Registry Support for an Immunization Program – The PROW Project Immunization Registry Conference October 27, 2003 Bill Brand, Minnesota Dept. of Health Vice-President, AIRA

What is the purpose of PROW? To identify ways registries can effectively and integrally support the other core program components of an immunization program. To encourage and support adoption of those activities by all registries. Many of you familiar with PROW document. We talked about last year at this event. Have been mailed to all PM and Registry Managers. Collaborative project of AIRA, AIM, and the NIP. Talk about exciting progress in the past year, and where we intend to take PROW in the future.

Registry Support of Core Program Components Vaccine Management Provider QA Registries Surveillance Assessment Consumer Education Service Delivery

PROW Standards of Excellence Comparable to Best Practices Standards as a ceiling to shoot for versus a floor or set of minimum requirements Concrete and tangible Organized by Core Program Components. Cross-referenced to recommended activities in the IPOM

PROW Standards of Excellence Organized into three levels, from relatively easy to implement to challenging/resource intensive Useful for: Identifying enhancements Upgrading your current application Developing requirements for a new application or RFP Seen as an essential companion to minimum registry functions (NVAC), IPOM, and the new certification process.

What can the PROW standards do for Program Managers? Greater connection, integration and synergy across your staff/teams More benefits (especially internal benefits) gained from your investment in registries More fully functional, highly featured registry application More integrated, seamless way to meet user needs

What can the PROW standards do for Registry Managers? Greater connection with immunization program staff Not all registries are located in immunization programs Added value/features for registry users Increased organizational support for registry development and investment

What does PROW mean to NIP? Potential for improved vaccine accountability by projects More efficient and coordinated use of 317 funds by projects Improved data for surveillance, assessment, and other immunization activities Improved data for monitoring immunization practices/AFIX

What’s been accomplished? NVAC endorsement February 2003 Population Assessment Committee, then full NVAC Passed a resolution…. February 2003 Heard at the Population Assessment Committee, chaired by Dr. Patricia Whitney-Spears, then to the full NVAC We were so pleased that Dr. Lance Rodewald introduced PROW to the Committee. Drafted a resolution:

NVAC resolution The NVAC believes … immunization registries … can play an increasingly important and critical role within immunization programs. In particular, the recent joint efforts of [AIRA, AIM and the NIP] have highlighted ways in which registries can provide important support to other core program strategies…. The NVAC believes the CDC should continue working with its partners to identify and disseminate best practices…, such as those found in the Registry Standards of Excellence in Support of an Immunization Program. Subsequently published in September in the MMWR as a Notice to Readers Our thanks to Rob Linkins and Gail Williams for conceiving this idea and making it happen.

What’s been accomplished? NVAC endorsement February 2003 Population Assessment Committee, then full NVAC Passed a resolution Published in the September 26 MMWR February 2003 Heard at the Population Assessment Committee, chaired by Dr. Patricia Whitney-Spears, then to the full NVAC We were so pleased that Dr. Lance Rodewald introduced PROW to the Committee. Drafted a resolution:

What’s been accomplished? NVAC endorsement Demonstration sites February 2003 Heard at the Population Assessment Committee, chaired by Dr. Patricia Whitney-Spears, then to the full NVAC We were so pleased that Dr. Lance Rodewald introduced PROW to the Committee. Drafted a resolution:

Demonstration Sites 13 sites; different sizes, jurisdictions, and levels of operations Review and prioritize the Standards, document the process, and recommend improvements and new Standards. Serve as a PROW Center for Excellence and be a resource to other programs. Across the country Evaluate the applicability of the Standards. Document and evaluate the process they used to review and prioritize the standards.

Demonstration Sites Alabama Central Valley, CA Contra Costa, CA Georgia Houston-Harris County, TX Massachusetts Minnesota New York City Oregon Puerto Rico San Diego, CA Utah Wisconsin On behalf of the three sponsors, I wish to extend our deepest thanks to these projects for taking this on and for serving as PROW Centers of Excellence

Findings to date PROW is an excellent tool for building connections and strengthening relationships across teams Staff from other areas readily see the potential value of registries to their work. The challenge is how to integrate and fund PROW priorities with other priorities.

PROW Workshops Session B7 – Monday at 3:30 San Diego and Alabama Session D7 – Tuesday at 3:30 New York City

Next Steps Continue demonstrations into 2004 Revise worksheets and instructions Add new Standards Evaluate PROW as possible progress/accountability measures

For more information… www.immregistries.org Bill Brand bill.brand@state.mn.us 612-676-5144