1. Taking CRA by the Horns Wyoming Style: Collaboration Efforts for IIS Expansion NIC 2007 Danielle Reader-Jolley (STC) and John P. Anderson (WyIR)

2. Learning Objectives Identify potential partners that can benefit from utilization of an IIS for preparedness/response activities Identify potential partners with funding sources that can help sustain and evolve the IIS

3. WyIR Wyoming Immunization Registry (WyIR) Implemented in 1999 As of February 2007 Contains over 295,000 patients (half the entire state population) 2.6 million vaccinations 654 active users accounts

4. Background CRA/PHIN certification VMBIP/VODS Program funds diminishing

5. Thinking Outside the Box WyIR staff has approached various partners to explore opportunities for building WyIR beyond immunization base to become a comprehensive preparedness, surveillance and response application Potential Stakeholders Bioterrorism Pandemic influenza HRSA Pharmacies Schools

6. Project The WyIR Evolution : track medications and inventories perform surveillance of school/daycare attendance track OTC pharmacy sales monitor critical hospital resources and ICD-9 Codes identify and track high-risk groups monitor antibiotic adverse events These enhancements, would evolve the new WyIR to serve as an immunization management system (WyIR), vaccine/medication ordering and distribution management tool, syndromic surveillance monitoring system and a critical resource tracking application

7. Resulting Application If successfully leveraged and implemented, Wyoming would have a comprehensive and integrated solution to: identify the emergence/pre-emergence of an outbreak prepare list of affected patients/contract respond with countermeasures and services create meaningful reports for use during and after the response effort

8. Benefits of Building on WyIR Integrated solution operating on a single platform Database already well-populated Large number of users trained and familiar with app Potential for cost-sharing with other STC clients Application is supported under a maintenance contract that includes support for customization WyIR and associated modules are proven tools that have been successfully deployed in response to public health emergencies and field exercises/drills

9. Conclusion Efforts of the Wyoming Immunization Program provide a model of partnership and collaboration Results in the development of cost- effective solutions for addressing the needs of multiple programs/agencies related to public health preparedness/response

10. For more information… Wyoming Immunization Program John Anderson (WyIR Manager): 307.777.5773 Robert Grenwelge (CDC PHA): 307.777.7487 Scientifice Technologies Corporation Danielle Reader-Jolley (Product Manager): 602.476.1395