New York State Immunization Information System Update

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New York State Immunization Information
SystemUpdate

• Western New York Finger Lakes
• Pediatric and Adolescent
• Immunization Conference
• May 2009
• Loretta A. Santilli, M.P.H.
• NYSIIS Program Manager, Bureau of Immunization
• New York State Department of Health
• [phone] las09_at_health.state.ny.us

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Provider Participation

• Happy Birthday NYSIIS!
• On February 25, 2009 the web application was
  operational for one year.

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Provider Participation in NYSIIS as of 4/6/2009
N 2,723
Participation defined as having an active NYSIIS
account. Note An additional 721 schools are
also active in NYSIIS with read-only access.
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Key Statistics

• As of May 12, 2009
• 2.2 million patients
• 24.6 million immunizations
• 6,100 individual users
• 2,100 health care provider organizations
• 850 schools
• The numbers continue to climb!

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Percent of Children Less Than 6 Years of Agewith
Two or More Shots in NYSIISNew York State
(Outside of New York City)
Percent Participating
Healthy People 2010 Goal 95
New York State Immunization Information
SystemBased on Claritas 2008 population
estimates. Data prior to Apr08 is from the HUB
data beginning Apr08 is from NYSIIS.
Updated 05/04/09
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Technical - System Activities
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Electronic Data Exchange Providers (as of
5/15/09)
Data export files are being accepted from
vendors/providers using electronic medical record
(EMR) or billing systems. LIVE 30 vendors
serving 203 organizations (24 organizations
served by in house systems)

• ADS (Medex Premiere) (NEIC)
• Allscripts - MYSIS
• CDS (Contemporary Data Services)
• Cerner System
• Eclinical Works
• Eclipsys
• EPIC
• EZImmune
• GE Healthcare -Centricity
• Hypocrates
• McKesson
• MD Everywhere

• MD Office
• Medcomp
• MEDENT (Community Computers/ Hlth Sys Tech)
• Medfx
• Medical Communication Systems
• Medisoft / Medinotes
• Meditech
• Mitchell McCormick
• NextGen
• Office Practicum
• PerfectCare

• Physician's Computer Company
• PractiCare
• Practice Made Perfect
• Practice Partner
• Quicksilver Computers
• Sage (Medical Manager)
• Virtual Officeware

An additional 9 vendors are testing or in
progress.
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Electronic Data Exchange Other Partners

• Approx. 500 records are loaded daily from the
  vital records birth certificate information,
  including Hepatitis B birth dose.
• 90 of expected records are received within 14
  days.
• 600,000 births from 2004 were bulk-loaded.
• Established weekly upload of records from the New
  York City Immunization Registry (NYCIR) based on
  patient residence of NYS outside of NYC.

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Data Quality

• County and Provider Profiles
• Patient status work
• Active-Inactive-Deceased
• Data exchange user support to ensure submission
  of appropriate information in correct file
  locations (dates, vaccine codes, etc.)
• Submission of test patients in first live data
  exchange file
• Refugee and migrant populations
• Deduplication with similar information
• Manufacturer-Lot Number-VFC Eligibility
  Status-Funding Type (public vs. private stock)

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System Modifications

• Release Version 1.4 January 22, 2009
• Changing Fluarix from an influenza vaccine to
  influenza preservative free vaccine (including
  clean up of existing data).
• Adding Flu-Mist dose size of .2mL and correcting
  the dose size on existing Flu-mist lots.
• Defaulting VFC eligibility as appropriate if not
  selected by user (depending on age and vaccine
  funding type selected). Includes clean up of
  existing data approx. ½ million imms.
• Correcting the display of patient status.
• Data exchange modification to link vaccine CVX
  code to trade name. Includes clean up of
  existing data.
• Data exchange modification to process phone
  numbers submitted using a non-standard format
  (i.e. without area code).
• Changing labels related to VFC eligibility and
  Funding type (public/private) to ensure
  consistency from screen to screen.

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System Modifications - 2

• Release Version 1.4.1 March 5, 2009
• Adding new user roles (Public Health and
  Pharmacists) and organization type (Pharmacy)
• Adding a new source id for immunizations loaded
  through vital records
• Fixing truncated text in the assessment report
• Correcting the sorting of birth date in the Ad
  Hoc list report
• Carrying through Administering By and Ordering
  Clinician selections for Other Owned doses
• Ensuring consistency with the VFC Eligibility
  display in the screen headers
• Correcting 3 bugs (Data Exchange Custom Flat
  file, browser parameter, and menu item requests)
• Commerce Portal Redesign Expected release in
  the Spring
• Release version 1.4.2 expected June 2009

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Training
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Hands-on Classroom Sessions

• January-April
• 23 instructor led sessions were held 138
  people trained
• May-September Register at - http//www.zoomerang.
  com/Survey/?pWEB228ZFCU5Z4N
• Watertown May 12-13
• New Rochelle May 27-28
• Lake Placid June 9
• Nanuet June 23-24
• Buffalo July 8
• Rochester July 9
• Utica July 21
• Syracuse July 22
• Ronkonkoma August 4
• Westbury August 5-6
• Tarrytown August 26-27
• Middletown September 15-16

