New York Immunization Record Template - PowerPoint by bgz74631

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									    New York State
Immunization Information
        System

        Update for
    AAP Vaccine Summit
         May 2010
          Key Statistics
 As of May 1, 2010:
    3.1 million patients
    36.4 million immunizations
    9,200+ individual users
    3,100+ health care provider organizations
    1,500+ schools
 78.7% of NYS children (outside of NYC)
  less than 6 years of age have 2 or more
  shots in NYSIIS
     Provider Participation in NYSIIS
     By Month, January 2009 – May 2010
                             90

                             85
Percent of Known Providers




                             80
   Participating in NYSIIS




                             75

                             70

                             65

                             60
                           Percent of Children Less Than 6 Years of Age
                               with Two or More Shots in NYSIIS*
                                         New York State (Outside of New York City)

                           100

                            90
 Percent Participating**




                                                                                                                                    78.7
                            80                                                                                            76.0 78.2
                                                                                                                   72.4
                            70                                                                              67.8
                                                                                                    63.7
                                                                                             59.6
                            60                                                       56.2
                                                                             50.8
                            50                                        43.3
                            40                                 36.6
                                                       32.2
                            30           23.9 24.0
                                 21.2
                            20

                            10

                             0
                                 Jan08   Mar08 May08   Jul08   Sep08 Nov08   Jan09   Mar09 May09    Jul09   Sep09 Nov09   Jan10   Mar10   Apr10

                                                                                     Month

*New York State Immunization Information System
                                                                                                                              05/03/2010
**Based on Claritas population estimates for 2008 (Jan08-Nov08) and 2009 (Jan09-present).
2009 NYSIIS Saturation Rates* by Region
  Children < 6 with 2+ Shots



                                                                             86.0%



                                                      90.4%

                                   87.3%

                  87.3 %



  Western Region
                                                                            55.7%
  Finger Lakes Region

  Central New York Region           Total Upstate
  Capital District Region           78.7%
  Lower Hudson                                                                            52.2%
  Long Island
                            *Based on 2009 Claritas population estimates.
                                                                                     Updated 05/03/2010
Counties
Reaching
95%+:

Broome
Cortland
Genesee
Hamilton
Onondaga
Saratoga
Warren
Washington
Wayne
SUPPORTING H1N1 RESPONSE
 Doses administered reporting (age groups and
 priority groups)
  Required for children less than 19 years of age
  Encouraged for adults (written consent needed, waived for
   public health clinics)
  Cross walked NYSIIS org id to H1N1 PIN for vaccine
   accountability
 Successful use of inventory tracking module by 500+
 practices
  Doses wasted, expired, recalled
 Successful use of reminder-recall feature especially
 with identifying children less than 10 years of age who
 required 2nd dose
 SUPPORTING H1N1 RESPONSE
 Public clinic data load (PODs)
    All files have been transferred, rejected records are
     being corrected by local health departments
 Adverse event monitoring
    Exchanged info with 3 health plans (Aetna, Cigna,
     Humana) to compare immunization history to health
     care utilization data to monitor potential adverse
     events (miscarriages, GBS).
 Evaluation project
    Did different vaccination strategies in counties
     impact H1N1 immunization coverage rates in
     children?
        NYSIIS and H1N1
As of May 11, 2010:
    852,944 H1N1 doses administered have been
     reported to NYSIIS by 1,831 practices.
       51.7% of the 1,648,857 total doses reported to
        all NYSDOH systems (IVR, online, CDMS, etc.)
    A vast majority (82%) are children and young
     adults 6 months through 24 years of age.
    45.1% of children 6 months through 9 years of
     age with one H1N1 dose reported to NYSIIS also
     have the recommended second dose also
     recorded in NYSIIS.
           Electronic Data Exchange
         Vendors and Providers (as of 5/1/10)
• Data export files are being accepted from vendors/providers
  using electronic medical record (EMR) or billing systems.

• LIVE: 50 vendors serving 350+practices
      (+46 practices using in house systems)

• An additional 22 vendors are testing or in progress.

• A complete list of vendors currently working
  with NYSIIS is available on the NYSDOH public web site at:
  https://commerce.health.state.ny.us/hpn/bcdc/immunization
  /nysiis_data_transfer_specs.html

• Early efforts underway to implement HL-7 version 2.5.
Organizational Extracts
 New feature being tested
 Outbound files (NYSIIS to Provider)
 For providers who are manually using NYSIIS
 and are moving to an EMR, a file can be
 extracted from NYSIIS for possible loading into
 the new EMR software.
Bi-directional Interfacing
 Child Health Information Integration (CHI2)
    Much bigger than NYSIIS!
    Bi-directional real-time exchange between providers
     and NYSDOH is ultimate goal
    ARRA funds (through Medicaid program)
     accelerating work on a universal public health node
     to connect internal and external systems together
       NYSIIS is a pilot program to connect to UPHN
       RHIOs will also connect to node
       EMR systems connected to RHIOs now linked to NYSDOH
   Will be an ADDITIONAL method for providers to
    connect to NYSIIS (current connections not touched)
              Data Quality
 Patient address is critical
   For data entry users: Complete patient address
    should be recorded, including COUNTY
   For data exchangers: verify data is being sent and
    stored correctly. Problems should be reported to
    your vendor.
              Data Quality
 Completeness: H1N1 doses administered still
  being reviewed
   Expecting 100% compliance!


