Immunization Records

1. Immunization Records Group 4: Ana Dias, Mark Borelli, Annie Sadler, Eric McAllister, Don Ubilla, Chris Harrison, Andrew Reynolds

2. Table of contents Section1- When you need shot records and why Section 2- Tracking Vaccination Records Section 3- Required VS Recommended Shots Section 4- HIPAA Laws Section 5- Traveling and Immunization Records Section 6- Implementing Immunization ERs Section 7- Adopting Immunization ERs & the future

3. Immunization History • 1798 • Smallpox • 1963 • Measles • No reported deaths in last 20 years • Many breakthroughs since

4. Different Types of Shots

5. ElectronicRecords • Pro’s: • No physical copies • Doctor’s handwriting • Proper credentials to view • Con’s: • Server failure • Security • Identity theft

6. Tracking Vaccination Records • Locating Records • Centralized Immunization Registries • Every State • Previous Health Care Provider • Current/Previous Schools • Medical Record Storage Companies • State Bureau of Immunization

7. Tracking Vaccination Records cont. • Benefits of Electronic Registries • Physicians • Nurse Practitioners • Society • Reducing Cost/ Stress/ Paper • Future ability to transfer from State to State in PHR

8. Required vs. Recommended Vaccinations • Vaccine Recommendations based on these fundamentals: • Principles of Active and Passive Immunization • Epidemiology and Burden of Diseases • Morbidity • Mortality • Costs of Treatment • Loss of productivity • Cost Analysis of Preventive Measures • Published and Unpublished Studies • Expert Opinion of Public Health Officials and Specialists • Clinical Medicine • Preventive Medicine

9. Required vs. Recommended Vaccinations • Education purposes • Pre-School, Elementary, Middle, High School • College entry • Organized Athletics • Workplace • Travel • Prevent the importation of infectious diseases • Yellow Fever • Only vaccine required by International Health Regulations

10. HIPAA What is HIPPA? • Laws enacted to develop standards and requirements for maintaining and transmitting health information. HIPAA'S THREE REQUIREMENTS • Privacy • Security • Administrative Requirements

11. Immunization Records & HIPAA Laws • Currently, there is no common standard for the transfer of information between healthcare providers and payers. • HIPPA’s security policy states “Physicians must have technical safeguards that will protect electronic health information that the physician collects, maintains, uses, and transmits.” • There is no central repository of vaccination records. The only records that exist are the ones you or your parents were given when the vaccines were administered.

12. Immunization Records & HIPAA Laws Healthcare providers are implementing secure systems such as this to provide records to patients, and comply with HIPAA.

13. Traveling and ESR’s • Normally don’t carry your shot records • Beneficial if you travel across the US or to another country • If anything happens, it will be easy for doctors to figure out what’s wrong or how to diagnose • Cut down on your doctor or other doctors accidently doing things repeatedly. • Would be more beneficial if implemented into your PMR.

14. Children/Elderly and ESRs • Kids who play High school sports • Schools could notify students when they need to get shots updated • FLShots.com – A free, statewide, centralized online immunization registry that helps health-care providers and schools keep track of immunization records. • Could remind them to get their shots updated • Would make sure they don’t forget certain things and improve their health in general

15. implementing shot records into PHRs and EMR • Shot Records and PHR: why are they important? • Young children and Emergencies • Shot records should be available any time, anywhere • need a medical release form to release shot records • HIPAA regulations: keeping records online • State Immunization System: clearinghouse • Patient Immunization Database • Costs

16. Implementing shot records to PHRs/EMRsCommunication and Security • Communication between the State immunization system and the patient immunization database • Secure Electronic Links • Not only a transfer byte also a copy • Sign on or Log on page • Family Immunization History, Patient Immunization History, list of due dates and recommended immunizations, and more into PHR

17. Adopting Immunization electronic records • Properly training all staff who handle immunization records. (Health Professionals, Education Staff etc.) • Protection Barriers: Certification, Security, Ethical Matters, Privacy & Confidential Issues • Dealing with 2 costs: • Induced- Cost of transition from paper to electronic (Immediate costs) • System- Cost of keeping the Electronic system updated: Software/hardware, training, new technology

18. Adopting Immunization electronic records cont. • Time Saving and Convenience… Out with Paper! Tracking Records, Reliable History, Require Less Space, Less Room for Error (Readable Records) • Patient Access to Records: Universal System- easy on the patient to track down records, Eliminates missing or error ridden records Universal System = Direct Access Health Professionals Patients/Parents Others Involved In Proof of Immunizations Schools

19. Future for HIT and Electronic Immunization Records • More HIT Careers- Converting administrative jobs to HIT Jobs • Offers Accurate Information • Alerts Patients when shots are needed or overdue • Better Introduction to new vaccines and changes in the vaccination schedule

20. Questions?