1. 1 SE MN Beacon Immunization Initiative Dr. Rajeev Chaudhry

2. 2 17 Beacon Communities Extend advanced health IT & exchange infrastructure Leverage data to inform specific delivery system & payment strategies Demonstrate a vision of the future where:  Hospitals, clinicians, & patients are meaningful users of health IT  Communities achieve measurable & sustainable improvements in health care quality, safety, efficiency, and population health

3. 3 SE MN Beacon Immunization Goals Assess current processes of vaccine administration and documentation Collect baseline vaccination rates and assess improvements Conduct gap analysis Provide recommendations for improvement for population health

4. 4 Mayo Clinic Immunization Pilot Data & Performance Measurement –Identified baseline metrics for asthma and diabetes patients using HIT across SE MN practices –Completed development of a point of care decision support system (GDMS) to identify patients with chronic conditions and provide decision support for providers for adult patients who need vaccinations during any visit in practice –Completed development of a population management system to identify population of patients who are due for vaccinations for a primary care practice. Integrated the process with state registry comparison. –Initiate pilot at ECH Rochester and Winona Health to mail letters –Study impact of HIT on delivery of vaccinations to at risk population –Identify opportunities to enhance HIT and processes of care for vaccinations delivery –Study patient preferences for notification, access and vaccination delivery

5. 5 Gap Analysis Winona Health and Mayo Clinic Rochester identified all asthma and diabetic patients (age 18+) who have not received influenza vaccine in 2010 (MCR = 18,700 and WHS = 1,881) Local records compared to MIIC database and found: –910 Winona Health System eligible for influenza vaccine (Letters sent on 2/4/2011) –5996 Mayo Clinic (Baldwin Family Medicine, Baldwin Primary Care Internal Medicine, Kasson Clinic, Mayo Family Clinic NE, Mayo Family Clinic NW) Letters will be sent from MCR starting 2/10/2011 in a staggered manner Monitoring and tracking vaccine improvement will continue through March 16, 2011

6. 6 Gap Analysis (Pharmacies) Pharmacists who administer vaccination are required to notify primary care MD but may not report to MIIC. Common to fax information to primary care provider Unclear who reports to MIIC at open flu clinics at retail pharmacies Some pharmacies do not participate in Mark of Excellence training programs and may not report to MIIC Frequency of data entry into MIIC delays information at point of care Of the 120 pharmacies identified in SE MN, only 14 participate in MIIC Next steps: work with SEMIC to develop a plan for direct entry into MIIC for all pharmacies

7. 7 7 Overview of 2011 ONC Expectation for Beacon programns ▪ “Lane 1”: Execution ▪ “Lane 2”: Innovation, Partnerships, & Pilots ▪ “Lane 3”: Communications & Dissemination

8. 8 Next Steps Letters to be sent to 5,596 patients (approximately 400 letters per week day): –Baldwin CIM = 2046 –Baldwin CPAM = 141 –Baldwin Family Medicine = 919 –Kasson Clinic = 483 –Mayo Clinic NE = 646 –Mayo Clinic NW = 422

9. 9 Next Steps PCC will print and mail letters from 2/9 – 2/28/2011 Approximately 400 letters per day Expect response rate of 10%

10. 10 Script for Response to Mailings Response to questions related to SE MN Beacon Immunization Initiative Thank you for your call. How can I help answer your question? Our records show as of December 31, 2010, you may not received a flu shot. Have you had your flu shot elsewhere? E.g. At a pharmacy? At a flu clinic at work? It isn’t too late to get your flu shot. Getting immunized is one of the best ways we can help keep ourselves healthy and safe from communicable diseases. Would you like to schedule an appointment to get your flu shot? Who is your primary care provider?

11. 11 SE MN Beacon Immunization Membership R. Chaudhry (PI)E. Emerson (MDH) L. Williams (OMC)P. Ramani (MDH) R. Hughbanks (WHS)E. Lindskog (MCR) M. Ubl (MNHIE)C. Benson (MCR) M. LaVenture (MN HIT)J. Horn-Ommen (MCR) D. Jensen (Public Health)D. McWilliams (MCR) P. Carpenter (SEMIC)M. Severson (PM, MCR) M. Bernard (MCR)K. Mongeon Whalen

12. 12 Thank You Rajeev Chaudhry, PI Erin MartinChrista Frazier, Winona Health System Mike Ubl, Executive Director, Minnesota Health Information Exchange Susan Claxton, NM, Outpatient Community Internal Medicine Lacey HartJosh Erickson, Winona Health System Marty LaVenture, Director, HIT and Center for Health Carrie Roseboom, Family Medicine Christopher Chute, PIRod Hughbanks, Winona Health System Dan Jensen, Olmsted County Public Health Debra Richards, NM Outpatient CIM Kari Mongeon Wahlen, RN Peggy Carpenter, SEMIC Coordinator Emily Emerson, Minnesota Department of Health Maribeth BraatenMatthew Bernard, MDDoug Parks, MCR Administration Priya Ramani, Minnesota Department of Health Barbara BrambrinkEric Lindskog,Jody Boone, MCR Administration Sally Trippel, MD Deb McWilliams, MDJennifer Horn-Ommen, MD Mary Severson, Project Manager