Minnesota Counties Computer Consortium Community Registry Tile slide Lynn Theurer BSN, MSN, PHN & Pat Thomas BFA, BSN, IBCLC

Mission Statement: The Minnesota Counties Computer Cooperative (MCCC) is a joint power organization providing • services • software •other cost-effective measures, MCCC Mission Statement

(Mission Statement: MCCC) •to substantially reduce the cost of data processing for Minnesota Counties. MCCC cooperatively provides for establishment, operation and maintenance of data processing facilities and management information systems. Mission statement slide 2

MCCC: • All 87 Minnesota Counties are members MCCC: • All 87 Minnesota Counties are members. • User Groups of the Computer Cooperative design data processing packages. • User Groups focus on systems for general purpose government functions. Overview of MCCC partners

MCCC User Groups Community Health Services (CHS) Tax Computer Assisted Mass Appraisal USA Financial/General Government Paymate Payroll Human Resources Management Motor Vehicle Registration Law Enforcement Corrections & Jail Management Natural Resources MCCC User Groups

Minnesota Counties Computer Consortium: The CHS Team 20 Minnesota Counties comprise the Community Health Services (CHS) User Group. Established in 1982, the Counties designed, developed and implemented PH-Doc, a computerized public health agency system for reporting data to the State of Minnesota . Additionally provides local agency data management tools and automated billing. CHS User Group outline

MCCC PH-Doc Features Client Data Base & tracking Intake & Referral Prior Authorization Client Assessment Doctor’s Orders Automated Care Plan (Omaha Based) Flow Sheet & Charts Outcomes Measurements Daily Activity Tracker Time Study and Activity Accounting Electronic Billing Immunization Tracking MCCC PH-Doc Features

MCCC Immunization Registry: 1996 - 1998 1996 - PH-Doc records included Immunization Records within Client Chart. 1997 - Federal, State and local funds provided opportunity to design CDC level registry. 1998 - Nine local county partners began design Team. NCCC 1996 to 1998 development

MCCC Immunization Registry: 1999 - 2001 1999 - PH-Doc Immunization Records data elements for “upload’ determined by CDC. 1999 - 2000 - Federal, State and local design developed to meet CDC registry guidelines. 2001 - Local county partners accepted registry for implementation. 1999 to 2001 Registry development

MCCC Immunization Registry: 2001-2002 2001 - PH-Doc records “upload” to Immunization Registry from Client Chart. 2001 - Local providers can “upload” from PC based disks. 2002 - Six local Winona County partners begin providing data to Registry. SE Minnesota Design Team began for Regional Hub to Minnesota State Registry. 2001-2002 Registry Development

Opportunities Current practice of “retrospective” kindergarten studies to determine local age appropriate immunizations unnecessary. Local recall and follow-up for age appropriate immunizations can be targeted for all providers. Opportunities to pursue a “community registry”

Issues Current practice 99% compliance with Minnesota School immunization by kindergarten is jeopardized by vaccine shortages to do appropriate immunization. Local recall and follow-up for age appropriate immunizations requires local staff and data integrity for all providers. Issues on Registry development

Issues Current practice for federal vaccine allotments lacks standard practice adherence for providers to maintain Minnesota Immunization Law at 99% compliance by kindergarten. Lack of funding for recall and follow-up to assure age appropriate immunizations requires local staff. Issues continued

Issues Data integrity to assure age appropriate immunizations in accordance with “current” immunization standards requires local staff training for all public and private providers. Registry software must be upgraded as new vaccines are approved as standard practice. Issues continued

Steps to Local Registry Development Select Public and Private Partners. Have Key Private Partners Lead Employee. Follow CDC Standards. Present Positives of CDC Standards and benefits to Private Partners. Have software which allows local data elements management. Steps for local partnerships

Steps to Local Registry Maintenance Maintain regular meetings with Public and Private Partners: Clinics, Schools & Hospitals. Have Key Private Partners Lead Employee train internal agency staff on data requirements and reports. Review CDC Website for preliminary Standards to do “anticipatory” work. Registry Maintenance

Steps to Local Registry Success Listen to concerns at the regular meetings with Public and Private Partners: Clinics, Schools & Hospitals. Have Key Private Partners Lead Employee “trouble shoot” with internal agency staff on registry issues. Celebrate Milestones with Partners Success of Local Registry

Local Registry Options Many states have web based data hubs. Current software options for public and private providers can be evaluated by Information Systems Analysts. Client Records Systems can be modified by query functions to provide selected data for registry transfers. Local Options

Goals & Objectives Maintain current immunization records at the local level for client access. Provide documentation that can address legal requirements for individuals Provide current population-based statistics on the “immunization” status or levels of health status on Winona County residents. Goals and Objective

Goals & Objectives Allow data transfer for private citizens as requested under their rights for data privacy. Assist “mandatory” reports as required for aggregate data to health maintenance organizations, schools and government agencies. Goals and Objectives continued

Future Considerations Develop a five year financial plan that defines financial model, pricing assumptions, and reviews yearly for assuring maintenance of the local registry (private fees, public and private funds). Provide Web-based feature for local access and public kiosks if data privacy issues are resolved. Future considerations

Review of Registry Requirements Technology Requirements Personnel Requirements Resource Requirements Public Support Review of Registry requirements

Risks & Rewards The Risk - The development of a Local Registry takes “years”. Addressing the Risk - Local control of data is worth the time. The Reward - The knowledge of the local immunization rates, and potential for ‘catastrophic disease epidemics” is reduced in your part of the world. Risks and Reward

MCCC: How to Contact Us MCCC 100 Empire Drive, Suite 201 St. Paul MN 55103 Phone: (651)917-6969 Fax: (651)917-6989 Web site: mnccc.org MCCC Contact