The National Violent Death Reporting System (NVDRS) is now in all 50 states, the District of Columbia and Puerto Rico. It is an ongoing surveillance (reporting) system that pools data on violent deaths from multiple sources into a usable, anonymous database. These sources are coroner/medical examiner reports (including toxicology), law enforcement reports, and death certificates.
The Sudden Unexpected Infant Death (SUID) and Sudden Death in the Young Case Registry (SDY) builds on the National Center for Fatality Review and Prevention's System and brings together information about the circumstances associated with SUID and SDY cases as well as information about investigations into these deaths. Participating States and jurisdictions use data about SUID and SDY trends and circumstances to develop strategies to reduce future deaths.
In order to understand the types of health data standards available for use, informatics professionals organize these standards into the following specific categories: vocabulary/terminology, content, transport, privacy and security, and identifiers.
The Working Group provided subject matter expertise and developed clinical content for clinical decision support. The Working Group conducted a workshop on the CDS at the 12th Congress of INEBRIA to obtain audience feedback on the clinical workflow. Further stakeholder webinars for primary care providers and addiction specialists were held in late 2015 and early 2016. The goal of these webinars was to review the CDS algorithm with addiction specialists and primary care providers and to make revisions based on their input. The Working Group acknowledged that future work will require e-specification to capture data for analysis of quality metrics, integration into EHR systems, and feasibility/usability testing.
CDS tools can help health systems improve the quality of healthcare delivery. The utility of these tools lies in their ability to streamline and adapt complex treatment algorithms into targeted recommendations for the patient at hand by mining extant and real-time data in the electronic health record. Ultimately, to be effective, a CDS tool must be useful to the provider, patient specific, and adaptive to local needs (e.g., workflows, referral pathways, etc.) and/or changes in treatment standards (e.g., new drug formulations, evolving safety information, etc.).
In 2010, NOAA published its Next Generation Strategic Plan.83 The strategic plan is organized into four categories of long-term goals including (1) climate adaptation and mitigation, (2) a weather-ready nation,84 (3) healthy oceans, and (4) resilient coastal communities and economies. The strategic plan also lists three groups of enterprise objectives related to (1) stakeholder engagement, (2) data and observations, and (3) integrated environmental modeling.85 The strategic plan serves as a guide for NOAA's five-year R&D plan. The most recent five-year R&D plan was published in 2013, and includes R&D objectives to reach strategic plan goals and objectives and targets to track progress toward R&D objectives over time.86 NOAA plans to release its newest R&D plan in 2019.87
According to the President's request, FY2020 strategic priorities for VA R&D include increasing the access of veterans to clinical trials; increasing the transfer and translation of VA R&D; and "transforming VA data into a national resource" by reducing the time and effort needed to appropriately access, properly understand, and effectively use VA data for research. Clinical priorities for VA R&D in FY2020 include efforts to treat veterans at risk of suicide and research to address chronic pain and opioid addiction, posttraumatic stress disorder, traumatic brain injury, and Gulf War illness. 2b1af7f3a8