Your best shot!

1. Your best shot! New Jersey Immunization Information System

2. New Jersey Pediatric Society /QPNA Annual Immunization Forum Parsippany Hilton Parsippany, New Jersey March 12, 2008 New Jersey Immunization Information System Presented by: Dorothy Williams Statewide Immunization Registry Coordinator

3. What is NJIIS? • The official immunization registry for the State of NJ • Operational since 1998 • Web enabled since 2002 • An immunization information system that consolidates immunization histories of children, adolescents and adults • Populated with electronic birth records (EBC) from NJ’s hospitals

4. Purpose • Provides immediate access to immunization records to: • health care providers, schools, health plans and childcare facilities • Evaluates patients’ immunization status • Identifies children who are due or past due • Assesses immunization coverage in community • Identifies pockets of need • National and State Healthy People 2010 objective • 95% enrollment for NJ’s children 6 years old and under

5. Benefits • Access to real-time clinical immunization information • Including current vaccine recommendations • Reduce paperwork & staff time in obtaining records, responding to requests for immunization information • Print official immunization record for school enrollment • Consolidate immunizations from all providers • Enable accurate immunization assessment • Interpret the complex immunization schedule

6. Enrollment • Departmental policy since 1995 was opt-in enrollment requiring parental consent; • Registry Act. Explicit consent children born on or after Jan.1, 1998 opt-out. • FERPA -consents required to add students immunization history

7. Access • Limited to certain specified entities or organizations. • Authorized users must sign user agreement relating to Registry operations and confidentiality policies. • User levels of access, password protected, audit trail within system.

8. NJIIS Statistics • 450 Active Healthcare Providers • 1,250 Vaccines For Children Providers • 400 Schools • 5,000 Trained users • 1,200,000 Patient records • 11,700,000 Doses in system Every month • 12,000 Children are loaded from EBC & entered on-line via web • 160,000 Doses are entered on-line via Web • 50,000 Doses are loaded electronically from Medicaid, EMR and billing systems

9. State & Local Health Departments Health care providers NJIIS Stakeholders Colleges/Universities Schools Day care centers Health plans

10. School nurse pilot • Second pilot March 27– May 31, 2006 • 12 school districts participated • 1,510 consents sent to parents • 49 % percent returned, 85% consented to enroll child in NJIIS • 5,911 vaccine doses added

11. HOW THE NJIIS WORKS for Day Care Centers HOW NJIIS WORKS

12. A physician’s perspective of“back to school” Lost immunization cards Physical forms Vaccine management School shots School nurses calls VFC reports Vaccine inventory Imm-28 Eligibility Form

13. NJIIS Login Login page Message Board

14. Secured access Navigation Menu

15. Multiple search options

16. Multiple sort capabilities

17. Required demographic fields

20. Add new and historical shots Immunization History page allow to differentiate history of vaccinations given at the provider’s office vs. shots given by another provider or elsewhere. Other provider’s History page

21. Immunization assessment

22. Adult Immunization Schedule • For students/patients years of age and older • Based on previously received childhood and adolescent immunizations • Meets ACIP/CDC requirements

23. Summary

24. Medical History

25. Medical History • Providers can enter test results and other relevant data history

26. Medical History • Designed to keep track of immunity tests for vaccine preventable diseases

27. Patient follow up

28. Relatives address

29. Notepad Tab… religious exemptions

30. Reminder Recall

31. Master patient list by age

32. Immunization History Report

33. Official Immunization Record

34. School nurse access References can be found under OTHER and accessible from all pages within the application Vaccine Names are available on New immunization page

35. Related Links …Vaccine Information Statements

36. Batch Uploads PCC RDE EPIC St. Joseph SHA MediEMR Horizon Eric B. Chandler Miscellaneous WIC Medicaid JJC Lead EBC-Birthing Facilities In process JMJ Opmed Yassin Pediatrics – NextGen Requested specifications STI Computer Services KeyCare, LLC Visual Data Misys Healthcare Virtua Health VNACJ.org HEDIS Aetna Americhoice Amerigroup HealthNet Horizon University Health Plans NJIIS Interface

37. Link for current VIS forms

38. List of vaccines & contraindications

39. How to prepare for NJIIS? • Assess your computer needs • Ensure computer hardware/software compatibility with NJIIS requirements • PC Hardware minimum requirements: • 300 MHZ processor running Windows 98 • 64 MB RAM • 56K Internet connection • PC Software requirements: • Internet Explorer 6.0 • High speed Internet access is recommended

40. Questions and Answers For further information http://njiis.nj.gov.. Training Opportunities or contact Dorothy Williams dorothy.williams@doh.state.nj.us 609-588-7520