MAKING AN IMPACT

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MAKING AN IMPACT

• Collaborations Are Key to the Growth of Your
  Registry

ODH logo
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Laurie Dietsch, MPHProject L.O.V.E.Love Our
KidsVaccinate Early!Mark Sulzman, BAOhio
Department of Health
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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
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Historical Timeline IMPACTSIIS

• The ODH immunization registry began collecting
  data from public health clinics in 1997
• Public health clinics have entered data into
  their PCs 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

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Changing Climate

• Lessons Learned Since 1997
• Servicing front end software for 88 counties
  impractical
• Data extracted from PCs 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

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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.
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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

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Project L.O.V.E. Partners

• Hospitals (Mount Carmel, Doctors, Grant,
  Riverside, St. Anns, Ohio State University and
  Childrens)
• 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)

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Franklin Countys 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

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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

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STRENGTHS

• 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

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PLIRAC Project 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

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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

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Design Team

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

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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

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POINT Team

• Privacy, Security and Confidentiality
• Legal Issues
• Policy Development
• HIPAA

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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

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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

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