1. Houston-Harris County Immunization Registry Dr. Julie Boom Associate Professor, Baylor College of Medicine Director, Immunization Project, Texas Children’s Hospital HHCIR Medical Director Immunization Registry Town Hall Meeting July 30, 2008

2. Number of Children in HHCIR

3. Number of Clinics Using HHCIR

4. Concentration of Providers

5. Healthy People 2010 Children 4 months – 6 years with  2 immunizations in HHCIR (based on 2004 census data)

6. Houston’s Childhood Immunization Coverage Levels for 4:3:1:3:3 series: 1995-2006 Children aged 19-35 months who received the recommended vaccines: 4 DTaP, 3 Polio, and 1 MMR, 3 Haemophilus influenzae type b (Hib), & 3 Hepatitis B (Hep B). * Rates for 4:3:1:3:3:1 were 76.6% in 2005 and 69.6% in 2006

7. Current HHCIR Functionality HL7 Compliant Extensive interface with billing systems and patient management systems Bi-Directional Data Exchange with ImmTrac State-of-the-art deduplication module Advanced data security Ability to link with other HL7 systems Direct connection to LINKS (Louisiana IIS) Improved forecasting algorithm (in deployment)

8. HHCIR ImmTrac ALL DATA ImmTrac Consented Data HL7 Communication Platform LINKS Medisoft Misys EpicSeasoft Logician Manual Data Entry KS Flat Files Other Registries

9. ImmTrac Data Translator Medisoft Misys Epic Seasoft Logician Manual Data Entry KS Flat Files

10. Consent Provider’s Confidential Electronic Data Set All data reported to ImmTrac per state law ImmTrac Consent Verified Data Shared with ImmTrac & HHCIR Providers Data Shared with HHCIR Providers Only HHCIR Consent Unknown Data NOT Shared Remain in Provider’s Confidential Electronic Data Set

11. Consent Status of Records HHCIR-onlyImmTracUnknown 216,646621,641345,171

12. Identifying Consent Status

13. Designating Dual Consent

14. Prior to transition, problems and questions regarding HHCIR should be directed to Rachel Cunningham at 832-824-2010. Interface questions should be directed to Wen Li at 832- 824-2663.