Integrating Infection Prevention into the MAVEN Disease Surveillance System. IP MAVEN Training v2 March 2019

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1 Integrating Infection Prevention into the MAVEN Disease Surveillance System IP MAVEN Training v2 March 2019

2 Background The Massachusetts Virtual Epidemiologic Network (MAVEN) is a webbased surveillance and case management system that enables state and local health departments to appropriately share public health, clinical, and case management data efficiently and securely. Infection Preventionists communicate with DPH-Epi-of-the-day (EOD) regarding reportable disease cases of importance that need additional information and follow-up by Infection Preventionists. The functionality allowing IPs to access identified cases was integrated into MAVEN in April 2017 Created notification for disease events Created three workflows for notification and follow-up for cases assigned to you/facility 2

3 Learning Objectives Overview of Epi-of-the-Day duties and how cases/events are triaged How to logon to MAVEN via Virtual Gateway Understand basic MAVEN functionality (question packages, searching, labs, notes, workflows, attachments, wizards) Enter relevant clinical information into MAVEN 3 Add notes of clinical relevance

4 Epi of the Day Epi-of-the-Day is a group of Epidemiologists that you are partnered with on cases of importance you can see who is assigned in the Administrative Question Package 4

5 Logon to MAVEN MAVEN is accessible by logging into the Virtual Gateway(VG) at Use the username and password provided by the virtual gateway(sent by ) to login and access the MAVEN system 5

6 MAVEN Roles/Groups Role-based access Can see events/cases assigned to your facility or shared by local boards of health notification of cases of relevance to Infection Preventionists IPs have the ability to create events when needed (N. meningitidis) as an example. When you create events an notification of that immediate disease event is sent via MAVEN to MDPH and LBOH 6

7 Using MAVEN: Splash screen Once you have logged into MAVEN, you will initially be brought to the splash screen which will highlight notifications, recent events, and assigned tasks. 7

8 MAVEN Splash Screen 8

9 MAVEN Toolbar Create: create a case when needed Search window : Search for event from your facilitywith other search parameters Print: Print Templates Workflows: events that are pending your action Tasks: Open for all pending assignments

10 MAVEN Toolbar contd.. Share Cases: share cases with your facility when needed Push Pin: A list of your most recent events. This will be the easiest way to find your facility s events after your have opened it once Home: brings you back to main dashboard Help Section: pertinent documents Search Bar: Enter the MAVEN ID associated with your facility 10

11 Using MAVEN: Search Window You can quickly search/view a MAVEN event/case by searching on the Event ID by using the Search bar Enter the MAVEN Event ID and click the blue search button 11

12 Using MAVEN: Push Pin After doing this once, you can then use your push pin to view/access your last 30 events. 12

13 MAVEN Workflows Immediate Notification workflow for new events/cases assigned to your facility. Pending- Follow-up workflow to manage pending events/cases that you are still working on. Shared Cases workflow when DPH/Local Boards of Health need to ask for information for relevant cases. 13

14 MAVEN Case Report Form 14

15 MAVEN Question Packages Captures all data elements required for surveillance and case management. Mirrors the case report form for all events. 15

16 MAVEN Wizard Captures relevant clinical and risk information within the question packages that is needed by EOD and LBOH. Quicker data entry of information using the wizard. Specific wizards created for each event/case assigned to your facility. 16

17 MAVEN Wizard 17

18 MAVEN Labs 18

19 MAVEN Notes Notes are where you can enter general information regarding events/cases. See notes from Epidemiologist/Local Board of Health. Enter information into the wizard/question packages for event/case. 19

20 Grp A Strep Event 20

21 Read Only Access 21

22 22

23 Diseases you may see in MAVEN Acute flaccid myelitis (AFM) Avian Influenza Anthrax Cyclosporiasis Group A Streptococcus Hantavirus Hepatitis A Hemolytic Uremic Syndrome Listeriosis Measles Multi Drug Resistant Organism (MDRO) Mumps Meningococcal Disease (Neisseria meningitidis) Rubella Typhoid Fever (Salmonella typhi) Novel Coronavirus (SARS) Shiga toxi-producing Escherichia coli (STEC) Tularemia 23

24 High Frequency Diseases in MAVEN Total Events Investigated by Disease Event 2018 Anthrax 1 Diphtheria 1 Group A streptococcus 71 Hepatitis A 57 Hepatitis E 1 Listeriosis 1 Meningitis - Unknown Type 11 Meningococcal Disease 5 Multi-drug Resistant Organisms 42 Mumps 2 Rabies - human 1 West Nile Infection 9 24

25 Use Case and Review 25

26 Scenario: Grp A Strep lab creates an event in MAVEN Positive lab received either via fax or electronically. Event is created and EOD notified they confirm the case and contact LBOH. EOD determines a request for additional information is needed from clinical facility/hospital. EOD assigns the event to the facility and sends out an to the group. 26

27 IP Group receives or text message for events of clinical relevance 27

28 Screen shot for search (event ID) and of workflows (immediate notification) 28

29 29

30 MAVEN Attachments Attachments allow for medical notes or other types of documents you want to share via MAVEN. 30

31 MAVEN Attachments contd.. Browse to your document. Type in Description and click Save. 31

32 Cases waiting for you View workflows to find older cases. Answer IP Acknowledged as Yes (name and phone) Answer IP follow-up complete as Yes 32

33 Communication Event Communication Events contain LBOHs general information as well as contact information for MAVEN users and non-maven personnel. To view LBOH contact information, you ll need to search for the town s Communication Event and open the LBOH Database Question Package You can save these under your pushpin for future use if you like by click on the star 33

34 Communication Event Click on the Search icon 34

35 Communication Event A MAVEN event appears with a LBOH Database Question Package 35

36 Communication Event 36

37 Key Concepts and Tips MAVEN is a web-based surveillance system. Events/Cases are used to track specific kinds of information, including disease, town and facility-specific information. Permission to see events in MAVEN and the information in those events is based on access assigned to your username. You will only see the event ID associated with your facility. 37

38 Key Concepts and Tip (cont.) Always select the X at the top right of the event when you are finished working in your identified event. Never use the browser s back button - instead use the Dashboard buttons to navigate. Access the Help Button for MAVEN tip sheets, guides and links to pertinent information. 38

39 Key Concepts and tips (cont.) Access the Help Button for MAVEN tips and guides. Log out when you are finished working. Permission to see events in MAVEN and the information in those events is based on access assigned to your username. You will only see the event id associated with your facility. Never share your password with anyone or allow anyone to log on to MAVEN using your username. 39

40 Key Concepts and Tips (cont.) If you have staff members that need to use MAVEN, someone from MDPH will be happy to set them up with an account. Account histories are maintained and accessible for all events for security and tracking purposes. The MAVEN case/event ID associated with your facility can be ed which does not violate HIPAA rules. Log out when you are finished working. 40

41 Next Steps Setting up your Virtual Gateway account by DPH staff. will be sent out prior to the training with your MAVEN username/temporary password. In person training by MDPH staff. User account is setup and we access MAVEN. Review any past cases. Let us know if you have questions by contacting our helpdesk,

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