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Michael McElwain ImmTrac Immunization Branch. TISWG Meeting ImmTrac February 19, 2009. ImmTrac Snapshot: Q3 2008. >73 million immunizations recorded 5.8 million Texas children 2.1 million children under age 6 >5,000 active online user sites
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Michael McElwainImmTrac Immunization Branch TISWG Meeting ImmTrac February 19, 2009
ImmTrac Snapshot: Q3 2008 • >73 million immunizations recorded • 5.8 million Texas children • 2.1 million children under age 6 • >5,000 active online user sites • >109,000 immunization history reports generated per month (avg)
Active Online User Sites Through 3rd quarter 2008
ImmTrac Back-To-School RushImmunization Histories Generated Online (3rd Quarter)
IPWG • Nov. 2005--Immtrac is in collaboration with Texas Medical Association TMA and Texas Pediatric Society TPS to develop a working group to discuss ImmTrac issues with private providers. • Priority High leverage Actions • Derived from a much larger set of tasks • Deemed most critical
Priority High leverage Actions • Target Birth Registrars and educate on the benefits (G1) • Data entry through clearinghouse / billing data (TISWG) • Approach large physician groups first (large = 25+ pediatricians) (G2) • Physician and/or administrative champion to see implementation through (G2); enlist physician champions to influence peers (TISWG) • Get school nurses to add immunization data (G1) • Commitment to educate within organized medical roundtables/forums, etc. (G3) • Grassroots campaign to get volunteers to do data entry; such as RSVP (G3) • Train the physicians staff (G2) • Get health plans to report activities (with incentives if needed) (G1) • Educate providers to encourage “ownership and involvement” (TISWG) • Hands-on training for those not using program may increase participation (G3) • Give TWICES to providers that don’t have other access to systems that feed ImmTrac (G1) • Make ImmTrac information/consent information available at daycare centers, Head Start, WIC (G1)
Texans Speak Out • Survey effort put together by a coalition including St. David’s and the Houston Area Immunization Partnership • Information gathered via a series of Town Hall Meetings • Presented at the 2008 Immunization Summit in Austin
Texans Speak Out, Key Recommendations • To improve immunization information systems, we should: • Ease the burden of data entry for clinics by adopting HL7 standards to link with electronic interfaces to existing software packages • Improve data quality • Make data available to health care providers in a more timely manner • Balance individual rights to privacy and access to information • Allow adults to maintain their immunization records in ImmTrac • Make immunization data accessible inside and outside Texas • Create financial incentives for full participation in immunization information systems
Overlapping Goals • Ease the burden of data entry for clinics by adopting HL7/Data entry through clearinghouse- billing data • Create financial incentives for full participation in immunization information systems/Get health plans to report activities (with incentives if needed)
What are our priorities? • 2 years later • What we see as our priorities • Data exchange • Data quality • Promotion, Education & Training • Emergency Response What are your thoughts?
Wrap Thank You Michael McElwain ImmTrac 512.458.7111 x6454 Michael.McElwain@DSHS.State.Tx.US