Enhanced Technical Assistance Project NCIRD-PHII Enhanced Technical Assistance Project Accelerating IIS Progress National Immunization Conference Dallas Texas March 30, 2009

The ETA Project Focus is on 2010 Healthy People objective Assist IIS in addressing barriers to child and provider enrollment Barriers most often policy, politics, planning, IT capacity

Strategic approach to health IT Engage stakeholders Think logically before physically Plan for interoperability Manage for accountability

Need for ETAP Lack of stakeholder or senior leadership buy-in Little peer-to-peer learning Political/cultural issues Innovative edge lost over time IT/informatics capacity Health departments and providers Finances Lack of stakeholder or senior leadership buy-in No easy mechanism for new IIS and program managers to learn from others Political/cultural issues become entrenched Well-established programs lose innovative edge Finances IT/informatics capacity Internal and external communications

The ETAP Methodology Define the problem(s) Establish a clear vision for the IIS Engage senior leadership and other stakeholders Develop a concrete, realistic plan Stakeholder meeting Environmental scan; define the problem or problems. Establish a clear vision: Any authorized user anywhere in the state of _______ can immediately obtain comprehensive immunization information on any ______ child. Agree on roles, key tasks and timeline to address problems Establish a clear vision Concrete, realistic plan: 2-year business plan, strategic plan, transition plan Stakeholder meetings to faciliate input into the plan and build buy-in to the outcome

IIS Vision Statement “Any authorized user anywhere in the state of _______ can immediately obtain comprehensive immunization information on any _______ child.”

The ETAP Methodology Define the problem(s) Establish a clear vision for the IIS Engage senior leadership and other stakeholders Develop a concrete, realistic plan Stakeholder meeting Environmental scan; define the problem or problems. Establish a clear vision: Any authorized user anywhere in the state of _______ can immediately obtain comprehensive immunization information on any ______ child. Agree on roles, key tasks and timeline to address problems Establish a clear vision Concrete, realistic plan: 2-year business plan, strategic plan, transition plan Stakeholder meetings to faciliate input into the plan and build buy-in to the outcome

The project owns the problems The ETAP Methodology The project owns the problems and the solutions ETAP supports them

Critical Success Factors Raise visibility of the IIS Engage executive/senior leadership Engage external stakeholders Establish clear, shared vision Drives goals and planning

Critical Success Factors Commitment to change Can’t solve problems with the same thinking that got you there Effective partnerships with central IT and with vender The mission and business of immunization delivery has to drive IT

Enhanced Technical Assistance Project Impact on Children Aged <6 Years Participating* in an IIS - CA, KS, PA, VA - 2003-07 ETAP ETAP ETAP ETAP Earliest projects. Data through 2007. These are the results achieved by the projects from 2003-2007. We can’t say how much the ETAP project contributed to these increases. * Participation is defined as having two or more vaccinations recorded in an immunization information system. ** Data Not Recorded Source: IISAR 2003-07

The ETAP Sites Pennsylvania, 2006 Virginia, 2007 California, 2007 Kansas, 2008 Houston, 2008-09 Nevada, 2008-09 Tennessee, 2008-09 Massachusetts, 2009 Montana, 2009

The ETAP Team Gary Urquhart Dontanette Cahill Janet Kelly CDC/NCIRD/IISSB PHII Gary Urquhart Dontanette Cahill Janet Kelly Carol Phillips Alton Reddick plus POB Consultants Alan Hinman Bill Brand Therese Hoyle Elaine Lowery Laura Ripp

Want to become a project site? Gary Urquhart gau5@cdc.gov