Status of Immunization Information System Data Exchange: Results of a National Survey Angel Aponte1, Kevin Davidson2, Dennis Michaud3, Lisa Roberts4,

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Presentation transcript:

Status of Immunization Information System Data Exchange: Results of a National Survey Angel Aponte1, Kevin Davidson2, Dennis Michaud3, Lisa Roberts4, Ina Kichen5 1=New York City Department of Health and Mental Hygiene 2=Netsmart Technologies Inc. 3=Massachusetts Department of Public Health 4=Georgia Department of Human Resources - Division of Public Health 5=American Immunization Registry Association Organization they work for.

Background American Immunization Registry Association (AIRA) Vision: Nationwide network of immunization registries Mission: Use immunization registries to prevent and control vaccine-preventable disease One of many goals: Universal registry standards Results achieved through AIRA workgroups Transport Layer Workgroup – Standardize electronic data communication between Immunization Information Systems (IIS)

Objectives Define the current state of Immunization Information System (IIS) data exchange To what extent are IIS exchanging patient information electronically? Who are IIS exchanging data with? Are standard messages and communication protocols being used? Identify barriers to adoption of data exchange standards As a first step…Need to understand the current situation, so we know where to go next.

Methods Developed survey questions during workgroup teleconferences Asked questions about: Data exchange Use of standard messages Use of standard communication protocols Use of encryption Barriers 72 sites invited to participate CDC list of Immunization Information Systems (IIS) List of Immunization Program Managers from the American Immunization Managers Website 12 regions in CA; 1 region in upstate NY. Cities = NYC, Philly, San Antonio, and Houston Territories = Micronesia, Puerto Rico, US Virgin Islands, Marianas Islands Plus Indian Health Service

Results 32 of 72 (44%) IIS responded 24 of 50 states 4 of 13 regions 3 of 4 cities 1 of 4 territories

Stress the importance of custom messages when communicating with partners. Barrier to the expansion of HL7 is partner adoption. Make the point about challenges in implementing HL7.

Other = Capabilities of EMR systems, Available internal resources, Development staff turnover, Agency philosophy, We are testing our HL7 messaging with CDC.

Other = Partners do not use HL7, EMR systems not supporting HL7 message types related to immunization registries, Available resources, Development staff turnover, Priorities of system implementation, In process in conjunction with state IIS. Order these. Tie back to partners.

Conclusions Significant barriers exist to standardizing communication Need to facilitate IIS data exchange through: Simpler HL7 messages Selection of a standard protocol for message delivery Providing additional IIS funding for implementation of standard messages and protocols

Limitations Only 44% of IIS responded Results may not generalize to non-respondents, although non-responding IIS are similar to respondents

Future Work Expand survey to EMR/EHR software vendors Perform a data communication technology assessment Next step toward electronic message delivery standard Review existing IIS communication interfaces Propose standard interfaces for widely-adopted protocols Standardize data exchange to facilitate communication between IIS

Acknowledgements and Contact Information Acknowledgements Transport Layer Workgroup Members AIRA CDC Contacts Angel Aponte aaponte@health.nyc.gov Kevin Davidson kdavidson@ntst.com