Sam Nicolary

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Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection

A key element of public health surveillance is the reporting of infectious and certain non-infectious conditions to state, local, and tribal public health agencies (PHA) around the United States. Historically, there have been a number of key challenges with the process of case reporting that is pervasive in the United States today. To help overcome some of these barriers, an effort has been underway to move the process of case reporting to electronic. A key component of the emerging electronic care reporting (eCR) strategy is the use of clinical decision support (CDS) to help clinical care organizations determine if a reportable condition is present in a patient's record. Multiple approaches have been identified for this CDS service, including a centralized model being implemented today, and several distributed options which will likely become equally viable. Given the size, diversity, and decentralized nature of healthcare enterprises, it is likely that all three approaches for CDS discussed in this article will be deployed simultaneously.

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Sam Nicolary

Sam Nicolary has been a database administrator and application developer with HLN Consulting since 2000. With extensive experience in both Open Source and proprietary products, Sam brings his diverse skills to bear to perform application design, development, maintenance and administration services for a variety of applications for client and internal company use. As a systems programmer, Sam’s responsibilities include configuration, maintenance and management of public key infrastructure (PKI), web, e-mail, firewall, VPN and database services, and maintenance of development and training environments for applications development. Sam has been a core member of HLN’s ICE team for several years.

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