1. Florida SHOTS Florida State Health Online Tracking System

2. What is Florida SHOTS? Florida SHOTS is a confidential, computerized information system that stores vaccination histories. The system helps enrolled healthcare providers, schools, and daycares keep track of immunization records. It also generates the Form 680, a certified electronic version of Form 680, and reminder/recalls.

3. Who is in Florida SHOTS? Florida SHOTS includes: All children born in Florida since January 2003 Patients receiving services from a CHD in the state Children and adults who receive immunizations from any of nearly 3,000 private physicians currently participating in Florida SHOTS

4. Florida SHOTS Time Savings Studied two pediatric offices on a typical office day using office staff and real patient data: Data uploading office Traditional partner (manual data entry) office

5. Florida SHOTS Time Savings Timed traditional immunization recordkeeping activities: Searching for a patient record Evaluating historical information Adding historical information Adding a single shot Total time to add all shots given that day to a specific patient

6. Florida SHOTS Time Savings Hand Write vs. Search, Certify, Print with Florida SHOTS 2 1/2 minutes = Median time to hand write a blue form. Double that if a patient needs one for school and daycare. Less than a minute to use Florida SHOTS to search for, electronically certify, and print a 680. Only 27 seconds to certify and print with Florida SHOTS saves an average of 2 minutes for each patient that needs a duplicate or updated 680.

7. Florida SHOTS Time Savings Entering Historical or Bulk Shot Data into the Registry Data upload: Batch and transmit an unlimited number of patient immunization records to Florida SHOTS in less than 4 minutes.

8. Time is money. Save on average 10 hours per 1,000 patient immunization visits. (This includes time spent using Florida SHOTS to search for the patient’s immunization history, adding missing historical data, adding that day’s shots, certifying, and printing records.) 10 RN hours = $247.20* 10 LPN hours = $174.60* 10 certified nurse assistant hours = $105.80* 10 administrative/office manager hours = $144.40* * Cost savings are calculated based on the median hourly rate by job for the state of Florida, 2/15/09, www.payscale.com/research/US/State=Florida/Hourly_Rate and do not include overhead and benefits costs associated with staff.

9. How can Florida SHOTS help you? Florida SHOTS produces the legal immunization record (Form 680) required for school attendance at the click of a button. (Printed and electronically certified versions are available.) Immunization information is available 24 hours a day, 7 days a week. The registry also produces reminder/recall messages and assessment levels, which help improve immunization coverage rates. Registries can help kids and doctors in case of natural disasters.

10. How can Florida SHOTS help you? Electronically Certified Form 680s Can be accepted as proof of immunization by enrolled schools and licensed childcare providers Can be accepted on white paper Schools and daycares can access electronically certified copies from Florida SHOTS Parents can access valid copies by using a Parent PIN number

11. Setting Preferences to Produce Certified 680s Local Organization Administrator must select “Personnel List” under “Administration” in the left menu. On the “Personnel Maintenance” screen: o Set up permissions for authorized individuals whose names will be used to electronically sign the new 680 Forms (“Certify Form 680”). o Set up permissions for users who will need access to issue the certified forms (“Create Certified Form 680”).

12. Setting Preferences to Produce Certified 680s

13. Create Current Form 680 Three Form 680 options: “Print Only,” “Certify and Print,” “Certify Only” For certify options, you must select the “Physician or Authorized Signature” to appear on the 680 from the provided drop-down list (names to whom your Local Organization Administrator has given permission to certify a Form 680).

14. Create Current Form 680

15. Embedded authorized signature, unique electronic certification number, and Florida SHOTS logo: Included on the certified version; not valid without this special number and logo “Issued By” line: Shows user that created the certified Form 680 Create Current Form 680

17. How can Florida SHOTS help you? Automated Reminder/Recall

18. Automated Generation of Lists Using Complex Computer Algorithms

19. Easy Mailing Label Creation

20. How can Florida SHOTS help you? Automated Assessment Simplifies Task, Lowers Cost

21. Measurement in Format of National Immunization Survey

22. Prepare Assessments by Various Vaccination Series Completion

24. How else have we simplified Florida SHOTS usage? Automated Data Upload Data upload is a process that exports immunization information from current electronic files and transfers it into the Florida SHOTS registry. As of April 2013, we’ve uploaded more than 145 million shots into the registry!

25. Florida SHOTS Data Upload Providers AdaptaMed Advanced Data Systems Corp AdvancedMD Allscripts Amazing Charts American Medical Software Aprima Athena Health Automated Medical Systems AutoMedicWorks Bizmatics Care Cloud Cerner ClinetMedical Software ClinixMD CollaborateMD/Claimgear Comtron CPSI CureMD DocPad Doc-tor.com Doctors Access Doctors Partner eClinicalWorks Eclipsys (formerly Bond Clinician) edgeMED Electronic Healthcare Systems e-MDs E-Med Practice Encounter Pro (JMJ Technologies) Epic GE Medical GloStream GMA Greenway Medical Technologies Health Fusion i2i Systems Integritas Inc. IOS Solutions iPatientCare iSalus MDFlow Systems MD Land Medappz Medenet Medicat Medgen Medisoft Clinical MedPlus MediTab Meditech MedXLnce MegaTech MicroMD MIE Misys NCG Medical (Perfect Care) NextGen Office Ally Office Practicum OmniMD Optum Insight PCC Practice Partner—McKesson PrognoCIS Pulse Systems Sage Sevocity Smart Clinic SynaMed TotalMD TriMed Technologies (Expert Practice Manager) VacTrack VIP Medicine LLP Vipa Health Solutions (SmartEMR) VipaHealth Solutions Visionary Workflow

26. Endorsements of Florida SHOTS Florida Pediatric Society Florida Medical Association Florida Academy of Family Physicians Florida Osteopathic Medical Association Florida Association of Health Plans, Inc.

27. Need More Information? Call the Florida SHOTS Help Desk: 1.877.888.SHOT (7468) Visit: www.flshots.com www.flshotsusers.com