MAKING AN IMPACT

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MAKING AN IMPACT

• Collaborations Are Key to the Growth of Your
  Registry

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Laurie Dietsch, MPHImmunization Registry
CoordinatorJose RodriguezDirectorProject
L.O.V.E.Love Our KidsVaccinate Early!
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Immunization Rates for Children 19-35 Months of Age National Immunization Survey, Q1/2001-Q4/2001 Immunization Rates for Children 19-35 Months of Age National Immunization Survey, Q1/2001-Q4/2001 Immunization Rates for Children 19-35 Months of Age National Immunization Survey, Q1/2001-Q4/2001
4DTaP3Polio 1MMR 4DTaP3Polio 1MMR3HIB
Ohio 76.3 74.7
Cuyahoga 74.0 72.8
Franklin (Columbus) 79.3 78.3
Rest of State 76.2 74.5
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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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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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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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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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Public and Private Collaboration

• October 2002 - Prepare for Post Smallpox Event
• Thanksgiving - Phase 1 Pre-event Smallpox Plan
• Pre-event Vaccination System (PVS)
• Unknown system
• Keep the data locally and transmit to PVS
• IMPACT SIIS
• Public and Private Collaboration Increased
• Project LOVE Managed Data Component for Central
  Region

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Central Ohio Region Phase I Collaboration

• 15 Counties
• 18 Health Departments
• 24 Hospitals
• 4 Clinic Locations
• 2 in Franklin County
• 2 in Surrounding Counties

2 Hospitals were not eligible to have Response
Teams
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Data Component

• Registries Play Major Role In BT
• Organized a Data Team
• Trained Them On Both Systems
• PVS and IMPACT SIIS
• Cant Receive Vaccine Without Signed Security
  Agreement for Registry
• Tracked Vaccine
• Recorded Temperature Logs

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3 Levels of Collaboration

• Private Sector
• AMCI, Orkand and Pilot
• State Public Health
• ODH contract to develop and pilot BT component
• Certification from CDC
• Central Region
• Offered to Pilot and Double Enter
• Cost Survey

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BT Component for Registry

• Scanning technology that meets the CDC
  requirements for tracking the administration of
  vaccinia vaccine
• two-dimensional bar coding software
• scan unique identifying information from a
  persons drivers license directly into a
  web-enabled registry
• Handhelds, laptops, printers and a wireless
  network

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Project L.O.V.E. and the Central Ohio Smallpox
Region is piloting the utilization of these
scanners in order to determine the systems
ability to obtain the following objectives

1. To create a system that quickly and accurately
   records patient demographics and immunization
   data for all smallpox vaccine recipients to a
   web-enabled system utilizing scanning technology,
   enabling us to meet the demand of 11 million
   people within 10 days.
2. To determine if the new technology can improve
   accuracy in a bioterrorism prevention
   immunization campaign.
3. To determine the cost savings achieved through
   the implementation of this technology.
4. To determine if the same technology can be
   incorporated into the daily immunization activity
   found in practices.

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Without collaboration

• Very few would be using the Registry
• Registry would not be user friendly
• Phase I would not have worked as well
• The pilot would have failed
• Ohio registry would have missed the chance to be
  involved with BT from the beginning
• We wouldnt be as secure going into Phase II

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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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QUESTIONS?