1. To protect the health and environment of all Kansans by promoting responsible choices. Governor’s Child Health Advisory Committee Immunization Workgroup November 19, 2010 Mike McPherson, Immunization Registry Systems Coordinator Debra Warren, KSWebIZ Project Manager Kansas Department of Health & Environment Kansas Immunization Registry (KSWebIZ) Current Status and Future Goals

2. Vision Vision: Any authorized user anytime and anywhere in the state of Kansas can immediately obtain comprehensive immunization information on any Kansas resident. To protect the health and environment of all Kansans by promoting responsible choices.

3. Mission: To protect children and adults in Kansas from vaccine preventable diseases by providing a fully functional, effective and accessible web-based immunization information system that: Mission Statements

4. 1.Consolidates immunization information from all immunization providers in the state (both public and private). 2.Provides secure access to all authorized users at any time. Mission Statements

5. 3.Ensures high levels of data quality (timeliness, completeness and accuracy). 4.Provides full range of reports to support immunization practices and overall delivery of health care services. 5.Maintains compliance with the twelve NVAC approved functional standards for immunization registries.

6. Overall Goal of Project KSWebIZ will maintain a high level of data quality and compliance with the NVAC approved functional standards for immunization registries and will contain a record with two or more immunizations for 95% of Kansas children less than six years of age by December 31, 2010. To protect the health and environment of all Kansans by promoting responsible choices.

8. Private Provider live on KSWebIZ LHD live through direct entry LHD live through HL7 interface KSWebIZ Providers as of November 1, 2010 Statistics: 262 total providers live: 157 Private providers (5 interface, 17 non-VFC) 105 Local Health Departments (51 Direct entry, 54 interface)

9. Provider Site Enrollment Status (as of 11/1/2010) 262 total provider sites –157 private sites 5 interface 17 non-VFC –105 public sites (100%) 51 enrolled as direct entry sites 54 enrolled through interface To protect the health and environment of all Kansans by promoting responsible choices.

10. School district live on school module School districts on list to be trained Statistics: School District Live: 205 Schools Live = 758 School Personnel with access = 409 KSWebIZ Schools live as of November 1, 2010

11. Current Statistics (as of 11/1/2010) Total Number of Patients = 1,771,199 Up 44% from 2008 (1,228,693) Total Number of Vaccinations = 14,471,849 Up 78% from 2008 (8,123,293) # of Historical vaccinations = 12,795,640 Up 69% from 2008 (7,594,811) # of Administered Vaccinations = 1,676,209 Up 217% from 2008 (528,482) To protect the health and environment of all Kansans by promoting responsible choices.

12. Data Sources: Created Patients as of November 1, 2010

13. Data Sources: Updated Patients as of November 1, 2010

14. Data Sources: Created Vaccines as of November 1, 2010

15. Data Sources: Updated Vaccines as of November 1, 2010

16. CRA and H1N1 One of 22 states to provide online registration 1,714 providers pre-registered 1,118 providers administered H1N1 CRA module created 6 weeks prior to 1 st doses administered –Kudos to Envision Technologies To protect the health and environment of all Kansans by promoting responsible choices.

17. On-going Data Quality Accurate, complete, and timely data in the IIS promote provider confidence in data as well as willingness to participate. –Data quality assurance is conducted at the patient and vaccination level for the following: De-duplication Data completeness, timeliness, and accuracy To protect the health and environment of all Kansans by promoting responsible choices.

18. KSWebIZ Interface Work Established –KIPHS, Insight, Office Practicum Nearly online –EPIC Actively working –eClinical, GE Centricity, Aprima Still waiting –eMDs, NextGen, Allscripts, EHS To protect the health and environment of all Kansans by promoting responsible choices.

19. Data Use Currently: –Direct Entry providers have access to run their own coverage rates and data quality reports. Future: –Publish county and state level coverage and saturation reports on KIC. Barriers: –Need to ensure complete and accurate data. –Need to gather stakeholder input on needed public reports. To protect the health and environment of all Kansans by promoting responsible choices.

20. KSWebIZ Future Goals Maintain a high level of data quality Comply with NVAC approved standards Two or more immunizations for 95% of Kansas children less than six years of age Work with state-wide HIE effort (KanHIT.org) Meaningful Use To protect the health and environment of all Kansans by promoting responsible choices.

21. Remainder of 2010 Continue recruiting providers –Also looking at non-VFC providers Develop interface with 1 school system Maintain KWIC interface Pre-recorded trainings via KS Train To protect the health and environment of all Kansans by promoting responsible choices.

22. 2010 continued… Assess the growth and quality of KSWebIZ data and improve adherence to 12 Functional Standards. –Measure registry participation by Geographic area. Develop a GIS report for public access that displays by county the percentage of children <6 years with 2 or more immunizations. –Maintain potential duplicate patient records to < 2% of full database. –Refine method to detect and resolve potential duplicate vaccines (within 5-7 days of each other). To protect the health and environment of all Kansans by promoting responsible choices.

23. Goals for 2011 To protect the health and environment of all Kansans by promoting responsible choices. Achieve 95% of children <6 years with 2 more immunizations in IIS. Continue to enroll and retain provider sites Continue to enroll school nurses Develop and implement interface with IHS system Finalize opt-in/opt-out Finalize interface for pharmacy immunization data

24. 2011 continued… To protect the health and environment of all Kansans by promoting responsible choices. Continue to assess the growth and quality of KSWebIZ data and improve adherence to 12 Functional Standards. Investigate mechanism for online vaccine ordering within IIS. Facilitate HEDIS reporting Investigate options for an interface between KSWebIZ and CLARIS (the state childcare database). Work with new vaccine ordering system (VTrackS)

25. Questions? To protect the health and environment of all Kansans by promoting responsible choices.