Aggregate reporting of pandemic influenza vaccine doses administered
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Aggregate Reporting of Pandemic Influenza Vaccine Doses Administered. Webinar Presentation and Demonstration To Public Health Project Areas May 9, 2007. Joint Presentation by: Immunization Services Division National Center for Immunization and Respiratory Diseases and

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Aggregate Reporting of Pandemic Influenza Vaccine Doses Administered

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Aggregate Reporting of Pandemic Influenza Vaccine Doses Administered

Webinar Presentation and Demonstration

To Public Health Project Areas

May 9, 2007

Joint Presentation by:

Immunization Services Division

National Center for Immunization and Respiratory Diseases

and

Division of Emergency Preparedness and Response

National Center for Public Health Informatics


Agenda

  • Learning Objectives

  • Background

  • Aggregate Reporting Options and Demonstration

  • State Vaccine Administration Tracking Coordinator and Point of Contact Role

  • Timeline

  • CDC Resources

  • Questions and Answers


Learning Objectives

  • Understand the approaches and technologies available for reporting Pandemic Influenza vaccine aggregate doses administered to the CDC using the Countermeasure and Response Administration (CRA) system

  • Understand the role and responsibilities required of the vaccine administration tracking point of contact CDC is requesting project areas identify (if not done already)

  • Understand the timeline for testing the respective CRA option using seasonal influenza vaccine data as a proxy for pandemic influenza

  • Understand the resources available to assist respective project areas in making the best fit option decision for reporting aggregate does administered using CRA to the CDC


Background

  • The National Pandemic Influenza Plan calls for monitoring of the appropriate use of a scarce pandemic influenza vaccine

  • To accomplish this, states/ project areas will track vaccine doses administered and collect and aggregate minimum data elements and transmit weekly to CDC

  • This webinar presents the range of approaches CDC has in place for states/project areas to provide the aggregate reporting required of the National Plan using CRA


Example of Doses Administered Provider Record


Options for Reporting to CDC

  • Option 1: For states and partners collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: pipe delimited, XML file, HL 7

  • Option 2: For states and partners collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser

  • Option 3: For states and partners using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated


Option 1: Data Exchange

Summary of Option

  • Healthcare provider collects information locally and submits selected data to the state IIS or other application

  • The state submits aggregate data to CDC’s CRA system on a weekly basis via Immunization Information System or other application using one of three data exchange formats:

    • Pipe-delimited upload file

    • Extensible Markup Language (XML) file

    • Health Level 7 (HL7) Version 2.5

      Process Considerations

  • What level of vaccination data and by whom it will be collected must be determined; at minimum, core data elements must be collected

  • Aggregate data exchange must be consolidated at the state or partner level prior to submission to CDC


Option 1: Data Exchange (continued)

Technical Considerations

  • Local application should have capability to collect core data elements

  • Core data elements should be extracted and put into one of three formats following the Aggregate Reporting Guide: pipe-delimited, XML, HL7

  • Transport mechanism should be determined and consistent with CDC PHIN standards

  • Digital certificates should be in place for access and transfer to CRA


Option 2: Direct Data Entry Via CRA Web Form

Summary of Option

  • Healthcare provider collects summarized data using the Doses Administered Provider Record

  • Each week, the healthcare provider submits counts to CDC via CRA’s web-based aggregate reporting user interface

    Process Considerations

  • Determine who will enter information on-line

    Technical Considerations

  • Staff entering data on-line must have access to the internet via web browser

  • Staff accessing CRA must have a digital certificate


Option 3: Calculate from CRA Detail Record

Summary of Option

  • Healthcare provider collects patient level information locally using CDC’s CRA application

  • CRA automatically calculates counts from patient level data entered

    Process Considerations

  • Determine by whom and at what level of detail vaccination data will be collected; CDC’s CRA can collect detailed individual level information in addition to core data elements

    Technical Considerations

  • Staff entering data on-line must have access to the internet via web browser

  • Staff accessing CRA must have a digital certificate


Testing CRA Using Seasonal Influenza Vaccine Data as a Proxy

  • Objective is to test the infrastructure for reporting aggregate counts using seasonal influenza data beginning with the next influenza season - September 2007

  • Test in at least one clinic within each project area jurisdiction

  • Test using part(s) of CRA minimum data set applicable to seasonal influenza, i.e., age groups

  • Regular reporting for influenza is for pandemic only; seasonal influenza reporting is for testing purposes only


Summary of State POC for Vaccine Administration Tracking

  • Communicate with CRA work group for updates and information exchange, training, and data interpretation, as needed

  • Serve as lead for convening appropriate staff in the planning and operational aspects of how vaccine administered data will be collected and reported to the CRA

  • Develop a plan for tracking vaccine doses administered that includes:

    • Helping gain access to at CDC-CRA grantee data and obtain digital certificate.

    • Facilitating complete and timely local POD data collection and submission to CRA

    • Timely collection, aggregation, and transmission to doses administered data to CDC

    • Training of appropriate staff members


Timeline on Aggregate Reporting

  • May 15: Identify POC

  • June: Determine option

  • June – Aug : Develop Plan

  • Jul – Oct: Technical development

  • Jul 07 – Apr 09 : Test CRA


Dates and Tentative Topics of Future Webinars

  • June 06 – Option 1 Discussion, Q&A

  • July 11 – Options 2/3 Discussion, Q&A

  • August 15 – Options 1/2/3 Q&A

  • Additional webinars and discussion forums to be added


Resources and Points of Contact

  • Toscha Stanley, Immunization Services Division (ISD),[email protected]

    • Submit POC information

  • Sanjeeb Sapkota, CRA Team, Division of Emergency Preparedness and Response, [email protected]

    • General aggregate reporting questions and inquiries

  • PHIN E-mail [email protected]

    • Issuing digital certificates

    • Getting access to CRA Exchange, an interactive knowledge sharing and exchange web site (http://team.cdc.gov/)

    • Getting access to CRA demonstration site

    • Problem solving

  • To get a copy of this presentation: http://www.cdc.gov/phin/preparedness/cra.html


Learning Objectives

  • Understand the approaches and technologies available for reporting Pandemic Influenza vaccine aggregate doses administered to the CDC using the Countermeasure and Response Administration (CRA) system

  • Understand the role and responsibilities required of the vaccine administration tracking point of contact CDC is requesting project areas identify (if not done already)

  • Understand the timeline for testing the respective CRA option using seasonal influenza vaccine data as a proxy for pandemic influenza

  • Understand the resources available to assist respective project areas in making the best fit option decision for reporting aggregate does administered using CRA to the CDC


Questions?


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