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New York State Immunization Information System Update


New York State. Immunization Information System. Update. Western New York & Finger Lakes ... Lake Placid June 9. Nanuet June 23-24. Buffalo July 8. Rochester ... – PowerPoint PPT presentation

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Title: New York State Immunization Information System Update

New York State Immunization Information
  • Western New York Finger Lakes
  • Pediatric and Adolescent
  • Immunization Conference
  • May 2009
  • Loretta A. Santilli, M.P.H.
  • NYSIIS Program Manager, Bureau of Immunization
  • New York State Department of Health
  • (518) 473-2839

Provider Participation
  • Happy Birthday NYSIIS!
  • On February 25, 2009 the web application was
    operational for one year.

Provider Participation in NYSIIS as of 4/6/2009
N 2,723
Participation defined as having an active NYSIIS
account. Note An additional 721 schools are
also active in NYSIIS with read-only access.
Key Statistics
  • As of May 12, 2009
  • 2.2 million patients
  • 24.6 million immunizations
  • 6,100 individual users
  • 2,100 health care provider organizations
  • 850 schools
  • The numbers continue to climb!

Percent of Children Less Than 6 Years of Agewith
Two or More Shots in NYSIISNew York State
(Outside of New York City)
Percent Participating
Healthy People 2010 Goal 95
New York State Immunization Information
SystemBased on Claritas 2008 population
estimates. Data prior to Apr08 is from the HUB
data beginning Apr08 is from NYSIIS.
Updated 05/04/09
(No Transcript)
Technical - System Activities
Electronic Data Exchange Providers (as of
Data export files are being accepted from
vendors/providers using electronic medical record
(EMR) or billing systems. LIVE 30 vendors
serving 203 organizations (24 organizations
served by in house systems)
  • ADS (Medex Premiere) (NEIC)
  • Allscripts - MYSIS
  • CDS (Contemporary Data Services)
  • Cerner System
  • Eclinical Works
  • Eclipsys
  • EPIC
  • EZImmune
  • GE Healthcare -Centricity
  • Hypocrates
  • McKesson
  • MD Everywhere
  • MD Office
  • Medcomp
  • MEDENT (Community Computers/ Hlth Sys Tech)
  • Medfx
  • Medical Communication Systems
  • Medisoft / Medinotes
  • Meditech
  • Mitchell McCormick
  • NextGen
  • Office Practicum
  • PerfectCare
  • Physician's Computer Company
  • PractiCare
  • Practice Made Perfect
  • Practice Partner
  • Quicksilver Computers
  • Sage (Medical Manager)
  • Virtual Officeware

An additional 9 vendors are testing or in
Electronic Data Exchange Other Partners
  • Approx. 500 records are loaded daily from the
    vital records birth certificate information,
    including Hepatitis B birth dose.
  • 90 of expected records are received within 14
  • 600,000 births from 2004 were bulk-loaded.
  • Established weekly upload of records from the New
    York City Immunization Registry (NYCIR) based on
    patient residence of NYS outside of NYC.

Data Quality
  • County and Provider Profiles
  • Patient status work
  • Active-Inactive-Deceased
  • Data exchange user support to ensure submission
    of appropriate information in correct file
    locations (dates, vaccine codes, etc.)
  • Submission of test patients in first live data
    exchange file
  • Refugee and migrant populations
  • Deduplication with similar information
  • Manufacturer-Lot Number-VFC Eligibility
    Status-Funding Type (public vs. private stock)

System Modifications
  • Release Version 1.4 January 22, 2009
  • Changing Fluarix from an influenza vaccine to
    influenza preservative free vaccine (including
    clean up of existing data).
  • Adding Flu-Mist dose size of .2mL and correcting
    the dose size on existing Flu-mist lots.
  • Defaulting VFC eligibility as appropriate if not
    selected by user (depending on age and vaccine
    funding type selected). Includes clean up of
    existing data approx. ½ million imms.
  • Correcting the display of patient status.
  • Data exchange modification to link vaccine CVX
    code to trade name. Includes clean up of
    existing data.
  • Data exchange modification to process phone
    numbers submitted using a non-standard format
    (i.e. without area code).
  • Changing labels related to VFC eligibility and
    Funding type (public/private) to ensure
    consistency from screen to screen.

System Modifications - 2
  • Release Version 1.4.1 March 5, 2009
  • Adding new user roles (Public Health and
    Pharmacists) and organization type (Pharmacy)
  • Adding a new source id for immunizations loaded
    through vital records
  • Fixing truncated text in the assessment report
  • Correcting the sorting of birth date in the Ad
    Hoc list report
  • Carrying through Administering By and Ordering
    Clinician selections for Other Owned doses
  • Ensuring consistency with the VFC Eligibility
    display in the screen headers
  • Correcting 3 bugs (Data Exchange Custom Flat
    file, browser parameter, and menu item requests)
  • Commerce Portal Redesign Expected release in
    the Spring
  • Release version 1.4.2 expected June 2009

Hands-on Classroom Sessions
  • January-April
  • 23 instructor led sessions were held 138
    people trained
  • May-September Register at - http//www.zoomerang.
  • Watertown May 12-13
  • New Rochelle May 27-28
  • Lake Placid June 9
  • Nanuet June 23-24
  • Buffalo July 8
  • Rochester July 9
  • Utica July 21
  • Syracuse July 22
  • Ronkonkoma August 4
  • Westbury August 5-6
  • Tarrytown August 26-27
  • Middletown September 15-16

