AK - Data Filter Change

[wcollin89]

Problem Statement

We received an email in the ReportStream inbox from Chang Liu (cliu@intrivo.com) regarding changes to Alaska's reporting requirements, which they would like to have applied to their filter.

What you need to know

Message received from Chang on 5/5/23:

Recently we got an email from the State of Alaska Division of Public Health, and they told us that over the past 5 months, Intrivo has submitted OTC COVID-19 results with what appears to be incomplete PHI. These submissions have patient first and last names as ‘unknown,’ which has led to results falling under a single record. They would like us to review and resubmit those results with the missing information.

Additionally, they want us to discontinue reporting of negative non-NAAT results (rapid or antigen) as well as any OTC results that is not administered and interpreted by Intrivo.

According to my understanding, ReportStream is currently handling the differences in reporting requirements between different states. Would you please let us know what we should do to handle this request from the State of Alaska Division of Public Health

According to this message, AK would like to now filter out negative results.

Acceptance Criteria

Update AK state's message filter to remove any negative results reported by Intrivo from rapid or antigen tests, as well as filter OTC results that do not have Intrivo as the observation/testing facility.

To Do

• [ ] Update Alaska's message filter for Intrivo to remove negative antigen or rapid test results, as well as any OTC results that are not administered and processed by Intrivo.

Additional Comments

This request was originally submitted on 5/5/23; we are still in the process of obtaining specific message IDs from Chang to reference.

[kant777]

"Recently we got an email from the State of Alaska Division of Public Health, and they told us that over the past 5 months, Intrivo has submitted OTC COVID-19 results with what appears to be incomplete PHI. These submissions have patient first and last names as ‘unknown,’ which has led to results falling under a single record. They would like us to review and resubmit those results with the missing information."

@LaFreda1 Regarding this we cannot really do that because we retain the data only for 60 days and Intrivo failed to collect the first and last names!

[kant777]

@LaFreda1 @brick-green thinks we shouldn't adjust receiver(Alaska) settings based on the sender(Intrivo) request. so we may want to talk to Alaska first

[sliu1000]

@wcollin89 Wendy can you please contact Alaska and confirm that they want the above completed.

[wcollin89]

@sliu1000 my apologies for not seeing this yesterday.

I just checked the STLT Poll dashboard while looking through Smartsheet and noticed that AK did indicate on their poll that they only want to receive positive results.

[kant777]

can we setup a call with AK so we can understand what they want us to do with the filters? because I am a bit confused with the following statement

" any OTC results that are not administered and processed by Intrivo."

Our current understanding is that none of the OTC results are interpreted or administered by Intrivio

[kant777]

It feels like they just don't want any OTC data. is that a right expectation here?

[sliu1000]

@kant777 Hi Kant, I'll reach out to Alaska and see if they and meet to discuss the above. I'll cc you.

[sliu1000]

@kant777 Sent Alaska the below follow-up email: Hi Team Alaska,

We are working on the below inquiry sent from Intrivo. However, wanted to re-confirm that you no longer want to receive any data from Intrivo.

Also, beyond Intrivo do you not want to receive OTC results overall or just OTC results with incomplete data.

Please let us know if you'd like to set up a call to discuss this further.

Best regards,

Sharon

[sliu1000]

Update from Alaska: Hi Sharon,

I have attached Alaska’s most recent reporting guidance document. Apologies for the confusion. I know there have been quite a few changes recently with the end of the PHE.

Regarding OTC result reporting in AK:

Individuals are NOT required to report their at-home testing or self-administered testing results. If an organization’s staff is directly administering or interpreting self-test type kits on-site, then the entity must consult with the CLIA Laboratory Program and positive results must be reported.

We only want to receive OTC test results that fall into the specific scenario above. If there is incomplete demographic information on a reportable result, then, if necessary, we would reach out to the sending facility to obtain that missing information.

With the results with missing demographic information that Intrivo was submitting, if Intrivo was not involved in the direct administration of the OTC tests, then we do not need them to resend those results.

Please let me know if that clears things up.

Thank you,

Morrow

[https://app.zenhub.com/files/304423150/d1f71ff9-898d-46b1-a679-d2b124bd88f2/download]