ELR SOLUTIONS ELR SOLUTIONS Thursday, Feb 09, 2012
Home | Print this page | Email this page to a friend | | Login
ELR Design
ELR Documentation
ELR Participation
Frequently Asked Questions
ELR Team
 
  CDPH
  Chicago Health Event
  Surveillance System, or
  CHESS
 

  ELR Solutions
  Administration Bldg,
  Suite 1013
  1900 W. Polk St.
  Chicago, IL 60612

ELR Participation
 
Since the ELR project is funded by a grant to the City of Chicago, implementation is restricted to hospitals located in Chicago. Currently, there is no direct cost to participating hospitals. The software to process and transmit messages is installed on a server; both the software and server will be provided at no cost to the hospital. During initial installation and until the system is functional, the ELR Solutions team will work with your hospital’s information systems team at no cost to your hospital.

If your hospital is located in Chicago and you would like more information about enrollment in the Chicago ELR initiative, please complete the form below.

If you have any questions please contact Patricia Taylor at (312) 864-0077 or ptaylor@ccbh.org. Please note that completing this registration form is the first step of the process. Once you have completed and submitted this form you will be contacted by the ELR Team to continue the process. You will not be automatically enrolled in the Chicago ELR initiative by completing this form only.

 

ELR Registration Form
 
Hospital Name:
CLIA ID:
 
Which Laboratory Information System is currently being used at your hospital?



, Please Specify
 
Which exportable data format(s) can your Laboratory Information System generate? (check all that apply)



, Please Specify
 
Which type(s) of Disease Reporting Codes does your system utilize? (check all that apply)


, Please Specify
 
Does your hospital currently report electronically to the Chicago Department of Public Health?


Please Specify
 
Please indicate in the table below the type of test(s) and estimated volume(s) your hospital will report through the ELR
TestEstimated Number of Test Results
If Other please specify
 
LABORATORY CONTACT INFORMATION
Name:
Title:
Phone:
Email:
 
HOSPITAL'S INFORMATION TECHNOLOGY CONTACT INFORMATION
Name:
Title:
Phone:
Email:
 
HOSPITAL'S MAILING ADDRESS
Address:

City: CHICAGO   STATE: IL   Zip:
 
Comments or Suggestions?:
 
 
Home | Participation | Contact us | Privacy policy | Terms of use

Copyright ©1998-2010 ELR Solutions. All rights reserved.
All information is not a substitute for medical advice or treatment for specific medical conditions.
If you have any health-care related questions or suspect you have a health problem, you should consult your health-care provider.