1. Kentucky Pursues Statewide Immunization Registry
Victor Negron, Gary Bevill, Susan Salkowitz, Michael Suralik, Noam Arzt, Ruth Gubernick

2. Kentucky Facts 4 million population 267,000 children under 5
120 counties
56 local health departments
Switched from universal to VFC in 1994
Approx. 30% of children Medicaid-enrolled
2002 NIS 72.3% (4:3:1:3:3)

3. Early/Initial Efforts
limited funding of pilot projects
2001 Project Officer Visit/Recommendation
2002 Funding, state RFP attempt, redirection of funds (from FA contracts to DA other)
Late 2002 statement of work issued and contract awarded

4. Statement of Work
Assess need for a population-based immunization registry
Define user population and their technical readiness
Determine feasibility of deploying a statewide, web-based system

5. Statement of Work Provide recommendations on improving IT capacity
Assess available software for “best fit”
Develop preliminary implementation plan
Develop preliminary budget requirements

6. Needs Assessment/Feasibility Study
Engage stakeholders through focus groups and interviews
Conduct provider survey
Review program material
Document program requirements
Evaluate technical capabilities
Prepare report

7. Key Observations and Findings
Increasing use of IT and the Internet in healthcare settings
Strong support and encouragement by all stakeholders interviewed
Concerns about cost, privacy, extra work
KDPH resource needs

8. System Architecture

9. Policy & Program Recommendations
Continue formalizing advisory board and statewide committees
Develop stakeholder database
Pursue funding opportunities
Develop HIPAA material and training
Maintain information website on progress

10. Progress to Date Stakeholder distribution list developed
2003 funding identified
Statement of work drafted
2004 additional funding requested