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Integrating Registries and AFIX for Data Quality

Integrating Registries and AFIX for Data Quality. Barbara Day AFIX Assessment Specialist Phone: (313) 378-4533 E-mail: DayBar@Michigan.gov. Stephanie Sanchez AFIX Assessment Coordinator Phone: (517) 335-9011 E-mail: Sanchezs@Michigan.gov.

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Integrating Registries and AFIX for Data Quality

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  1. Integrating Registries and AFIX for Data Quality Barbara Day AFIX Assessment Specialist Phone: (313) 378-4533 E-mail: DayBar@Michigan.gov Stephanie Sanchez AFIX Assessment Coordinator Phone: (517) 335-9011 E-mail: Sanchezs@Michigan.gov

  2. How does Michigan integrate AFIX and the Registry (MCIR)?

  3. What is AFIX? AFIX is a quality improvement strategy to raise immunization coverage levels and improve standards of practices. • Assessment of immunization coverage of public and private providers, • Feedback of diagnostic information to improve service delivery, • Incentives to recognize and reward improved performance, and • eXchange of information among providers

  4. What is MCIR? Michigan Childhood Immunization Registry Michigan’s answer to every immunization question! MCIR is an electronic statewide childhood immunization registry that is accessible by private and public providers.

  5. What is MCIR? • 2000 users access MCIR everyday • 1932 provider offices submitted immunization data in 2002 to MCIR 2.8 Million Child Records Over 32 million shot records in the MCIR

  6. How does Michigan integrate AFIX & MCIR? • Conduct chart review at provider office using CASA • Perform a quality data comparison (QDC) • Information is presented in a feedback meeting to provider and staff

  7. Chart review at provider office • AFIX staff reviews charts of children 19-36 months of age (maximum 200 charts) • Name, date of birth, dose dates are entered into CASA

  8. How does Michigan integrate AFIX & MCIR? • Conduct chart review at provider office using CASA • Perform a quality data comparison (QDC) • Information is presented in a feedback meeting to provider and staff

  9. AFIX staff performs the quality data comparison (QDC) The data abstracted from the patient chart is compared with the data in the Immunization Registry

  10. AFIX staff performs the quality data comparison (QDC), continued • Dose dates added to the registry • Dose dates identified in the registry that are not in the patient chart • Duplicate dose dates are “de-dupped” • Identify discrepancies between dose dates in the MCIR and patient chart

  11. What is the benefit of a QDC? Assures that the most accurate immunization information is both in the registry and is given to the provider to add to the patient chart

  12. During the feedback presentation the provider & staff receives • Copy of immunization record from the MCIR with dose dates highlight that were not in the patient chart

  13. During the feedback presentation the provider & staff receives • Copy of immunization record from the MCIR with dose dates highlighted that were not in the patient chart • Number of immunization dose dates added to the MCIR for the provider • List of children not up to date • List of children who had received invalid doses

  14. Benefits of Collaboration of AFIX & MCIR • Assures quality of data in the MCIR and in the patient chart • Demonstrates how the use of MCIR can increase immunization coverage levels • Demonstrates how to prevent the inefficient practice of over immunizing • Using the MCIR for every child with a visit saves time for the provider office

  15. Benefits of Collaboration of AFIX & MCIR • Everybody Wins!! • Increased awareness of immunization rates • Save time and money • Accurate data in MCIR and patient chart

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