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Immunization Information Systems Update

Learn about the progress of Immunization Information Systems and the integration with Electronic Health Records for efficient tracking of vaccinations and data quality improvement. Explore the impact of EHR-IIS interoperability on enhancing accuracy, timeliness, and completeness of immunization records.

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Immunization Information Systems Update

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  1. Immunization Information Systems Update Gary Urquhart, MPH Chief, Immunization Information Systems Support Branch Immunization Services Division National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention Atlanta, Georgia January 2010

  2. “…perhaps in the rather distant future, the capabilities of electronic computers for storing and retrieving information could greatly facilitate our immunization programs…A nationwide computer system could put us well on the road to efficient national follow-up of births for maintenance of immunization levels.” 2nd National Immunization Conference, 1965 James L. Goddard, M.D., M.P.H., 8th CDC Director, 1962 – 1966 CDC Public Health Image Library (PHIL) 

  3. Under Dr. Frieden′s leadership, the NYC Health Department also established the largest community electronic health records project in the country. The project provided prevention-oriented electronic health records to physicians caring for more than a million New Yorkers, including more than half of the doctors caring for patients in Harlem, the South Bronx, and Bedford-Stuyvesant.  The Primary Care Information Project is a model for efforts to expand electronic health record use nationally. Thomas R. Frieden, MD, MPH16th CDC Director, June 2009 CDC Public Health Image Library (PHIL) 

  4. Immunization Information Systems Age Groups Participating in an IIS Source: 2008 Immunization Information System Annual Report

  5. Percentage of children aged < 6 years participating in a granteeimmunization information system -- United States, and six cities, 2008 Chicago, IL (< 60%) District of Columbia (> 80%) Houston, TX (< 60%) New York City, NY (> 80%) Philadelphia, PA (> 80%) San Antonio, TX (60%–79%) National Participation: 75% (excluding Territories) Source: CY2008 IISAR

  6. Immunization Information SystemsProvider Site Participation in IIS Source: 2008 Immunization Information System Annual Report

  7. Immunization Information System Capacity to Track Adolescent and Adult Vaccinations • Data from the 2008 Immunization Information System Annual Report indicate that: • About 82% (46 of 56 grantees) report that they include all ages in their IISs. Source: 2008 Immunization Information System Annual Report

  8. Immunization Information System Status on Selected Data Quality Measures As of December 31, 2008 Of those grantees with an IIS reporting: • On average, 71% of newborn records are recorded in a grantee IIS within 6 weeks of birth • 66% of grantees receive and process vaccine and other immunization data from their IIS within a month of vaccine administration Source: 2008 Immunization Information System Annual Report

  9. Effect of Completing 1 Missing Dose on 4:3:1:3:3:1 Series Completion for Selected Immunization Program Grantees - IIS vs. NIS, 2008

  10. IISSB Technical Assistance Team Summary ReportAugust 1 – December 15, 2009

  11. EHR- IIS Interoperability • The 2008 IISAR requested information about the number of EHRs providing immunization data directly to your IIS through an electronic interface? • Response: 1,848 EHRs electronically reporting data to an IIS

  12. EHR- IIS Interoperability EHR Vendor# Grantees with Product Allscripts – Touchworks 12 Connexin Software, Inc - Office Practicum 6 eClinical - eClinical Works 19 eMD 4 Epic Systems – Epicare 12 GE Medical - Centricity (Logician) 11 Misys Healthcare Systems - Misys EMR 7 Netsmart – Insight 5 NextGen - NextGen EMR 11 PCC 5 RPMS 5

  13. EHR- IIS Interoperability • EHR data are significant because: • EHRs are used by larger practices • Larger practices are more likely to be high volume immunizers • Enhancing EHR-IIS interoperability will improve data quality challenges by addressing: • Accuracy • Timeliness • Completeness

  14. Gary A. Urquhart, MPHChief, Immunization Information Systems Support BranchImmunization Services DivisionNational Center for Immunization and Respiratory DiseasesCenters for Disease Control and Prevention1600 Clifton Road, NE, MS-E62Atlanta, GA 30333Tel: 404.639.8277Fax: 404.639.8171 mailto:gau5@cdc.gov

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