Kentucky Pursues Statewide Immunization Registry

1
Kentucky Pursues Statewide Immunization Registry

• Victor Negron, Gary Bevill, Susan Salkowitz,
  Michael Suralik, Noam Arzt, Ruth Gubernick

2
Kentucky Facts

• 4 million population
• 267,000 children under 5
• 120 counties
• 56 local health departments
• Switched from universal to VFC in 1994
• Approx. 30 of children Medicaid-enrolled
• 2002 NIS 72.3 (43133)

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Early/Initial Efforts

• 1993-94 limited funding of pilot projects
• 2001 Project Officer Visit/Recommendation
• 2002 Funding, state RFP attempt, redirection of
  funds (from FA contracts to DA other)
• Late 2002 statement of work issued and contract
  awarded

4
Statement of Work

• Assess need for a population-based immunization
  registry
• Define user population and their technical
  readiness
• Determine feasibility of deploying a statewide,
  web-based system

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Statement of Work

• Provide recommendations on improving IT capacity
• Assess available software for best fit
• Develop preliminary implementation plan
• Develop preliminary budget requirements

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Needs Assessment/Feasibility Study

• Engage stakeholders through focus groups and
  interviews
• Conduct provider survey
• Review program material
• Document program requirements
• Evaluate technical capabilities
• Prepare report

7
Key Observations and Findings

• Increasing use of IT and the Internet in
  healthcare settings
• Strong support and encouragement by all
  stakeholders interviewed
• Concerns about cost, privacy, extra work
• KDPH resource needs

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System Architecture
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Policy Program Recommendations

• Continue formalizing advisory board and statewide
  committees
• Develop stakeholder database
• Pursue funding opportunities
• Develop HIPAA material and training
• Maintain information website on progress

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Progress to Date

• Stakeholder distribution list developed
• 2003 funding identified
• Statement of work drafted
• 2004 additional funding requested