Immunization Information Systems Update

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Immunization Information Systems Update

• Gary Urquhart, MPH
• Chief, Immunization Information Systems Support
  Branch
• Immunization Services Division
• National Center for Immunization and Respiratory
  Diseases
• Centers for Disease Control and Prevention
• Atlanta, Georgia
• January 2010

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perhaps in the rather distant future, the
capabilities of electronic computers for storing
and retrieving information could greatly
facilitate our immunization programsA nationwide
computer system could put us well on the road to
efficient national follow-up of births for
maintenance of immunization levels. 2nd National
Immunization Conference, 1965
James L. Goddard, M.D., M.P.H., 8th CDC Director,
1962 1966 CDC Public Health Image Library
(PHIL) 
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Under Dr. Frieden's leadership, the NYC Health
Department also established the largest community
electronic health records project in the country.
The project provided prevention-oriented
electronic health records to physicians caring
for more than a million New Yorkers, including
more than half of the doctors caring for patients
in Harlem, the South Bronx, and
Bedford-Stuyvesant.  The Primary Care Information
Project is a model for efforts to expand
electronic health record use nationally.
Thomas R. Frieden, MD, MPH 16th CDC Director,
June 2009 CDC Public Health Image Library (PHIL) 
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Immunization Information Systems Age Groups
Participating in an IIS
Source 2008 Immunization Information System
Annual Report
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Percentage of children aged lt 6 years
participating in a grantee immunization
information system -- United States, and six
cities, 2008
0\No Report (5)
lt 60 (9)
60-79 (9)
gt 80 (33)
Chicago, IL (lt 60) District of Columbia (gt
80) Houston, TX (lt 60) New York City, NY (gt
80) Philadelphia, PA (gt 80) San Antonio, TX
(6079)
National Participation 75 (excluding
Territories) Source CY2008 IISAR
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Immunization Information SystemsProvider Site
Participation in IIS
Source 2008 Immunization Information System
Annual Report
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Immunization Information System Capacity to
Track Adolescent and Adult Vaccinations

• Data from the 2008 Immunization Information
  System Annual Report indicate that
• About 82 (46 of 56 grantees) report that they
  include all ages in their IISs.

Source 2008 Immunization Information System
Annual Report
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Immunization Information System Status on
Selected Data Quality Measures As of December 31,
2008
Of those grantees with an IIS reporting

• On average, 71 of newborn records are recorded
  in a grantee IIS within 6 weeks of birth
• 66 of grantees receive and process vaccine and
  other immunization data from their IIS within a
  month of vaccine administration

Source 2008 Immunization Information System
Annual Report
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Effect of Completing 1 Missing Dose on
431331 Series Completion for Selected
Immunization Program Grantees - IIS vs. NIS, 2008
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IISSB Technical Assistance Team Summary
ReportAugust 1 December 15, 2009
Technical Assistance Category Technical Assistance Category Number of Requests
Programmatic IIS Annual Report, Site visits, ETAP, Business Plan/Grant reviews, IIS orientation, Legislation/Policy, Contracts/SOW reviews, Data Quality/Data Use, ARRA funding to IIS 146
Technical HL7 data exchange, CVX/MVX/CPT codes 17
Other Vaccine inventory, VTrckS, project management, software/hardware issues, IISSB website 18
TOTAL Resolved TOTAL Resolved 181 179
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EHR- IIS Interoperability

• The 2008 IISAR requested information about the
  number of EHRs providing immunization data
  directly to your IIS through an electronic
  interface?
• Response 1,848 EHRs electronically reporting
  data to an IIS

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EHR- IIS Interoperability
EHR Vendor Grantees with Product Allscripts
Touchworks 12 Connexin Software, Inc -
Office Practicum 6 eClinical - eClinical
Works 19 eMD 4 Epic Systems
Epicare 12 GE Medical - Centricity
(Logician) 11 Misys Healthcare Systems - Misys
EMR 7 Netsmart Insight 5 NextGen -
NextGen EMR 11 PCC 5 RPMS 5
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EHR- IIS Interoperability

• EHR data are significant because
• EHRs are used by larger practices
• Larger practices are more likely to be high
  volume immunizers

• Enhancing EHR-IIS interoperability will improve
  data quality challenges by addressing
• Accuracy
• Timeliness
• Completeness

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Gary A. Urquhart, MPHChief, Immunization
Information Systems Support BranchImmunization
Services DivisionNational Center for
Immunization and Respiratory DiseasesCenters for
Disease Control and Prevention1600 Clifton Road,
NE, MS-E62Atlanta, GA 30333Tel
404.639.8277Fax [phone] mailtogau5_at_cdc.gov