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Other Training Opportunities

• Webinars
• Jan-Apr 12 live sessions 75 people
  trained Recorded 93 people trained
• May-Sept Register at http//nysdoh.webex.com
• Live instructor led sessions scheduled
  approximately once a week.
• A Saturday session is scheduled for June 6 at
  830 a.m.
• Previously recorded sessions available on demand.
• On-line self-guided tutorials
• 10 modules posted on NYSIIS Training Page in
  Health Commerce System https//commerce.health.st
  ate.ny.us/hpn/bcdc/immunization/training_info.html
  
• 286 users accessed since January

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Other Training Opportunities - 2

• On-site training opportunities
• Jan-Apr 4 completed 36 people trained
• Available upon request (nysiis_at_health.state.ny.us)
  
• Host must provide venue with internet capability
  and anticipate at least 10 participants.
• NYSIIS provides trainer, training materials and
  laptops if needed.
• Independent learning
• Available via the user manual or using pop up
  help tools in the NYSIIS application.

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New Advanced Reports Training

• Curriculum will cover
• Adhoc List and Count
• Assessment
• Benchmark
• Custom Letter for Reminder-Recall
• Patient Query Listing
• Webinar sessions available beginning May 20th.
• Participant handout will be available.

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School Users

• Schools can have read-only access for student
  look up (includes day care through college).
• Data cannot be entered or edited by school users.
• Recorded, (39 minute) School User webinar
  training is available on demand.
• More than 850 users trained so far
• 425 since January 2009
• School users MUST have their own NYSDOH Health
  Commerce System account to access NYSIIS.

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Communication and Outreach
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NYSIIS Tip of the Month

• December Auto Fill by Zip Code
• January Entering Synagis (IG-RSV-IgIM)
• February Updating Organization and User
  Information (especially email addresses)
• March - Successful Login When Sharing a Computer
  (close browser to clear cache)
• April Accurate VFC reporting (VFC eligibility
  field drives VFC reports)

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Electronic Communications

• NYSIIS News Winter 2009
• Email distributions
• Fluviron discontinue use notice
• Release announcements
• Maintenance notices
• VIS updates
• Training opportunities
• User group invitations

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Spring 2009 User Group Meetings

• 6 regional sessions held April 28th - May 7th
• Nearly 400 participants!
• Syracuse 83 participants
• Rochester 87 participants
• Buffalo 77 participants
• Glens Falls 64 participants
• Hudson Valley 39 participants
• Long Island 30 participants

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Provider Recognition

• NYSIIS Champions recognized at Spring regional
  user group meetings (based on nominations
  received as part of December user group
  evaluations or via email).

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National Immunization Conference

• NYSIIS receives Center of Excellence Award for
  Provider Participation from the American
  Immunization Registry Association (AIRA)!
• Presentation on data exchange lessons learned
• Poster display on training strategy
• Tremendous networking with partners across the
  nation, especially other users of Wisconsin
  platform which NYSIIS was built from.

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Program Linkages

• Blood Lead
• Budget bill was approved providing legal
  authority for Lead-NYSIIS linkage!
• Tentative schedule is for existing lead
  information to be accessible via NYSIIS in
  September 2009.
• Data submission module and additional reporting
  capabilities will not be available until Phase
  II.
• Countermeasure and Response Administration (CRA)
  
• Mass vaccination efforts in a public health
  emergency
• May be needed sooner than later with recent novel
  H1N1 influenza outbreak (swine flu).
• Discussions regarding data collection in a Fall
  vaccination campaign.

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Program Linkages - 2

• Wisconsin Immunization Registry (WIR) Consortium
  
• Oregon and New Mexico have adopted the NYSIIS
  modifications
• Continue to share code as enhancement work is
  completed in other projects.
• Collaboration to respond to national vaccine
  management initiative (VTrckS).
• New York eHealth Collaborative (NYeC)
• Working to prevent need for double consent
• Child Health Information Integration (CHI2)
• Potential Connections national conference host
  site, Fall 2009

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Data Sharing

• Collaborative work with American Immunization
  Registry Association (AIRA) subcommittee
  continues to harmonize NYS template with
  Multi-state Inter-Organizational Agreement (IOA)
  developed by Health Information Security and
  Privacy Collaboration (HISPC).
• Will facilitate data sharing with contiguous
  states (New Jersey, Pennsylvania, etc.)

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Future Priorities

• American Recovery and Reinvestment Act (ARRA) aka
  Stimulus Funding
• Potential projects NYSIIS enhancements,
  disaster recovery, integrated Immunization site
  visit

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Help Desks

• Commerce Accounts Management Unit (CAMU) Help
  Desk
• For HPN access or account issues
• [phone] or hinhpn_at_health.state.ny.u
  s
• NYSIIS Technical Help Desk
• For NYSIIS user access or questions on how to use
  the system
• [phone] or nysiishelpdesk_at_eds.com
• Growing Up Healthy Hotline
• For parents/public
• 1-800-522-5006
• NYSIIS staff
• For general program or policy questions
• [phone] or nysiis_at_health.state.ny.u
  s