 Manufacturer and Lot number – important for
  vaccine recall, safety issues
                 Data Quality
 VFC Reporting
   VFC program is using NYSIIS in verifying shots
    administered.
   Data exchangers should verify that VFC eligibility is
    being sent and stored correctly
    AND
    practice is identified as owning the shots you
    administer (i.e. not being sent as historical).
   If VFC eligibility is not being sent, or is being stored
    incorrectly, your VFC reports are NOT VALID.
   Any problems should be reported to your vendor
    and NYSIIS staff.
    System Modifications
 NYSIIS releases 1.5.0, 1.5.1, 1.5.2 and 1.5.3 were
 successfully completed in October, December,
 February and April. The releases included:
   Countermeasure and Response Administration
    (CRA) module to support H1N1 response.
   Scheduler updates to accommodate new
    vaccines, age range changes, and prevent
    conflicts among live viruses.
   VFC eligibility tracking and reporting
    enhancements.
Upcoming Releases
 Release 1.6 (Clinical) – May 2010
    Add new vaccines and modify schedules as
     appropriate for Hiberix, Cervarix, and Prevnar13.
    Update HPV schedule for age and adjacent dose
     rules
    Include HPV series for males (Gardasil only)


 Release 2.0 Lead – July 2010
    Lead user interface module, historical data
     upload from LeadWeb
    Phase 3 (reports and prompts) to follow later
                                                NYSIIS Training by Modality
                                                 December 2007 - Present
                                 400



                                 350
Number of Participants Trained




                                 300



                                 250



                                 200



                                 150



                                 100



                                  50



                                   0




                                   Classroom   Live Webinar   Recorded Webinar   Online Tutorials   Onsite
         2010 TRAINING PLAN
    Outreach by HP (formerly EDS) staff
     Phone contact at the county level
     Contact Providers
     Increased onsite trainings (key strategy)
     Org-specific webinars
    Classroom sessions (heavy Downstate)
    Webinars (live and recorded)
    Online Self-Guided Tutorials
    Ask The Trainer Webinar
    Newly revised user manual released January 2010
2010 Webinar Schedule
 Register at: http://nysdoh.webex.com
 Live instructor led sessions scheduled
 approximately once a week.
    Standard User
    Combined Standard/Administrator User
    Advanced Reports
 Previously recorded sessions available on
 demand.
    Beginning User (Standard & Combined)
    AFIX-CoCASA
    School Access User
    Standard User for Pharmacy
ON-LINE SELF-GUIDED TUTORIALS

 13 modules posted on NYSIIS Training Page in
    Health Commerce System:
    https://commerce.health.state.ny.us/hpn/bcdc/immuniz
    ation/training_info.html

   NEWEST MODULES - Advanced Reports:
       Ad Hoc lists and counts
       Benchmark
       Assessment
         ASK THE TRAINER
 This open forum webinar was designed to allow
 NYSIIS users to bring their questions to the NYSIIS
 trainers for one-on-one resolutions.

 Last Friday Each Month at 11:30-12:30

 http://nysdoh.webex.com – click “Training Center”
 Select “Ask the Trainer: NYSIIS Noon Time Webinar”
 Enter Name and Email
 Enter Session Password: train10
    COMMUNICATIONS
 NYSIIS News –distributed electronically in March
 2010

 NYSIIS application announcements and blast email
 distributions
  Important vaccine specific and general
   immunization related information
  Maintenance/outage notices
  Training/user group reminders
  NYSIIS tips of the month
Program Linkages and Future Priorities
        Program Linkages
 WIR Consortium – continued code sharing with
 various projects, especially Oregon
   Enhanced immunization evaluator (scheduler)
   Data exchange file interacting with inventory module
 Health Insurance Plans – query only
  capability to support QUARR and HEDIS reporting
 Inter-state data sharing agreement
   Template under final revisions
  Future Priorities - 2010
 Commissioner’s Prevention Agenda
 http://www.nyhealth.gov/prevention/prevention_agenda/


 American Recovery and Reinvestment Act
 (ARRA) aka “Stimulus Funding”
  Disaster recovery server
  Integrated immunization support visits
  NYSIIS enhancements
  Bi-directional interfacing
                 Help Desks
 Commerce Accounts Management Unit (CAMU) Help Desk
    For HPN access or account issues
    (866) 529-1890     or  hinhpn@health.state.ny.us

 NYSIIS Technical Help Desk
    For NYSIIS user access or questions on how to use the
     system
    (866) 389-0371       or   nysiishelpdesk@hp.com

 NYSIIS staff
    For general program or policy questions
    (518) 473-2839    or    nysiis@health.state.ny.us

 Growing Up Healthy Hotline
    For parents/public
    1-800-522-5006
      Q&A




     (518) 473-2839
nysiis@health.state.ny.us

								
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