1. Enhanced Technical Assistance Project
NCIRD-PHII
Enhanced Technical Assistance Project
Accelerating IIS Progress
National Immunization Conference
Dallas Texas
March 30, 2009

2. The ETA Project Focus is on 2010 Healthy People objective
Assist IIS in addressing barriers to child and provider enrollment
Barriers most often policy, politics, planning, IT capacity

3. Strategic approach to health IT
Engage stakeholders
Think logically before physically
Plan for interoperability
Manage for accountability

4. Need for ETAP Lack of stakeholder or senior leadership buy-in
Little peer-to-peer learning
Political/cultural issues
Innovative edge lost over time
IT/informatics capacity
Health departments and providers
Finances
Lack of stakeholder or senior leadership buy-in
No easy mechanism for new IIS and program managers to learn from others
Political/cultural issues become entrenched
Well-established programs lose innovative edge
Finances
IT/informatics capacity
Internal and external communications

5. The ETAP Methodology Define the problem(s)
Establish a clear vision for the IIS
Engage senior leadership and other stakeholders
Develop a concrete, realistic plan
Stakeholder meeting
Environmental scan; define the problem or problems.
Establish a clear vision: Any authorized user anywhere in the state of _______ can immediately obtain comprehensive immunization information on any ______ child.
Agree on roles, key tasks and timeline to address problems
Establish a clear vision
Concrete, realistic plan: 2-year business plan, strategic plan, transition plan
Stakeholder meetings to faciliate input into the plan and build buy-in to the outcome

6. IIS Vision Statement
“Any authorized user anywhere in the state of _______ can immediately obtain comprehensive immunization information on any _______ child.”

7. The ETAP Methodology Define the problem(s)
Establish a clear vision for the IIS
Engage senior leadership and other stakeholders
Develop a concrete, realistic plan
Stakeholder meeting
Environmental scan; define the problem or problems.
Establish a clear vision: Any authorized user anywhere in the state of _______ can immediately obtain comprehensive immunization information on any ______ child.
Agree on roles, key tasks and timeline to address problems
Establish a clear vision
Concrete, realistic plan: 2-year business plan, strategic plan, transition plan
Stakeholder meetings to faciliate input into the plan and build buy-in to the outcome

8. The project owns the problems
The ETAP Methodology
The project owns the problems
and the solutions
ETAP supports them

9. Critical Success Factors
Raise visibility of the IIS
Engage executive/senior leadership
Engage external stakeholders
Establish clear, shared vision
Drives goals and planning

10. Critical Success Factors
Commitment to change
Can’t solve problems with the same thinking that got you there
Effective partnerships with central IT and with vender
The mission and business of immunization delivery has to drive IT

11. Enhanced Technical Assistance Project Impact on Children Aged <6 Years Participating* in an IIS - CA, KS, PA, VA
ETAP
ETAP
ETAP
ETAP
Earliest projects. Data through 2007.
These are the results achieved by the projects from We can’t say how much the ETAP project contributed to these increases.
* Participation is defined as having two or more vaccinations recorded in an immunization information system.
** Data Not Recorded
Source: IISAR

12. The ETAP Sites Pennsylvania, 2006 Virginia, 2007 California, 2007
Kansas, 2008
Houston,
Nevada,
Tennessee,
Massachusetts, 2009
Montana, 2009

13. The ETAP Team Gary Urquhart Dontanette Cahill Janet Kelly
CDC/NCIRD/IISSB
PHII
Gary Urquhart
Dontanette Cahill
Janet Kelly
Carol Phillips
Alton Reddick
plus
POB Consultants
Alan Hinman
Bill Brand
Therese Hoyle
Elaine Lowery
Laura Ripp

14. Want to become
a project site?
Gary Urquhart