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2.
Public Health Rep ; 136(5): 554-561, 2021.
Article in English | MEDLINE | ID: covidwho-1277841

ABSTRACT

OBJECTIVES: Federal open-data initiatives that promote increased sharing of federally collected data are important for transparency, data quality, trust, and relationships with the public and state, tribal, local, and territorial partners. These initiatives advance understanding of health conditions and diseases by providing data to researchers, scientists, and policymakers for analysis, collaboration, and use outside the Centers for Disease Control and Prevention (CDC), particularly for emerging conditions such as COVID-19, for which data needs are constantly evolving. Since the beginning of the pandemic, CDC has collected person-level, de-identified data from jurisdictions and currently has more than 8 million records. We describe how CDC designed and produces 2 de-identified public datasets from these collected data. METHODS: We included data elements based on usefulness, public request, and privacy implications; we suppressed some field values to reduce the risk of re-identification and exposure of confidential information. We created datasets and verified them for privacy and confidentiality by using data management platform analytic tools and R scripts. RESULTS: Unrestricted data are available to the public through Data.CDC.gov, and restricted data, with additional fields, are available with a data-use agreement through a private repository on GitHub.com. PRACTICE IMPLICATIONS: Enriched understanding of the available public data, the methods used to create these data, and the algorithms used to protect the privacy of de-identified people allow for improved data use. Automating data-generation procedures improves the volume and timeliness of sharing data.


Subject(s)
COVID-19/epidemiology , Centers for Disease Control and Prevention, U.S./organization & administration , Confidentiality/standards , Data Anonymization/standards , Centers for Disease Control and Prevention, U.S./standards , Humans , Pandemics , SARS-CoV-2 , United States/epidemiology
3.
Int J Prison Health ; ahead-of-print(ahead-of-print)2021 05 06.
Article in English | MEDLINE | ID: covidwho-1216709

ABSTRACT

PURPOSE: This paper aims to give an overview of emerging issues relating to the management of patients in custody during the COVID-19 outbreak in France. DESIGN/METHODOLOGY/APPROACH: During custody in France, a medical consultation is provided for any patient who requests it. In the Paris area, this consultation is carried out by a practitioner in forensic medicine, based in a general hospital. Usually, most medical consultations for patients in custody take place directly in police stations. With the COVID-19 outbreak, the authors chose to suspend this activity, asking law enforcement to bring patients directly to their hospitals. Patients presenting with severe infections or indicative symptoms of the severe acute respiratory syndrome Coronavirus 2 infection and a comorbidity are tested for COVID-19. Such patients remain hospitalized until results of the test are received. If the result is positive, they are hospitalized for the length of their custody. If sent to prison, they are transferred to a medical facility in detention. FINDINGS: From the onset of the outbreak, the authors observed increased pressure from law enforcement to obtain medical information. According to the French Code of Medical Ethics, no medical information should be disclosed regarding the authors' patients' medical situations. The authors are also concerned about sending a potentially infected patient back to a police station, to prison or to his/her home. ORIGINALITY/VALUE: This paper provides a snapshot of issues relating to the management of patients in custody during the COVID-19 outbreak in France. Unfortunately, the current situation in France does not permit a wider range of testing for the specified population in this paper.


Subject(s)
COVID-19/prevention & control , Forensic Medicine , Prisoners , Communicable Disease Control/standards , Confidentiality/standards , France/epidemiology , Health Services Accessibility/standards , Humans , SARS-CoV-2
4.
Fertil Steril ; 115(5): 1156-1158, 2021 05.
Article in English | MEDLINE | ID: covidwho-1171964

ABSTRACT

The prevalence and ease of electronic communication, specifically email through patient portals associated with electronic medical records or via traditional enterprise email clients (e.g., Outlook) and video, have resulted in increased use for rapid communication between practitioners and their patients. Concerns regarding patient privacy and compliance with the regulations of the Health Insurance Portability and Accountability Act (HIPAA) remain a barrier to routine incorporation of electronic communication into practice. Furthermore, capital investment, implementation, and maintenance costs may provide additional barriers. These long-standing concerns have been heightened and tested by the COVID-19 pandemic. Best-practice guidelines for the secure and safe use of electronic communication with reproductive care patients are provided.


Subject(s)
Confidentiality/standards , Electronic Mail/standards , Reproductive Medicine/standards , Telemedicine/standards , Text Messaging/standards , Video Recording/standards , COVID-19/epidemiology , Electronic Health Records/standards , Guideline Adherence/standards , Humans , Reproductive Medicine/methods , Telemedicine/methods , Video Recording/methods
5.
Int J Qual Health Care ; 33(1)2021 Mar 04.
Article in English | MEDLINE | ID: covidwho-1066349

ABSTRACT

Federated learning (FL) as a distributed machine learning (ML) technique has lately attracted increasing attention of healthcare stakeholders as FL is perceived as a promising decentralized approach to address data privacy and security concerns. The FL approach stores and maintains the privacy-sensitive data locally while allows multiple sites to train ML models collaboratively. We aim to describe the most recent real-world cases using the FL in both COVID-19 and non-COVID-19 scenarios and also highlight current limitations and practical challenges of FL.


Subject(s)
COVID-19/epidemiology , Computer Security/statistics & numerical data , Confidentiality/standards , Electronic Health Records/organization & administration , Machine Learning/standards , Electronic Health Records/standards , Humans , SARS-CoV-2
8.
Telemed J E Health ; 26(9): 1113-1117, 2020 09.
Article in English | MEDLINE | ID: covidwho-273188

ABSTRACT

Virtual visits (VVs) are necessitated due to the public health crisis and social distancing mandates due to COVID-19. However, these have been rare in ophthalmology. Over 3.5 years of conducting >350 ophthalmological VVs, our group has gained numerous insights into best practices. This communication shares these experiences with the medical community to support patient care during this difficult time and beyond. We highlight that mastering the technological platform of choice, optimizing lighting, camera positioning, and "eye contact," being thoughtful and creative with the virtual eye examination, and ensuring good documenting and billing will make a successful and efficient VV. Moreover, we think these ideas will stimulate further VV creativity and expertise to be developed in ophthalmology and across medicine. This approach, holds promise for increasing its adoption after the crisis has passed.


Subject(s)
Coronavirus Infections/epidemiology , Ophthalmology/methods , Pneumonia, Viral/epidemiology , Telemedicine/methods , Betacoronavirus , COVID-19 , Confidentiality/standards , Diagnostic Techniques, Ophthalmological/standards , Documentation , Humans , Insurance, Health, Reimbursement , Lighting , Pandemics , Physician-Patient Relations , Practice Patterns, Physicians'/standards , SARS-CoV-2
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