1. GRITS – Breakout Session André Wilson – HPE Account Manager
Disclosure: No Relevant Financial Interests to disclose
HP Confidential
12 April 2018

2. Overview and History
Hewlett-Packard Enterprise Services (HPE), (formerly Electronic Data Systems) has provided Immunization Registry support to the state of Georgia since 2002
After customizing the application for the state of Georgia, HPE implemented the Georgia Registry of Immunization Transactions and Services in May of 2003
HPE provided initial training to all state of Georgia staff members through “train the trainer” and established the framework for all subsequent GRITS end-user training
HPE worked directly with Registry Manager, traveling to each county/district visiting both public and private providers to raise support for the registry
With HP Enterprise Services’ support, GRITS has grown from 0 clients and 0 immunizations to 15 million clients and over 150 million immunizations
GRITS is now widely regarded as one of the top Immunization Registries in the nation
Presenter: Review the information on the slide.
HP Confidential
12 April 2018

3. What Role does HPE Play?
The HPE GRITS team provides GRITS Application Support whereas IBM/AT&T provide hosting, database, and infrastructure support
HPE provides:
Help Desk Support
Technical Support
Enhancements
Special Projects
Interface Support
IBM/AT&T Provide:
Database hosting
System patching
Network Support

4. Ways to interact with GRITS
Web/User Interface
Batch Data Exchange
Semi-Real Time Data Exchange via Aegis Interface
Real-Time Data Exchange via PHINMS
Real-time Data Exchange via Web Services

5. GRITS and EMRs/EHRs/HIE
Originally, GRITS was designed to be a stand alone system where users manually logged in and entered patient (client) & immunization data
Later, data exchange became a popular method for loading data. A provider would load data each day (typically after hours)
Then, inventory management was added to the mix, where providers wanted to ensure their GRITS inventory was updated as their batch transactions were loaded
As more and more practices started using EMRs, the need for realtime connectivity grew. At that time, many practices began using PHINMS to send data to GRITS
Today, Web-Services is the newest way of interfacing with GRITS
Although the use of Web-Services is on the rise, we will continue to support all methods for interfacing with GRITS

6. NUMBER OF GRITS CLIENTS SINCE 2003

7. IMMUNIZATIONS SINCE 2003

8. #OF ORGANIZATIONS SINCE 2003

9. Average Logins per day

10. Data Exchange Growth Since 2008

11. Real Time Growth Since 2008

12. Public vs. Private Orgs in GRITS

13. Active/Future Enhancements
Current/Future Projects:
VFC Online Enrollment/Recertification
Jasper Report Conversion
WebLogic Migration
GRITS Cloud Solution
Enhanced ACIP Forecaster
GRITS mobile app

14. When Trouble Arises…
GRITS has Help Desk and Technical Support staff available daily from 8am-5pm
You can report an issue via telephone at (866) or via at
Calls to the help desk are returned within 1 business day
The Help Desk team will escalate issues to the technical support team as appropriate

15. Questions?