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The Business of IIS: Developing Consensus-Based Best Practice Guidelines for Improving IIS Operations

This workshop focuses on developing consensus-based best practice guidelines using business modeling to improve immunization information systems (IIS) in public health programs. Experts will discuss case studies and collaborative approaches to problem-solving.

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The Business of IIS: Developing Consensus-Based Best Practice Guidelines for Improving IIS Operations

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  1. The Business of IIS: Developing Consensus-Based Best Practice Guidelines for Improving IIS Operations The 41st National Immunization Conference Pre-conference AIRA Workshop Sunday, March 4, 2007 Kansas City, Missouri

  2. Workshop Outline (1)

  3. Workshop Outline (2)

  4. Instructors (in order of appearance) • Warren Williams, MPH - Team Lead, National Center For Immunization And Respiratory Diseases, CDC; wxw4@cdc.gov, (404) 639-8867 • Therese Hoyle, BSHE - MCIR Coordinator, Michigan Department of Community Health; HoyleT@michigan.gov, (517) 335-9340 • David Lyalin, PhD – Consultant, Northrop Grumman Corporation; dil8@cdc.gov, (678) 530-3583 • Rob Savage, Senior Business Services Analyst, EDS; savagrb@dhfs.state.wi.us ; (608) 221-4746, ext. 3641 • Elaine Lowery, JD, MSPH, Program Director, Colorado Immunization Information System, University of Colorado Health Sciences Center; elaine.lowery@uchsc.edu, (303) 724-1072 • Alan Hinman, MD, MPH, Senior Public Health Scientist, Public Health Informatics Institute; ahinman@taskforce.org , (404) 687-5636

  5. Disclaimer – The BUSINESS of IIS • The word business in this context is used as a broad term. The business does not have to be profit making. Any type of ongoing operation that has or uses resources and has one or more goals can be referred to as a business. <Eriksson et al>

  6. Why Business Modeling? • Today’s public health programs are complex business systems • involving intricate processes and operating policies • with multilevel associations of collaborating federal, state, and local partners. • Some new ways need to be explored to address and manage this complexity. • Business models can aid stakeholders and experts to address that complexity and to reach consensus-based solutions for improvement of the public health programs.

  7. Since 1998 – in Cancer Registries: CDC/NPCR, NCI, NAACCR Since 2003 – in Immunization Registries: NIP, AIRA Since 2005 – in Local Health Departments: PHII, NACCHO Also, Since 1999 – Public Health Conceptual Data Model Since 1999 - HL7 version 3 model Business Modeling in Public Health:some examples

  8. MIROW - Background • The Modeling of Immunization Registry Operations Workgroup (MIROW) of American Immunization Registry Association (AIRA) has been formed to develop a topic-by-topic Best Practice guidebook for various aspects of immunization information systems (IIS) functionality. • In April of 2005 AIRA conducted an assessment to learn which registry functional components were problematic to deploy and which components could benefit from collective guidance.

  9. MIROW - Goals • Promote operational consistency • Foster communication and collaboration • Increase credibility of IIS • Facilitate integration with other data systems

  10. MIROW – Results / References • Resulted documents available at the AIRA web site: http://www.immregistries.org/pubs/mirow.phtml • Vaccination Level Deduplication in IIS. December, 2006. • Management of Moved or Gone Elsewhere (MOGE) Status and Other Patient Designations in IIS. December, 2005. • Pilot project: IIS-VAERS Collaboration For Vaccine Adverse Events Reporting. April, 2005.

  11. PHII - Background • In 2005-2006 Public Health Informatics Institute, within a framework of the Business Process Analysis project for Local Health Departments, developed and implemented a collaborative approach to identify problems, involve stakeholders, define common work/business processes, and subsequently define the requirements of information systems to serve program goals. • Resulted document:Public Health Informatics Institute. (2006). Taking Care of Business: A Collaboration to Define Local Health Department Business Processes. Decatur, GA: Public Health Informatics Institute. http://www.phii.org/Files/Taking_Care_of_Business.pdf

  12. PHII - Background • In 2006 The Robert Wood Johnson Foundation has announced that the Public Health Informatics Institute will serve as the National Program Office for its new grant program, Common Ground: Transforming Public Health Information Systems. • The program seeks to strengthen state and local public health departments by changing how they conceive and develop information systems to better serve their communities. • One of the objectives: Examine existing public health service business processes—and define requirements for the information systems used to support these processes.

  13. Next: 1st Topic • Introduction • A Business Modeling Approach Using MOGE and Vaccination Level Deduplication Issues Case Studies • Analysis and Modeling of IIS Operations and Processes: how MIROW works • Case Study: Vaccination Level Deduplication in IIS • Case Study: Management of Immunization Statuses for a Patient in IIS • A Collaborative Approach to Problem Solving • Questions and Discussion

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