1. Registry Support for an Immunization Program – The PROW Project
Immunization Registry Conference
October 27, 2003
Bill Brand, Minnesota Dept. of Health
Vice-President, AIRA

2. What is the purpose of PROW?
To identify ways registries can effectively and integrally support the other core program components of an immunization program.
To encourage and support adoption of those activities by all registries.
Many of you familiar with PROW document. We talked about last year at this event.
Have been mailed to all PM and Registry Managers.
Collaborative project of AIRA, AIM, and the NIP.
Talk about exciting progress in the past year, and where we intend to take PROW in the future.

3. Registry Support of Core Program Components
Vaccine Management
Provider QA
Registries
Surveillance
Assessment
Consumer Education
Service Delivery

4. PROW Standards of Excellence
Comparable to Best Practices
Standards as a ceiling to shoot for versus a floor or set of minimum requirements
Concrete and tangible
Organized by Core Program Components.
Cross-referenced to recommended activities in the IPOM

5. PROW Standards of Excellence
Organized into three levels, from relatively easy to implement to challenging/resource intensive
Useful for:
Identifying enhancements
Upgrading your current application
Developing requirements for a new application or RFP
Seen as an essential companion to minimum registry functions (NVAC), IPOM, and the new certification process.

6. What can the PROW standards do for Program Managers?
Greater connection, integration and synergy across your staff/teams
More benefits (especially internal benefits) gained from your investment in registries
More fully functional, highly featured registry application
More integrated, seamless way to meet user needs

7. What can the PROW standards do for Registry Managers?
Greater connection with immunization program staff
Not all registries are located in immunization programs
Added value/features for registry users
Increased organizational support for registry development and investment

8. What does PROW mean to NIP?
Potential for improved vaccine accountability by projects
More efficient and coordinated use of 317 funds by projects
Improved data for surveillance, assessment, and other immunization activities
Improved data for monitoring immunization practices/AFIX

9. What’s been accomplished?
NVAC endorsement
February 2003
Population Assessment Committee, then full NVAC
Passed a resolution….
February 2003
Heard at the Population Assessment Committee, chaired by Dr. Patricia Whitney-Spears, then to the full NVAC
We were so pleased that Dr. Lance Rodewald introduced PROW to the Committee.
Drafted a resolution:

10. NVAC resolution
The NVAC believes … immunization registries … can play an increasingly important and critical role within immunization programs. In particular, the recent joint efforts of [AIRA, AIM and the NIP] have highlighted ways in which registries can provide important support to other core program strategies…. The NVAC believes the CDC should continue working with its partners to identify and disseminate best practices…, such as those found in the Registry Standards of Excellence in Support of an Immunization Program.
Subsequently published in September in the MMWR as a Notice to Readers
Our thanks to Rob Linkins and Gail Williams for conceiving this idea and making it happen.

11. What’s been accomplished?
NVAC endorsement
February 2003
Population Assessment Committee, then full NVAC
Passed a resolution
Published in the September 26 MMWR
February 2003
Heard at the Population Assessment Committee, chaired by Dr. Patricia Whitney-Spears, then to the full NVAC
We were so pleased that Dr. Lance Rodewald introduced PROW to the Committee.
Drafted a resolution:

12. What’s been accomplished?
NVAC endorsement
Demonstration sites
February 2003
Heard at the Population Assessment Committee, chaired by Dr. Patricia Whitney-Spears, then to the full NVAC
We were so pleased that Dr. Lance Rodewald introduced PROW to the Committee.
Drafted a resolution:

13. Demonstration Sites
13 sites; different sizes, jurisdictions, and levels of operations
Review and prioritize the Standards, document the process, and recommend improvements and new Standards.
Serve as a PROW Center for Excellence and be a resource to other programs.
Across the country
Evaluate the applicability of the Standards.
Document and evaluate the process they used to review and prioritize the standards.

14. Demonstration Sites Alabama Central Valley, CA Contra Costa, CA
Georgia
Houston-Harris County, TX
Massachusetts
Minnesota
New York City
Oregon
Puerto Rico
San Diego, CA
Utah
Wisconsin
On behalf of the three sponsors, I wish to extend our deepest thanks to these projects for taking this on and for serving as PROW Centers of Excellence

15. Findings to date
PROW is an excellent tool for building connections and strengthening relationships across teams
Staff from other areas readily see the potential value of registries to their work.
The challenge is how to integrate and fund PROW priorities with other priorities.

16. PROW Workshops Session B7 – Monday at 3:30
San Diego and Alabama
Session D7 – Tuesday at 3:30
New York City

17. Next Steps Continue demonstrations into 2004
Revise worksheets and instructions
Add new Standards
Evaluate PROW as possible progress/accountability measures

18. For more information… www.immregistries.org Bill Brand