Other Training Opportunities
  • Webinars
  • Jan-Apr 12 live sessions 75 people
    trained Recorded 93 people trained
  • May-Sept Register at http//
  • Live instructor led sessions scheduled
    approximately once a week.
  • A Saturday session is scheduled for June 6 at
    830 a.m.
  • Previously recorded sessions available on demand.
  • On-line self-guided tutorials
  • 10 modules posted on NYSIIS Training Page in
    Health Commerce System https//
  • 286 users accessed since January

Other Training Opportunities - 2
  • On-site training opportunities
  • Jan-Apr 4 completed 36 people trained
  • Available upon request (
  • Host must provide venue with internet capability
    and anticipate at least 10 participants.
  • NYSIIS provides trainer, training materials and
    laptops if needed.
  • Independent learning
  • Available via the user manual or using pop up
    help tools in the NYSIIS application.

New Advanced Reports Training
  • Curriculum will cover
  • Adhoc List and Count
  • Assessment
  • Benchmark
  • Custom Letter for Reminder-Recall
  • Patient Query Listing
  • Webinar sessions available beginning May 20th.
  • Participant handout will be available.

School Users
  • Schools can have read-only access for student
    look up (includes day care through college).
  • Data cannot be entered or edited by school users.
  • Recorded, (39 minute) School User webinar
    training is available on demand.
  • More than 850 users trained so far
  • 425 since January 2009
  • School users MUST have their own NYSDOH Health
    Commerce System account to access NYSIIS.

Communication and Outreach
NYSIIS Tip of the Month
  • December Auto Fill by Zip Code
  • January Entering Synagis (IG-RSV-IgIM)
  • February Updating Organization and User
    Information (especially email addresses)
  • March - Successful Login When Sharing a Computer
    (close browser to clear cache)
  • April Accurate VFC reporting (VFC eligibility
    field drives VFC reports)

Electronic Communications
  • NYSIIS News Winter 2009
  • Email distributions
  • Fluviron discontinue use notice
  • Release announcements
  • Maintenance notices
  • VIS updates
  • Training opportunities
  • User group invitations

Spring 2009 User Group Meetings
  • 6 regional sessions held April 28th - May 7th
  • Nearly 400 participants!
  • Syracuse 83 participants
  • Rochester 87 participants
  • Buffalo 77 participants
  • Glens Falls 64 participants
  • Hudson Valley 39 participants
  • Long Island 30 participants

Provider Recognition
  • NYSIIS Champions recognized at Spring regional
    user group meetings (based on nominations
    received as part of December user group
    evaluations or via email).

National Immunization Conference
  • NYSIIS receives Center of Excellence Award for
    Provider Participation from the American
    Immunization Registry Association (AIRA)!
  • Presentation on data exchange lessons learned
  • Poster display on training strategy
  • Tremendous networking with partners across the
    nation, especially other users of Wisconsin
    platform which NYSIIS was built from.

Program Linkages
  • Blood Lead
  • Budget bill was approved providing legal
    authority for Lead-NYSIIS linkage!
  • Tentative schedule is for existing lead
    information to be accessible via NYSIIS in
    September 2009.
  • Data submission module and additional reporting
    capabilities will not be available until Phase
  • Countermeasure and Response Administration (CRA)
  • Mass vaccination efforts in a public health
  • May be needed sooner than later with recent novel
    H1N1 influenza outbreak (swine flu).
  • Discussions regarding data collection in a Fall
    vaccination campaign.

Program Linkages - 2
  • Wisconsin Immunization Registry (WIR) Consortium
  • Oregon and New Mexico have adopted the NYSIIS
  • Continue to share code as enhancement work is
    completed in other projects.
  • Collaboration to respond to national vaccine
    management initiative (VTrckS).
  • New York eHealth Collaborative (NYeC)
  • Working to prevent need for double consent
  • Child Health Information Integration (CHI2)
  • Potential Connections national conference host
    site, Fall 2009

Data Sharing
  • Collaborative work with American Immunization
    Registry Association (AIRA) subcommittee
    continues to harmonize NYS template with
    Multi-state Inter-Organizational Agreement (IOA)
    developed by Health Information Security and
    Privacy Collaboration (HISPC).
  • Will facilitate data sharing with contiguous
    states (New Jersey, Pennsylvania, etc.)

Future Priorities
  • American Recovery and Reinvestment Act (ARRA) aka
    Stimulus Funding
  • Potential projects NYSIIS enhancements,
    disaster recovery, integrated Immunization site

Help Desks
  • Commerce Accounts Management Unit (CAMU) Help
  • For HPN access or account issues
  • (866) 529-1890 or hinhpn_at_health.state.ny.u
  • NYSIIS Technical Help Desk
  • For NYSIIS user access or questions on how to use
    the system
  • (866) 389-0371 or
  • Growing Up Healthy Hotline
  • For parents/public
  • 1-800-522-5006
  • NYSIIS staff
  • For general program or policy questions
  • (518) 473-2839 or nysiis_at_health.state.ny.u