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Maine’s IIS Immunization Information System ( ImmPact2) Maximizing System Value

Maine’s IIS Immunization Information System ( ImmPact2) Maximizing System Value. Objectives:. Define the Immunization Info. System (IIS)/Registry. Detail collected data and its drivers. Describe data use by user types. Describe Data Exchange work. What is a Registry?.

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Maine’s IIS Immunization Information System ( ImmPact2) Maximizing System Value

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  1. Maine’s IIS Immunization Information System (ImmPact2) Maximizing System Value

  2. Objectives: • Define the Immunization Info. System (IIS)/Registry. • Detail collected data and its drivers. • Describe data use by user types. • Describe Data Exchange work.

  3. What is a Registry? • A single patient record, combining different sources in an expedited manner. • A single authoritative system for the application of Vaccine Related Information. • A combination of complementary tools available for its users at no cost.

  4. Why is a Registry important? (Stakeholders)

  5. Why is a Registry important? (Stakeholders) • Increase Immunization ratesScheduling – Reminder/Recall • Reduce the incidence of ‘extra’ dosingSingle Client, Single Record • Identify Factors of Low Immunization

  6. Why is a Registry important? (IIS Owners)

  7. When a Registry becomes an IIS • Registry = Client Record/Data • IIS = Integrated business practices and leveraged technological solutions • Vaccine for Children Reporting • Total Inventory Management • AFIX self monitoring • Reporting • And more….

  8. ImmPact2 Captures • Client Data • Client Demographics • Client Responsible Person • VFC/Medicaid Status • Vaccine Transactions/History • Provider Data • Provider Demographics • Vaccine Administration Data • Vaccine Usage/Wastage • CASA (4-3-1-3-3-1 UTD) rates • Services/Activity Tracker

  9. Data Exchange: • History • ImmPact2 Functionality • Work Flow Options • Business Factors / Work Flow Choice • Benefits • Challenges

  10. Data Exchange – History (p1) • 2004: Began business negotiations with major hospitals and stakeholder groups. • 2004: In preliminary meetings, Providers chose IIS-Centric Work Flow • 2005 – 2007: Design and Business Planning • 2007: Began development work on Data Exchange that went through numerous iterations, starting with provider preferred IIS-Centric workflow • 2008: Initiated a meeting with MHIN to discuss our efforts. No follow-up from MHIN until 2010. 

  11. Data Exchange – History (p2) • 2009: Maine General went LIVE with IIS-Centric workflow • 2010: Maine Primary Care Association went LIVE with IIS-Centric workflow. • 2010: Current Technological Efforts proceeding to effect IIS-Centric work-Flow: • Maine Medical Center • Eastern Maine Health Systems • Eastern Maine Health Systems (Beacon) • Pediatric Associates of Lewiston

  12. Data Exchange – History (p3a) • 2010: Current stakeholders having submitted a Data Exchange Survey and have received our Exchange Specifications • State of Maine – Dept. of Education • State of Maine - WIC • City of Portland • City of Bangor • Central Maine Health Center • Culbert Health • DFD Russell • Franklin County Health Network • Harrington Family HC • Houlton Regional Hospital • Intermed • Martin's Point • Maine Health • MDI Hospital Health

  13. Data Exchange – History (p3b) • 2010: Current stakeholders having submitted a Data Exchange Survey and have received our Exchange Specifications • Parkview • Penobscot Community Health Care • Practice Partners • Sage • Saint Marys • Searsport • Skowhegan Family Practice • Southern Maine Medical Center • Stephens Memorial • Stockton Springs • Warren Family Medicine • York Hospital 

  14. Data Exchange – I2 Functionality (p1) • Unsolicited Outbound: A dose is recorded into the ImmPact2 system and sent to the EMR/Broker at an assigned interval. • All providers have chosen this method of exchange •  Unsolicited Inbound: A dose is recorded into the EMR and sent to the ImmPact2 system at an assigned interval • No providers have chosen this method. • Indian Health Services agreed to engage in this method as our system pilot. • IHS has discussed converting to IIS-Centric once the inbound exchange pilot is completed.

  15. Data Exchange – I2 Functionality (p2) • Query/Response: • Works like UO and UI • Single client queries • Client Match and immediate data return • This method is generally used by State IIS to communicate single client record look-ups. • Other potential uses; • HEDIS reporting • Insurer Queries • Internal Systems Data Sharing

  16. Data Exchange – Work Flow Def. • Work Flow Terms • IIS Centric: The dose is recorded into the ImmPact2 system as the 'Point of Origin" and them moved to the EMR/Broker. • EMR Centric: The dose is recorded into the EMR and send to the ImmPact2 system. [Note: All provider negotiations to date have resulted in IIS-Centric work flow]

  17. Data Exchange – Business Factorscontributing to Work Flow Choice (p1) The following two issues are summarized, but the business implications for breaking the connection between inventory management and client administration are substantial. • Client Records: Using the ImmPact2 system allows a consolidated set of vaccines for the client no matter where administered state-wide. • Vaccine Requirements: Providers have a good number of mandatory record keeping requirements in order to receive and utilize State Supplied vaccine.

  18. Data Exchange – Business Factorscontributing to Work Flow Choice (p2) • Work flow is less a technical issue and more a organizational, business, and expenditure issue. It takes more resources overall to support EMR centric workflow than IIS workflow due to reporting and business requirements of the provider office to complete the Maine Immunization Program requirements. • In order to simplify the provider work-flow and maintain the most complete client record, providers have recognized the advanced features of the ImmPact2 system.

  19. Data Exchange – Benefits • Consolidated Official State Record • Disease Outbreak Interventions • Client transitions • College Entrance • Reduction in ‘extra’ dosing • Labor reductions • Commodity gains / waste reduction • Improved public relations • Reduced Cost

  20. Data Exchange – Challenges • Dedicated SoM Data Exchange Staffing • Exchange Management, Set-up, Maintenance • Methodology of transfer: currently limited to HTTPS • Fiscal – State: • No dedicated Federal Funding for Exchange • No State Funding for Exchange • Fiscal - Provider: • Unless falling under Meaningful use, little funding avail. • Now being approached by multiple sharing entities. •  Knowledge:  • SoM knowledge base for HL7 VXU • SoM knowledge of HTTPS transport methodologies • Provider knowledge base for HL7 VXU • Provider knowledge of HTTPS transport methodologies

  21. Exchange as an IIS Strategy

  22. Maine Immunization Information System (IIS) Contact Shawn M. Box, B.S. Maine Immunization Program Assistant Director IIS Manager Shawn.Box@Maine.Gov 207.287.3746

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