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MAKING AN IMPACT

MAKING AN IMPACT. Collaborations Are Key to the Growth of Your Registry. ODH logo. Laurie Dietsch, MPH Project L.O.V.E. L ove O ur Kids… V accinate E arly! Mark Sulzman, BA Ohio Department of Health. OHIO. Population of State = 11.4 million* Cleveland = 478,000 Cincinnati = 331,000

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MAKING AN IMPACT

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  1. MAKING AN IMPACT Collaborations Are Key to the Growth of Your Registry ODH logo

  2. Laurie Dietsch, MPHProject L.O.V.E.Love Our Kids…Vaccinate Early!Mark Sulzman, BAOhio Department of Health

  3. OHIO • Population of State = 11.4 million* • Cleveland = 478,000 • Cincinnati = 331,000 • Columbus = 702,000 • Annual Birth Cohort = 155,700** • Franklin County (Columbus) = 17,400 * U.S. Census Data 2000, ** Ohio Department of Health Vital Statistics

  4. Historical Timeline IMPACTSIIS • The ODH immunization registry began collecting data from public health clinics in 1997 • Public health clinics have entered data into their PC’s using special front end software (private or ODH designed) • Data forwarded via batch uploads using modems 1-4 times a month • Registry access was via telephone using interactive voice response (IVR) • Key Issue: At least 60%-65% is administered in private sector

  5. Changing Climate • Lessons Learned Since 1997 • Servicing front end software for 88 counties impractical • Data extracted from PC’s can be corrupted or lost in transmission via modem batch uploads • Extracts from billing systems met with resistance • Current Trends • 2000 NVAC adopts minimum core standard for all US registries • HL7 protocol mandated by HIPAA • ODH recognizes web offers best option for public and private providers

  6. Project L.O.V.E. (Love Our Kids...Vaccinate Early!) is a unique partnership between Franklin County hospitals, area physicians, City of Columbus and Franklin County Health Departments, local businesses and community organizations, whose goal is to assure that Franklin County 2 year-olds are fully immunized.

  7. Project L.O.V.E. Two Primary Goals Market an Immunization Registry among central Ohio physicians in order to establish a centralized source of individual immunization records across the county and state Maintain and improve current immunization levels throughout the general population of Franklin County

  8. Project L.O.V.E. Partners • Hospitals (Mount Carmel, Doctors, Grant, Riverside, St. Ann’s, Ohio State University and Children’s) • Foundations (Columbus Medical Association Foundation and The Columbus Foundation) • Ross Labs • 2 Health Departments (Franklin County Board of Health and Columbus Health Department) • Pharmaceutical Companies (Merck, Wyeth & Glaxo Smith Klein) • Columbus Compact Corporation (Empowerment Zone) • Media (NBC4) • Political Officials (Mayor and Representatives)

  9. Franklin County’s Quest for a Registry • 1993-1997 • Focus Groups • Planning • 1997-2000 • Pilot Central Repository (Public Health) • Talking Relationship With ODH • 3 Options • Develop a registry locally • Buy an existing system • Partner with ODH

  10. Three Options • Develop System Locally • Money to develop AND sustain • Technical upkeep • Buy HII or STC? • Money to purchase AND Maintenance • Not “our” system • Web-based • ODH • “Free” for us • Our input made the system • Strengths and Weaknesses Fit

  11. State – ODH IMPACT SIIS National/CDC Support Technical Staff and Resources Sustainability Privacy/Security/ Confidentiality Power and Influence Local – PLOVE/CHD Local Contacts Local Name Recognition for Coalition and Marketing Capability Funding for Marketing End User Perspective Not as Many Funding Constraints Incentive Due to Low Immunization Rates STRENGTHS

  12. PLIRACProject L.O.V.E. Immunization Registry Advisory Council • HD Immunization Program Staff • Health Commissioners – CHD and FCBH • Project LOVE Director and Registry Coordinator • Ohio Department of Health Staff • Legal Representatives • Paul Werth Marketing Firm • Technically Inclined Members • Partner Representatives • Parents

  13. Web Design Group • Made up of Representatives from: • Development Staff from Keane (GSA Contract) • Ohio Department of Health • Columbus Health Department • Office Managers and Physicians Statewide • Interested members of the POINT Team

  14. Design Team • Functionality • What needs to be in the registry • Web page layout • Usability • Developer versus user viewpoint

  15. POINT TeamPhysician Office Impact INTeraction Team • Made up of representatives from around the state • ODH and Columbus Health Department • Other Local Health Departments • Hospitals • American Academy of Pediatrics (AAP) President - Ohio Chapter (Chris Rizzo, MD) • Managed Care Organizations

  16. POINT Team • Privacy, Security and Confidentiality • Legal Issues • Policy Development • HIPAA

  17. Negatives • Negative History (Trust Issues) • Change in Leadership • Getting to Know Each Other • Communication Difficulties • Technical vs Non-technical • Tunnel Vision • Misunderstandings • Limited Staffing • Different Perspective • State vs Local • Fear of Making “Another” Mistake

  18. Positives • Successful State and Local Partnership • Immunization Registry • Complimenting Strengths and Weaknesses • Communication is More Open • Different Perspectives • State vs Local • Improved Relations • System That is User-Friendly and FREE

  19. If the registry is implemented successfully it will occur quietly.However, if the registry is not implemented successfully, it will be heard loudly.

  20. Columbus Health Department

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