data “at a glance” Succinct presentation Actionable data – – – Trends Comparisons Identify new issues Modified from sample code – “Information Dashboard Design” by Stephen Few eHARS Dashboard Produced monthly HTML-based Graphical presentation Drill-down to more detailed information Overview of all activities User-specific information in the background eHARS Dashboard - Components Documents – Entered manually Total docs By user By type Completeness – Missing Surveillance Method – Missing Report Source – Missing Report Medium eHARS Dashboard - Components Documents – – Imported electronically Total docs By user By type eHARS Dashboard - Components New HIV/AIDS Cases – – Past 12 months Compared to previous 12 months eHARS Dashboard - Components Cumulative Data – – – – Total reported AIDS Total reported HIV Total reported perinatal exposures Median time to data entry This period/Last period eHARS Dashboard - Components Top 10 Diagnosing Facilities – – – Past 90 days Drill down to complete list Exclude private Drill-down to list of cases with missing data – Lab import issue eHARS Dashboard - Components Median Initial CD4 – – – Boxplot w/ confidence intervals Cases dx’d in previous 6 months Comparison by gender Race Mode of Exposure Public/private eHARS Dashboard - Components Open Cases by Investigator – – – – Uses local fields Compare staff Monitor workload Drill-down to lists eHARS Dashboard - Components Completed cases by Investigator – – – – Compare staff Compare to unit average Monitor workload Drill-down to summary data eHARS Dashboard - Components Electronic Lab Reporting – – – Past 12 months Compared to previous 12 months Drill-down to lab-specific trends Listing by month and lab Graphs of 2-year trends eHARS Dashboard - Components Reported Labs by Type – – – – CD4 Western Blot Viral Load Other Last complete month compared to monthly average eHARS Dashboard - Components Process indicators – Past 90 days – – – – – – % NIR % Missing Race/ethnicity % No CD4 (Count or percent) % Missing Vital Status % Invalid address Local interest… eHARS Dashboard – SAS Code Intermediate level Working with macro variables Proc SQL SAS/GRAPH – Templates, GREPLAY, Device options ODS – HTML (drill-down and tool tips) eHARS Dashboard Demo Questions? Thank You! Contact Information – michael.eberhart@phila.gov