New Jersey Outbreak Report for Long Term Care and Other Institutions

Form Template

Residential care facilities are highly susceptible to the spread of infectious diseases because of the environment and the close proximity of residents.

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To reduce the risk of disease outbreak, disease control and prevention programs should be in place. When an outbreak occurs, the New Jersey Outbreak Report for Long Term Care and Other Institutions app is essential for documenting the infectious disease outbreak in residential care facilities. The form can be completed by a health investigator and submitted to the health department. With the app, the health investigator will describe the nature of the outbreak in detail, provide health data, and provide an overview of the treatment plans and control measures in place. The investigator will document the outbreak demographics, describing the location, illness, number of cases, and signs and symptoms associated with the infection. The health investigator will outline the outbreak investigation, comparing health data of cases, identifying the mode of disease transmission, recording laboratory tests and findings, and listing any health care provider or public health official who was consulted for treatment and control measures.

Features
  • Image Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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