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WELCOME TO THE 2013 REGIONAL IMMUNIZATION WORKSHOP

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WELCOME TO THE 2013 REGIONAL IMMUNIZATION WORKSHOP * * In August 2012, new results for the National Immunization Survey were released, and show Montana as ranking ... – PowerPoint PPT presentation

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Title: WELCOME TO THE 2013 REGIONAL IMMUNIZATION WORKSHOP


1
WELCOME TO THE 2013 REGIONAL IMMUNIZATION
WORKSHOP
2
Montana Department of Public Health and Human
Services
  • 2013 Immunization Program Update

3
Objectives
  • Review Child and Adolescent Immunization Coverage
    Rates
  • VFC Program Changes
  • AFIX Changes in Site Visits
  • Legislative Update
  • imMTrax Data Quality and Electronic Data
    Exchange
  • Next Steps for 2013

4
Percent of Children (19-35 months) with Complete
Vaccination Coverage, National Immunization
Survey, Montana and U.S, 2005-2011
Source CDC National Center for Immunization and
Respiratory Diseases (NCIRD), National
Immunization Survey, 2005-2011 4313314
series
Montana DPHHS Immunization Program April 2013
5
2011 National Immunization Survey (children aged
19 to 35 months) Opportunities for Improvement
Vaccine Vaccination Coverage U.S. MT (average) (max) Vaccination Coverage U.S. MT (average) (max) Montana vs US Rank Gap Montana vs US Rank Gap
Complete Series(4313314) 68.5 79.1 59.6 48 -8.9
Varicella 90.8 94.2 85.6 47 -5.2
4DtaP 84.6 92.3 76.8 46 -7.8
3Hib 80.4 86.4 73.8 46 -6.6
3Hep B 91.1 90.8 90.8 28 -.3
1MMR 91.6 87.8 87.8 45 -3.8
3Polio 93.9 85.9 85.9 50 -8
4PCV 84.4 77.2 77.2 49 -7.2
3 or 4 doses Hib, depending upon brand choice
6
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7
Update on Adolescent Coverage NIS Teen 2011
8
VFC Program
9
2013 Legislative Session
  • HB 479 Revise Requirements related to release
    of patient immunization information (Opt-out)
  • SB 149 Revise collaborative practice laws for
    pharmacy immunizations

10
Looking ForwardNext Steps for 2013-2014
  • Update Administrative Rules for Child Care
    Immunization Requirements
  • Mandated Reporting to imMTrax through
    Administrative Rule
  • Continue Record Reviews in Child Care Facilities
  • imMtrax Data Quality Improvement Project
  • Enhance Interoperability of EHR/imMTrax
  • WIC Collaboration (45 UTD 2011)
  • AFIX - Intensive Quality Improvement Activities
    in fewer locations

11
Best Practices for Increasing Immunization Rates
  • The American Academy of Pediatrics and the
    Centers for Disease Control and Prevention
    recommend that each patient visit be treated as
    an opportunity for vaccination.
  • Recommendation to empower and train front line
    staff to review records at every visit, bring
    child up to date, or schedule appointment.

12
Meaningful Use Stage 1 2
  • Program of the Centers for Medicare and Medicaid
    Services (CMS)
  • Incentivizes physicians and hospitals to adopt,
    implement and upgrade Electronic Health Record
    (EHR)Systems
  • To qualify for the incentives, providers must
    meaningfully use their EHR systems
  • Electronic data exchange with public health one
    component of meaningful use

13
Key Elements of Meaningful Use - IIS
Stage 1 Stage 2
IIS submission is menu option IIS submission is core
Test message to IIS ongoing submission if successful/possible Successful ongoing submission
Dummy data permitted for test Actual patient data is required for ongoing submission
HL7 2.3.1 or 2.5.1 HL7 2.5.1 only (including Stage 1 in 2014)
Transport not specified Transport as specified by Local Health Agency (LHA)
Provider attests to having made a test may be audited but no documentation prescribed Provider attests to ongoing submission proof of submission provided by LHA
  • HL7 2.5.1 ONC specifically references
    Implementation Guide v. 1.4, see ONC Final Rule
    Federal Register Vol. 77, No. 171, p. 54240

14
EHR Uptake Trends
  • EHR market share in 2009 973 million
  • EHR market share prediction in dollars for 2012.

15
EHR Uptake Trends thru 2012
Thru December 2012 Medicare Doctors
1,672,937,853 Medicaid Doctors
1,084,656,205 TOTAL 2,757,594,058
http//www.cms.gov/Regulations-and-Guidance/Legisl
ation/EHRIncentivePrograms/Downloads/Dec_EHRIncent
ivePrograms_PaymentandRegistration_Report.pdf
16
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55
38
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60
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55
27
49
40
http//dashboard.healthit.gov/HITAdoption
17
http//dashboard.healthit.gov/HITAdoption
18
EHR Uptake Trends
Family physicians are adopting electronic health
records (EHRs) at a much faster rate than
previous data suggested, reaching a nearly 70
percent adoption rate nationwide, new study
findings reveal. One November study reported
that Pediatricians had some of the lowest
adoption rates of EHR systems, with 41 percent
indicating they had EHRs.
http//www.healthcareitnews.com/news/ehr-adoption-
could-exceed-80-percent-2013-new-study-finds?topic
08
19
HL7 Electronic Data Exchange Partners
  • Partners in Pediatrics (Lewis and Clark County)
  • Helena Pediatrics (Lewis and County)
  • Bullhook CHC (Blaine County)
  • Flathead County Health Dept. and CHC (3 sites)
  • St. Patricks/Providence (15 Sites)
  • Western Montana Clinic (3 sites)
  • Central Montana Medical Center (2 sites)

20
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21
http//www.youtube.com/watch?vQUCfFcchw1w
22
Questions/Discussion Thank You!
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