Florida SHOTS

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Florida SHOTS

• Florida State Health Online Tracking System
• Benefits to Schools

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What are immunization registries?

• Confidential computer systems that contain
  information about children and immunizations
• Registries provide a critical tool for increasing
  and sustaining vaccination coverage levels
• Used increasingly as a decision-support tool for
  immunization programs and health-care providers

Source National Vaccine Advisory Committee
(NVAC). Initiative on Immunization Registries
October 5, 2001.
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Florida SHOTS Authorization

• Authorized by s. 381.003, Florida Statutes
• Further defined by Chapter 64D-3.046, Florida
  Administrative Code
• Exempt from HIPAA due to public health function

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Healthy People 2010 Goals

• Increase to 95 the proportion of children 6
  years of age and younger who are enrolled in a
  fully functional population-based registry
• Increase immunization rates in two-year old
  children to 90 for completion of 431331 (4
  DTaP, 3 Polio, 1 MMR, 3 HIB, 3 Hep B, 1 Varicella)

Source Healthy People 2010, Department of
Health and Human Services.
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Morbidity and Mortality Weekly Report (MMWR)
August 2005
                                               
                  
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Florida Progress Toward Goal, 2006 Survey
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Goals provide opportunities and challenges

• Keeping track of a complicated immunization
  schedule
• New vaccines and changing dosage
• Attaining and sustaining high immunization levels

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IssuesComplex Vaccination Schedule and New
Vaccines
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Benefits How can immunization registries help?

• Schools nurses may access Florida SHOTS to check
  a childs immunization status
• Florida SHOTS contains a robust set of
  complicated algorithms that determine if a child
  is up-to-date for age based on all doses of
  vaccine administered, age, vaccine type,
  contraindications, late start, lapsed schedules,
  etc.
• Florida SHOTS algorithms for immunization
  scheduling match statutory requirements and
  Advisory Committee on Immunization Practices
  (ACIP) recommendations

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Benefits How Can Immunization Registries Help?

• Health care providers can use Florida SHOTS to
  search for a childs record, update
  immunizations, and certify or print out needed
  forms
• Algorithms help take the guess work out of
  immunizing
• Determine next dose due (forecasting)
• Determined doses that are invalid (do not count
  toward series completion)
• Includes lapsed or late start alternate schedules
• Includes most recent vaccines licensed
• Consolidates fragmented immunization records and
  reduces unnecessary immunization

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Benefits How Can Immunization Registries Help?

• Marketing campaign for 2007/2008 will include
  schools
• School principals may apply for access and manage
  staff access under their authority (e.g., school
  registrars)
• Florida SHOTS may facilitate a childs entry into
  school and potentially eliminate delays due to
  missing vaccination records

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Whats New2007

• Certified DH 680 (Florida Certification of
  Immunization)
• Allows health care providers to automatically
  certify a DH 680 form within Florida SHOTS with
  digital signature
• Any authorized Florida SHOTS users may search for
  a childs certified DH 680 form (including
  schools)
• This authority is granted only to Florida SHOTS
  via Chapter 64D-3.046, Florida Administrative
  Code (see Immunization Guidelines for Florida
  Schools, Child Care Facilities and Family Day
  Care Homes, March 2007)

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Legitimate Florida SHOTS-Certified DH 680 Forms
(Blue Form)
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How have we simplified registry usage?Addresses
time and cost issues

• Automated data upload of all patient history in a
  providers automated record system to Florida
  SHOTS
• Access to over 6 million patient records and over
  70 million individual vaccinations

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Florida SHOTS Data Upload Partners (Practices and
Software Companies)

• USAF
• NCG
• JMJ
• VIPA
• Meditab
• Office Practicum
• Tri-Med
• EHS
• Misys

• Pediatric Assoc. of Orlando
• Gentle Med.
• Community Health Center Alliance
• Pediatric Assoc. of South Florida
• Angel Kids
• Berry Patch
• Milla Pediatrics
• A to Z Pediatrics

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Currently 257 Schools Access Florida SHOTS
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How to enroll?

• Bureau of ImmunizationDivision of Disease
  ControlFlorida Department of HealthCall the
  Florida SHOTS Enrollment Desk at 877.888.SHOT
  (7468)
• Ask for a school enrollment form (to be
  electronically posted in the Fall)
• www.flshots.com