New Mexico Immunization Information System Interoperability Project

1. New Mexico Immunization Information System Interoperability Project December 05, 2012 Closeout Phase Presenters: Kevin Bersell, Rand Tilton, & Terry Reusser

2. Project Background • Enhancement to the New Mexico Statewide Immunization Information System (NMSIIS) • Allow Provider Electronic Health Records (EHR) systems to electronically submit immunization data to NMSIIS • Reduce keying errors for manually entering immunizations and reduce time for reporting immunizations • Funded by CDC Grant • Immunizations Improve Health Outcomes • Improve data quality, quantity and timeliness • Decrease the number of children that receive too many or too few immunizations

3. Certification History • Project Initiation and Planning, August 24, 2011, $262,500 • Project Implementation , October 26, 2011, $795,300 • Total amount $1,057,800

4. Project Highlights • Project Phase Certification Request: Closeout • Project Start Date: January 2011 • Project End Date: December 2012 • Total project value: $1,057,800 • Total expended to date: $773,264

5. Planning Phase Activities • Vendor contract negotiated • IV&V contract negotiated • Continue proof of concept by testing HL7 messages and interfaces • Detailed Schedule, Budget and Communication Plans completed • Resources identified and committed

6. Implementation Phase Activities • Interface with 6 pilot sites • Upgrade NMSIIS to HL7 2.5.1 and then build a web services framework for fully automated Bidirectional data exchange with the 6 pilot sites • Execute IV&V Contract • Execute NMSIIS vendor contract amendment • Execute Contract with Lovelace Clinical Foundation • Document testing procedures leading up to future data exchange efforts with the ~1,100 immunization providers across the state

7. Close Out Phase Activities • Develop transition document defining the roles and process for project transition to operations. • Establish document library to archive all project documents. • Develop Application Support Plan • No additional funding approval requested.

8. Project Achievements • Business Objectives • Goal: 40% of all immunization administered statewide will be captured by the registry via Health Level 7 (HL7) interfaces Outcome: Project resulted in 11% of all immunizations electronically entered into NMSIIS. Project was not successful in recruiting all the high volume providers it had anticipated. In addition the volume of immunizations has increased by 50% since the beginning of project. • Goal: Increase revenue recovery by enhancing tracking of immunization across the state. Outcome: Infrastructure is in place to capture and report insurance information

9. Project Achievements • Goal: Reduce errors by reducing manual and redundant data entry, and improve efficiency by automating immunization data entry and retrieval, with real time bidirectional interfaces between immunization provider EHR systems and the NMSIIS system. Outcome: Accomplished. Six providers were able to eliminate manual data entry and to efficiently submit data electronically. • Goal: Help immunization providers meet meaningful use Outcome: Accomplished. Gave providers ability to attest to Immunization Registry use. Provided resources to enhance NMHIT.org for MU and IIS use.

10. Project Achievements • Goal: Overall, improve health outcomes by increasing immunization rates and reduce over immunizing Outcome: Accomplished. Data Exchange information is a critical component of an overall increase in immunization reporting and improved immunization rates.

11. Project Achievements • Technical Objectives • Goal: The NMSIIS interoperability project will interface with immunization providers to attain a one directional feed of doses administered into the NMSIIS registry Outcome: Accomplished. 6 providers are submitting data via one-way interface. • Goal: By 2012 send bidirectional message, so immunization providers can view, from within their EHR system, the immunization history of a client prior to administering additional immunizations. Outcome: Proof of concept completed. Awaiting provider to use in production.

12. Project Achievements • Goal: Reduce errors by reducing manual and redundant data entry, and improve efficiency by automating immunization data entry and retrieval Outcome: Accomplished. Six providers were able to end manual and redundant data entry, and improve efficiency. • Goal: Drive compliance to the Health Information Technology for Economic and Clinical Health (HITECH) Act by helping immunization providers satisfy meaningful use criteria. Outcome: Accomplished. Gave providers ability to attest to Immunization Registry use. Provided resources to enhance NMHIT.org for MU and IIS use.

13. Lessons Learned • Working in a consortium with other States has benefits and drawbacks • Benefits: leveraging other state’s experience, reduced cost • Drawbacks: dependent on other state’s schedules, vendor desire to move on to next state. • It’s hard to predict EHR vendor abilities without objective measures • Manage Supplier quality control of specifications, timeline, and overextension with other customer commitments.

14. Lessons Learned • Executive management support and resource allocation, excellent working relationship with Operations and ITSD staffs. • Value of being open to alternative solutions • Rhapsody solution reduced API costs with increased flexibility

15. Questions?

16. Appendix

17. EHR-IIS FOA Performance Measurement Milestone Checklist

18. EHR-IIS FOA Performance Measurement Milestone Checklist