Utilizing a statewide immunization information system and GIS mapping software to determine pockets of need Tammy LeBeau South Dakota Immunization Registry Coordinator March 17, 2008

Background SDIIS – South Dakota Immunization Information System Implemented in 1996, converted to a web application in 2003 Registry is populated by 259 clinics, 6 IHS facilities and 189 schools, universities, tribal colleges and head start facilities As of February 2008, there are over 530,000 patient records and over 4,700,000 shots recorded.

2004 Began using assessment function in the registry to: Identify individual providers with low immunization rates Conduct the combination VFC/AFIX site visit Produce statewide immunization rates Identify pockets of need

Assessment tool produces coverage rates that include: Combination vaccine coverage levels Single antigen coverage levels Missing immunization report that coincides with the immunization coverage report

Utilizing the registry to conduct the VFC/AFIX site visit: Prior to the site visit the reviewer produces the immunization coverage report/missing immunization report for the 4:3:1:3:3:1 series Auditor instructs clinic to pull charts of delinquent clients. The number of charts pulled will vary based on the size of the clinic

On-site audit identifies: Low coverage levels Timely data entry Missed Opportunities Entering required data fields Administrative practices

Provider given opportunity to: On-site follow-up visit by auditor Visit by community education coordinator Additional registry training On-going quarterly assessments

Assessment function is also used to produce statewide coverage results for 24-35 months of age: Baseline coverage rates in 2004 were 50% for the 4:3:1:3:3 series Coverage rates as of July, 2007 increased to 86% Last year we began using GIS (Geographic Information Systems) to plot SDIIS coverage results

SDIIS results combined with GIS software identified: Counties and clinics with low immunization rates County and Clinic specific pockets of need Counties and clinics with high immunization rates

We use this data to: Monitor progress toward the 90% goal Identify areas that need improvement Provide incentives to increase immunization rates

Identify solutions and provide incentives by: Promoting administration of Hep B at birth Promoting administration of the 4th DTaP by the age of 2 Promoting the entry of demographic information in the registry

Recognize and honor providers Annual “Awards of Excellence” Luncheon Presentation of plaques for most improved practices Presentation of Awards: Golden Syringe Award Silver Syringe Award “I make a Difference” Award Publication of success in local newspapers

Incentives Display at Luncheon

Awards Luncheon Setup

Awards Luncheon Turnout

Lessons Learned Using GIS software in combination with the SDIIS data has been very valuable in identifying pockets of need This data has also been beneficial in identifying why providers are not reaching their goal This process has helped provide solutions on how to increase immunization rates across South Dakota

Contact Information Tammy LeBeau South Dakota Department of Health 615 East 4th Street Pierre, South Dakota 57501 (605) 773-4783 Tammy.LeBeau@state.sd.us

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