A Comparison of the Completeness and Timeliness of Automated Electronic Laboratory Reporting and Spontaneous Reporting of Notifiable Conditions
Open accessAbstract
Objectives. We examined whether automated electronic laboratory reporting of notifiable-diseases results in information being delivered to public health departments more completely and quickly than is the case with spontaneous, paper-based reporting. Methods. We used data from a local public health department, hospital infection control departments, and a community-wide health information exchange to identify all potential cases of notifiable conditions that occurred in Marion County, Ind, during the first quarter of 2001. We compared traditional spontaneous reporting to the health department with automated electronic laboratory reporting through the health information exchange. Results. After reports obtained using the 2 methods had been matched, there were 4785 unique reports for 53 different conditions during the study period. Chlamydia was the most common condition, followed by hepatitis B, hepatitis C, and gonorrhea. Automated electronic laboratory reporting identified 4.4 times as many cases as traditional spontaneous, paper-based methods and identified those cases 7.9 days earlier than spontaneous reporting. Conclusions. Automated electronic laboratory reporting improves the completeness and timeliness of disease surveillance, which will enhance public health awareness and reporting efficiency.
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ELR improves the completeness and timeliness of reporting in support of public health surveillance.
“Additional studies from Regenstrief investigators showed that ELR improves the completeness and timeliness of reporting in support of public health surveillance [22, 23].”
From Evolution of clinical Health Information Exchanges to population health resources: a case study of the Indiana network for patient care (2025) · cites this paper as [22]
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Self-citation
- Authors
- Overhage, J. M., Grannis, S., & McDonald, C. J.
- Affiliations
- Regenstrief Institute (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2008-02
- Volume
- 98
- Issue
- 2
- Pages
- 344-350
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2376898
- OpenAlex
- W1977419376
- Cited by
- 179
- References
- 1
- Citations by year
- 2026: 1 · 2025: 4 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 9 · 2019: 7 · 2018: 7 · 2017: 10 · 2016: 9 · 2015: 12 · 2014: 19 · 2013: 17 · 2012: 15
- FWCI
- 12.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- U.S. National Library of Medicine (N01-LM-63546, G08LM008232, N01-LM-4-3410)
- Topics
- Health Sciences › Medicine › Epidemiology › Data-Driven Disease Surveillance
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- notifiable diseases, spontaneous reporting, disease surveillance, health information exchange, public health departments, chlamydia, hepatitis B, hepatitis C, gonorrhea, reporting timeliness
- MeSH terms
- Electronic Data Processing, Chlamydia Infections, Gonorrhea, Hepatitis B, Hepatitis C, Humans, Indiana, Laboratories, Population Surveillance, Public Health Administration, Medical Records Systems, Computerized, Disease Notification
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