A commentary on the value of hospital data for covid-19 pandemic surveillance and planning

Abstract

Hospital data for covid-19 surveillance, planning and modelling are challenging to find worldwide in public aggregation portals. Detailed covid-19 hospital data provides insights into covid-19's health burden including identifying which sociodemographic groups are at greatest risk of covid-19 morbidity and mortality. Timely hospital data is the best source of information for actionable forecasts and projection models of hospital capacity, including critical resources such as intensive care unit beds and ventilators that take time to plan or procure. A challenge to generate timely and detailed hospital data is the reliance on separation or discharge abstracts and census counts. What are needed are well-maintained lists of patients hospitalized with covid-19. From the standpoint of public health and health services researchers and practitioners, we describe the role of hospital data for studying covid-19, why admission data are hard to find, and how improved data infrastructure can meet surveillance and planning needs in the near future. Modern hospital electronic health records can create covid-19 patient lists and these decision support tools are increasingly used for research. These tools can generate patient lists that are transmitted and combined with public health data systems.

Keywords: SARS-CoV-2; covid-19; decision support techniques; forecasting; hospital records; medical records systems, computerized; public health.

Figure 1: Ottawa covid-19 historic and projected cases, hospital census and hospital admission

Figure 2: Line Listing for a single patient