The National Association of Chronic Disease Directors (NACDD) is seeking a highly motivated and experienced individual to join our organization as a Surveillance and Informatics Epidemiologist. The ideal candidate has experience working with Electronic Health Records (EHR), understands both clinical and public health validation processes, and has experience working with large datasets.
This position will work closely on the Multi-state EHR-based Network for Disease Surveillance (MENDS) project and join the team that is piloting a Center for Disease Control and Prevention (CDC) funded project to modernize public health chronic disease surveillance using electronic health records. MENDS is a pilot, EHR-based, chronic disease surveillance system. It is being led by NACDD and funded by CDC Division for Heart Disease and Stroke Prevention. The MENDS pilot seeks to test an automated surveillance system using data routinely stored in health records to provide clinically detailed, efficient, and timely information from large, diverse populations with minimal added work and cost for health departments or clinicians. The program currently works with data partners who are stewards of EHR data from all parts of the country. The number of data partners is expected to expand each year.
The specific responsibility of this position is to be the lead for developing and implementing process for new statistical health indicators for ESP, the MENDS software. This person will lead and coordinate this process with 4+ data partners, the software and database developer, Commonwealth Informatics (CII), the governance committee lead, Public Health Informatics Institute (PHII) and CDC. This position will work with advisors with experience from MDPHnet.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following:
• Working on Electronic Medical Record Support for Public Health (ESP), an open-source software application that uses EHR data to identify and people with conditions of public health interest and to describe care patterns for public health surveillance.
• Partnering with clinical practices, CDC, NACDD, CII, and DPM to coordinate and conduct the validation of chronic conditions by clinical practices using the ESP application.
• Working with CII and DPM to determine whether a new indicator requires minor modification or is a brand new measure or one that requires the substantial overhaul of an existing measure.
• Developing and overseeing protocols, and as necessary, conducting processes for validating the content and structure of ESP reports to validate reports, correct errors, and facilitate reporting. This will also include creating a validation report template that includes summary information on chart reviews performed, demographic and geographic (i.e., by state and/or county) breakdown of site-specific data, and potential comparisons to estimates from BRFSS, NHANES, hospitalization data, and death records.
• Collaborating with CII, DPM, and clinical sites to: a) map local laboratory tests and results to appropriate LOINC/SNOMED codes, b) coordinate and/or validate the integration of ESP reports into MENDS, c) work with DPM to develop and maintain quality assurance procedures and reports, d) coordinate and trouble-shoot reporting to DPM, e) design and submit population-level summary reports for disease incidence, testing, demographics, care and treatment patterns, and outcomes; analyze patterns in notifiable disease testing, positivity, and treatment patterns.
• Leading bi-weekly indicator meetings with CDC, DPM, CII, NACDD, and possibly data partners
• Ensuring that key data partner contacts (i.e., someone with an understanding of the EHR system and the underlying data) are available for timely review of data summaries
• Working with CII and DPM to define a draft algorithm for a new indicator
• Reviewing draft algorithms with CDC, determine modifications needed in conjunction with DPM and CII, revise, and obtain final CDC approval.
• Participating in discussions with DPM to create specifications for CII to develop code for the proposed indicator
• Reviewing summary data from the implementation of the new indicator and advise as needed on code refinement in conjunction with DPM, CII, and data partners
• Preparing indicator reports for CDC review and ultimate approval
• Participating in data modeling discussions with UMASS team to assist in the assessment and refinement of small area estimation models for new indicators
• Participating in MENDS software governance
• Participating in MENDS meetings
• Participating in MENDS/CDC meetings when requested
• Assisting in the development of academic papers as desired
• Assist NACDD Senior Leadership in establishing and growing a research program and applying for various federal and private research grants and contracts
• In collaboration with NACDD Senior Leadership and program teams, organize and/or lead successful proposal efforts for research projects (through formulation, proposal, and submission of competitive grants and contracts) in strategic areas
• Collaborate with Senior Leadership to develop strategies that will broaden programmatic reach
MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)
• Master’s degree in epidemiology with ten years of relevant experience is required.
• PhD preferred
• High proficiency with statistical programming packages including SAS is required.
• Prior experience working with surveillance data, notifiable disease case reports, and electronic health record data is preferred.
• Knowledge of epidemiologic study design, research methodology, and statistical analysis including prior experience analyzing and determining the applicability of epidemiological data to draw conclusions and make recommendations.
• Must be a self-motivated professional with superior communication skills who excels in building relationships with multiple collaborators and thrives in a fast-paced and constantly evolving environment.
• Resilient, collaborative, flexible, innovative.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.
While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.
NACDD is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.