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Annals of Family Medicine 4:351-358 (2006)
© 2006 Annals of Family Medicine, Inc.
doi: 10.1370/afm.547
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Syndromic Surveillance for Emerging Infections in Office Practice Using Billing Data

Philip D. Sloane, MD, MPH1,2, Jennifer K. MacFarquhar, RN, BSN, CIC3, Emily Sickbert-Bennett, MS4, C. Madeline Mitchell, MURP2, Roger Akers, MS2, David J. Weber, MD, MPH3 and Kevin Howard, MD5

1 Department of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC
2 Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC
3 Statewide Program for Infection Control and Epidemiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC
4 Department of Hospital Epidemiology, The University of North Carolina Health-care System
5 Dayspring Family Medicine, Eden, NC


Figure 1
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  		Figure 1. Daily number of respiratory syndrome codes reported by Dayspring Family Medicine and by emergency departments in the 6 surrounding counties, 15 November 2003 through 15 January 2004.

Note: Circles represent days when the surveillance threshold of 2 SD was exceeded.

 

Figure 2
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  		Figure 2. Flow chart of proposed primary-care–based syndromic surveillance system.

ICD-9 = International Classification of Diseases, Ninth Revision.

 




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