2. Beth Rowe-West, BSN, RN Branch Head NC Immunization Branch

3. Acknowledgements Amy Grimshaw Tamela Loggins Caroline Helton

4. the long and winding road the history 2000 IB reviewed its current registry system The system only met 30% of the CDC registry core attributes. Major architectural changes would be needed. Technical design was not easily adaptable. Partnered with NC DMA to pursue establishing a statewide registry. Began reviewing vendor systems 2001 CMS granted 90% funding. Received approval of Advanced Planning Document

5. 2002 Received License Agreement with Wisconsin Began Contract Approval process for Phase I contract with EDS. 2003 Phase I contract with EDS. Defined development/enhancement requirements. Contract completed 06/2003. Phase II contract with EDS to begin 09/2003. CMS revoked 90% of funding. Governor declared no sole source contracts.

6. 2004 RFP posted in February 2004. Contract with EDS began in July 2004. 2005 Piloted system in four counties February – May Statewide deployment to remaining 96 Local Health Departments June – October. 2006 Entered Maintenance & Operations phase of initial contract Implemented one year contract amendment for system enhancements.

7. Current Statistics Users  100 Local health departments  65 Private providers  114 Private providers in process  1,074 Private provider users  3,788 LHD users 3,939,188 distinct clients entered in the NCIR 26,578,802 immunizations entered in the NCIR

8. we can work it out our largest road blocks Loss of funding Loss of sole sourcing Bureaucracy Autonomy at the county level

9. strawberry fields forever north carolina specifics Universal Select NCID – State Security System EIS interface Vital Records interface Clinical Tool Marketing Strategy

10. help! NCIR helpdesk Available via a toll free telephone number and email. Hours are M – F 8 – 5. NCIR calls are minimal. Enrollment orientation Assessment training Online training

11. here comes the sun great things on the horizon One-way real-time interface Two-way real-time interface Deployment Goal Hardware upgrades Enhancements

12. revolution demo

13. questions? Contact: Caroline Helton, Registry Coordinator NC Immunization Branch Caroline.Helton@ncmail.net (919) 707-5583