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New York State Immunization Information System

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Title: New York State Immunization Information System Author: Loretta A. Santilli Last modified by: Loretta A. Santilli Created Date: 4/1/2009 4:44:15 AM – PowerPoint PPT presentation

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Title: New York State Immunization Information System


1
New York State Immunization Information System
  • Update for
  • AAP Vaccine Summit
  • May 2010

2
Provider Participation
3
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

4
Provider Participation in NYSIIS By Month,
January 2009 May 2010
Percent of Known Providers Participating in NYSIIS
5
Percent of Children Less Than 6 Years of Age with
Two or More Shots in NYSIIS New York State
(Outside of New York City)
Percent Participating
6
2009 NYSIIS Saturation Rates by Region
Children lt 6 with 2 Shots
86.0
90.4
87.3
87.3
Western Region
55.7
Finger Lakes Region
Total Upstate 78.7
Central New York Region
Capital District Region
52.2
Lower Hudson
Long Island
Based on 2009 Claritas population estimates.
Updated 05/03/2010
7
Counties Reaching 95 Broome Cortland Genesee H
amilton Onondaga Saratoga Warren Washington Wayne
8
NYSIIS and H1N1 Response
9
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

10
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?

11
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.

12
Technical Activities
13
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 350practices
    (46 practices using in house systems)
  • An additional 22 vendors are testing or in
    progress.
  • A complete list of vendors currently workingwith
    NYSIIS is available on the NYSDOH public web site
    at
  • Early efforts underway to implement HL-7 version
    2.5.

https//commerce.health.state.ny.us/hpn/bcdc/immun
ization/nysiis_data_transfer_specs.html
14
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.

15
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)

16
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.

17
Data Quality
  • Completeness H1N1 doses administered still
    being reviewed
  • Expecting 100 compliance!
  • Manufacturer and Lot number important for
    vaccine recall, safety issues

18
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
    correctlyAND 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.

19
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.

20
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

21
Training, Communication and Outreach
22
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23
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

24
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

25
ON-LINE SELF-GUIDED TUTORIALS
  • 13 modules posted on NYSIIS Training Page in
    Health Commerce Systemhttps//commerce.health.st
    ate.ny.us/hpn/bcdc/immunization/training_info.html
  • NEWEST MODULES - Advanced Reports
  • Ad Hoc lists and counts
  • Benchmark
  • Assessment

26
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 1130-1230
  • http//nysdoh.webex.com click Training Center
  • Select Ask the Trainer NYSIIS Noon Time
    Webinar
  • Enter Name and Email
  • Enter Session Password train10

27
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

28
ADMINISTRATIVES ACTIVITIES
  • Program Linkages and Future Priorities

29
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

30
Future Priorities - 2010
  • Commissioners Prevention Agenda
  • http//www.nyhealth.gov/prevention/prevention_agen
    da/
  • American Recovery and Reinvestment Act (ARRA) aka
    Stimulus Funding
  • Disaster recovery server
  • Integrated immunization support visits
  • NYSIIS enhancements
  • Bi-directional interfacing

31
Help Desks
  • Commerce Accounts Management Unit (CAMU) Help
    Desk
  • For HPN access or account issues
  • (866) 529-1890 or hinhpn_at_health.state.ny.u
    s
  • NYSIIS Technical Help Desk
  • For NYSIIS user access or questions on how to use
    the system
  • (866) 389-0371 or nysiishelpdesk_at_hp.com
  • NYSIIS staff
  • For general program or policy questions
  • (518) 473-2839 or nysiis_at_health.state.ny.u
    s
  • Growing Up Healthy Hotline
  • For parents/public
  • 1-800-522-5006

32
Q A
(518) 473-2839 nysiis_at_health.state.ny.us
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