Improving the AFIX process with Registry Use

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Improving the AFIX process with
Registry Use

• Kim Salisbury-Keith, MBA
• Rhode Island Department of Health

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PROW

• Registry Standards of Excellence in Support
  of Provider Quality Assurance
• Principle By enabling access to complete
  immunization records, immunization registries
  support providers in delivering age-appropriate
  and timely immunizations, and in reducing both
  under and over immunization

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KIDSNET Background

• 6 Universal
• Newborn Developmental Risk
• Newborn Bloodspot Screening
• Newborn Hearing Assessment
• Immunization
• Childhood Lead Poisoning
• Vital Records

• 4 Targeted
• WIC
• Early Intervention
• Family Outreach
• Home Visiting
• Birth Defects

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AFIX Phase I

• Use CASA
• Abstract Records in Provider Office
• Work done by Immunization
• Chart data reviewed with KIDSNET
• Corrections made to KIDSNET

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AFIX- Phase II

• Load KIDSNET Data into CASA
• Select Sample and run CASA reports
• Immunization staff complete record review of
  non-compliant records
• Update CASA and re-run reports
• Update KIDSNET

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AFIX Phase III

• Sample selected in KIDSNET
• IZ staff run
• Coverage report
• Missing Immunization report
• Invalid dose report
• Providers Identify Corrections
• Corrections made in KIDSNET and reports re-run

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Indicator of Data Quality

• Compare Assessment Rates
• - Directly from KIDSNET
• - After Provider Revisions
• Completeness
• Accuracy
• Timeliness

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2007 Assessment Data
UTD 43133 By 2nd Birthday
UTD
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Outcomes

• Reduced time by IZ staff for data collection
• Improved quality of time spent in office
• Higher level office staff involved
• Eliminate duplicate data entry

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The Future Phase IV

• Integrate Data Quality Reports
• Add Web Data Entry Capacity
• Make Provider Responsible for Updates
• Expand Types of Web Reports for Providers

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Kim Salisbury-Keith, MBA KIDSNET Development
Manager 401.222.5925 Kim.salisburykeith_at_health.ri.
gov www.health.ri.gov