1. Collaborations Are Key to the Growth of Your Registry
MAKING AN IMPACT
Collaborations Are Key to the Growth of Your Registry

2. Laurie Dietsch, MPH Immunization Registry Coordinator Jose Rodriguez Director Project L.O.V.E. Love Our Kids…Vaccinate Early!

3. 4DTaP:3Polio: 1MMR* 1MMR*:3HIB Ohio 76.3 74.7 Cuyahoga 74.0 72.8
Immunization Rates for Children
19-35 Months of Age
National Immunization Survey, Q1/2001-Q4/2001
4DTaP:3Polio:
1MMR*
1MMR*:3HIB
Ohio
76.3
74.7
Cuyahoga
74.0
72.8
Franklin (Columbus)
79.3
78.3
Rest of State
76.2
74.5

4. OHIO Population of State = 11.4 million*
Cleveland = 478,000
Cincinnati = 331,000
Columbus = 702,000
Annual Birth Cohort = 155,700**
Franklin County (Columbus) = 17,400
* U.S. Census Data 2000,
** Ohio Department of Health Vital Statistics

5. Project L. O. V. E. (Love Our Kids. Vaccinate Early
Project L.O.V.E. (Love Our Kids...Vaccinate Early!) is a unique partnership between Franklin County hospitals, area physicians, City of Columbus and Franklin County Health Departments, local businesses and community organizations, whose goal is to assure that Franklin County 2 year-olds are fully immunized.

6. Project L.O.V.E. Two Primary Goals
Market an Immunization Registry among central Ohio physicians in order to establish a centralized source of individual immunization records across the county and state
Maintain and improve current immunization levels throughout the general population of Franklin County

7. Three Options Develop System Locally Buy HII or STC? ODH
Money to develop AND sustain
Technical upkeep
Buy HII or STC?
Money to purchase AND Maintenance
Not “our” system
Web-based
ODH
“Free” for us
Our input made the system
Strengths and Weaknesses Fit

8. STRENGTHS State – ODH Local – PLOVE/CHD IMPACT SIIS Local Contacts
National/CDC Support
Technical Staff and Resources
Sustainability
Privacy/Security/ Confidentiality
Power and Influence
Local – PLOVE/CHD
Local Contacts
Local Name Recognition for Coalition and Marketing Capability
Funding for Marketing
End User Perspective
Not as Many Funding Constraints
Incentive Due to Low Immunization Rates

9. Negatives Negative History (Trust Issues) Change in Leadership
Getting to Know Each Other
Communication Difficulties
Technical vs Non-technical
Tunnel Vision
Misunderstandings
Limited Staffing
Different Perspective
State vs Local
Fear of Making “Another” Mistake

10. Positives Successful State and Local Partnership Immunization Registry
Complimenting Strengths and Weaknesses
Communication is More Open
Different Perspectives
State vs Local
Improved Relations
System That is User-Friendly and FREE

16. Public and Private Collaboration
October Prepare for Post Smallpox Event
Thanksgiving - Phase 1 Pre-event Smallpox Plan
Pre-event Vaccination System (PVS)
Unknown system
Keep the data locally and transmit to PVS
IMPACT SIIS
Public and Private Collaboration Increased
Project LOVE Managed Data Component for Central Region

17. Central Ohio Region Phase I Collaboration
15 Counties
18 Health Departments
24 Hospitals*
4 Clinic Locations
2 in Franklin County
2 in Surrounding Counties
* 2 Hospitals were not eligible to have Response Teams

18. Data Component Registries Play Major Role In BT Organized a Data Team
*Trained Them On Both Systems
PVS and IMPACT SIIS
Can’t Receive Vaccine Without Signed Security Agreement for Registry
Tracked Vaccine
Recorded Temperature Logs

21. 3 Levels of Collaboration
Private Sector
AMCI, Orkand and Pilot
State Public Health
ODH contract to develop and pilot BT component
Certification from CDC
Central Region
Offered to Pilot and Double Enter
Cost Survey

22. BT Component for Registry
Scanning technology that meets the CDC requirements for tracking the administration of vaccinia vaccine
two-dimensional bar coding software
scan unique identifying information from a person’s driver’s license directly into a web-enabled registry
Handhelds, laptops, printers and a wireless network

23. Project L.O.V.E. and the Central Ohio Smallpox Region is piloting the utilization of these scanners in order to determine the system’s ability to obtain the following objectives:
To create a system that quickly and accurately records patient demographics and immunization data for all smallpox vaccine recipients to a web-enabled system utilizing scanning technology, enabling us to meet the demand of 11 million people within 10 days.
To determine if the new technology can improve accuracy in a bioterrorism prevention immunization campaign.
To determine the cost savings achieved through the implementation of this technology.
To determine if the same technology can be incorporated into the daily immunization activity found in practices.

30. Without collaboration…
Very few would be using the Registry
Registry would not be user friendly
Phase I would not have worked as well
The pilot would have failed
Ohio registry would have missed the chance to be involved with BT from the beginning
We wouldn’t be as secure going into Phase II

32. If the registry is implemented successfully it will occur quietly
If the registry is implemented successfully it will occur quietly. However, if the registry is not implemented successfully, it will be heard loudly.

33. QUESTIONS?