New York State Immunization Information System. Update for AAP Vaccine Summit May 2010. Provider Participation. 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
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New York State Immunization Information System Update for AAP Vaccine Summit May 2010
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
Provider Participation in NYSIIS By Month, January 2009 – May 2010 Percent of Known Providers Participating in NYSIIS
*New York State Immunization Information System**Based on Claritas population estimates for 2008 (Jan08-Nov08) and 2009 (Jan09-present). 05/03/2010 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**
2009 NYSIIS Saturation Rates* by Region Children < 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
Counties Reaching 95%+: Broome Cortland Genesee Hamilton Onondaga Saratoga Warren Washington Wayne
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
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?
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.
Data export files are being accepted from vendors/providers using electronic medical record (EMR) or billing systems. LIVE: 50 vendors serving 350+practices (+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. Electronic Data Exchange Vendors and Providers (as of 5/1/10) https://commerce.health.state.ny.us/hpn/bcdc/immunization/nysiis_data_transfer_specs.html
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.
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)
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.
Data Quality • Completeness: H1N1 doses administered still being reviewed • Expecting 100% compliance! • Manufacturer and Lot number – important for vaccine recall, safety issues
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 correctlyANDpractice 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.
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.
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
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
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
ON-LINE SELF-GUIDED TUTORIALS • 13 modules posted on NYSIIS Training Page in Health Commerce System:https://commerce.health.state.ny.us/hpn/bcdc/immunization/training_info.html • NEWEST MODULES - Advanced Reports: • Ad Hoc lists and counts • Benchmark • Assessment
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 11:30-12:30 http://nysdoh.webex.com – click “Training Center” Select “Ask the Trainer: NYSIIS Noon Time Webinar” Enter Name and Email Enter Session Password: train10
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
ADMINISTRATIVES ACTIVITIES Program Linkages and Future Priorities
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
Future Priorities - 2010 • Commissioner’s Prevention Agenda http://www.nyhealth.gov/prevention/prevention_agenda/ • American Recovery and Reinvestment Act (ARRA) aka “Stimulus Funding” • Disaster recovery server • Integrated immunization support visits • NYSIIS enhancements • Bi-directional interfacing
Help Desks Commerce Accounts Management Unit (CAMU) Help Desk For HPN access or account issues (866) 529-1890 or firstname.lastname@example.org NYSIIS Technical Help Desk For NYSIIS user access or questions on how to use the system (866) 389-0371 or email@example.com NYSIIS staff For general program or policy questions (518) 473-2839 or firstname.lastname@example.org Growing Up Healthy Hotline For parents/public 1-800-522-5006
Q & A (518) 473-2839 email@example.com