1. Utilizing a statewide immunization information system and GIS mapping software to determine pockets of need
Tammy LeBeau
South Dakota
Immunization Registry
Coordinator
March 17, 2008

2. Background SDIIS – South Dakota Immunization Information System
Implemented in 1996, converted to a web application in 2003
Registry is populated by 259 clinics, 6 IHS facilities and 189 schools, universities, tribal colleges and head start facilities
As of February 2008, there are over 530,000 patient records and over 4,700,000 shots recorded.

5. 2004 Began using assessment function in the registry to:
Identify individual providers with low immunization rates
Conduct the combination VFC/AFIX site visit
Produce statewide immunization rates
Identify pockets of need

6. Assessment tool produces coverage rates that include:
Combination vaccine coverage levels
Single antigen coverage levels
Missing immunization report that coincides with the immunization coverage report

9. Utilizing the registry to conduct the VFC/AFIX site visit:
Prior to the site visit the reviewer produces the immunization coverage report/missing immunization report for the 4:3:1:3:3:1 series
Auditor instructs clinic to pull charts of delinquent clients.
The number of charts pulled will vary based on the size of the clinic

10. On-site audit identifies:
Low coverage levels
Timely data entry
Missed Opportunities
Entering required data fields
Administrative practices

11. Provider given opportunity to:
On-site follow-up visit by auditor
Visit by community education coordinator
Additional registry training
On-going quarterly assessments

12. Assessment function is also used to produce statewide coverage results for 24-35 months of age:
Baseline coverage rates in 2004 were 50% for the 4:3:1:3:3 series
Coverage rates as of July, 2007 increased to 86%
Last year we began using GIS (Geographic Information Systems) to plot SDIIS coverage results

13. SDIIS results combined with GIS software identified:
Counties and clinics with low immunization rates
County and Clinic specific pockets of need
Counties and clinics with high immunization rates

16. We use this data to: Monitor progress toward the 90% goal
Identify areas that need improvement
Provide incentives to increase immunization rates

17. Identify solutions and provide incentives by:
Promoting administration of Hep B at birth
Promoting administration of the 4th DTaP by the age of 2
Promoting the entry of demographic information in the registry

18. Recognize and honor providers
Annual “Awards of Excellence” Luncheon
Presentation of plaques for most improved practices
Presentation of Awards:
Golden Syringe Award
Silver Syringe Award
“I make a Difference” Award
Publication of success in local newspapers

19. Incentives Display at Luncheon

20. Awards Luncheon Setup

21. Awards Luncheon Turnout

22. Lessons Learned
Using GIS software in combination with the SDIIS data has been very valuable in identifying pockets of need
This data has also been beneficial in identifying why providers are not reaching their goal
This process has helped provide solutions on how to increase immunization rates across South Dakota

23. Contact Information
Tammy LeBeau
South Dakota Department of Health
615 East 4th Street
Pierre, South Dakota
(605)

24. Happy St. Patrick’s Day!