1. Claude C. Longoria, M.B.A. Manager ImmTrac Group ImmTrac Update Texas Immunization Stakeholders Working Group November 1, 2007

2. ImmTrac Snapshot: Q3 2007 65.8 million immunizations recorded 5.5 million Texas children 2 million children under age 6 >3,900 active online user sites >48,000 immunization history reports generated per month (avg)

3. Immunization Records Vaccine Doses Recorded (By Quarter) 20032004 2005 20062007

4. Active Online User Sites (By Quarter) 20032004 2005 2006 2007

5. Immunizations – Reported Online Projected

6. Immunizations Reported by Electronic Data Import - 2006 Public Health 36% Local Registries 26% Providers, EMRs 6% Medicaid, CHIP, Health Plans 32% 7.8 Million Immunizations Reported

7. Immunization Histories Generated Online (By Quarter) 200220032004200520062007

8. Health Plan Participation 35 health plans reporting >4 million immunizations added to ImmTrac client records (2007) 23 immunization history request files submitted by 8 health plans >27 million immunizations* conveyed to health plans *includes multiple requests

9. Senate Bill 204 Requires EMR vendors to include capability to interface with ImmTrac or generate electronic reports for data submission Requires DSHS to define data exchange fields and standards compatible with national standards

10. Senate Bill 204 - Implementation National standards have not yet been defined Projected adoption in 2009 Rules and implementation will proceed after national standards are adopted Working with EMR vendors to facilitate reporting using current standards, new Electronic Data Translation technology and HL7 protocol

11. Senate Bill 11 Allows for affirmation of consent by a health care provider, birth registrar, regional health information exchange, or local immunization registry Allows for inclusion of First Responders or immediate family members Requires DSHS to educate First Responders about benefits of ImmTrac

12. Senate Bill 11 Provides for reporting of vaccine adverse events through ImmTrac Allows for inclusion of information about persons who receive an immunization, antiviral or other medication to prepare for, or in response to, a disaster or emergency event

13. Senate Bill 11 – Implementation Proposed Rules Interdepartmental Collaboration Technology design Legal/Business/Budget requirements Technical Design Programming/IT coding and testing Operational planning Educational/promotional planning

14. Senate Bill 11 – Timeline (Projected) Nov/Dec 2007Preliminary Stakeholder input on proposed Rules Jan 2008State Health Services Council Meeting Feb/Mar 2008Public comment period Jun/Aug 2008Rules effective date Rollout of new functionality

15. Initiatives Refocus ImmTrac Provider Working Group (IPWG) Progress on IPWG recommendations Legislative action Improve data quality Increase utilization of Registry data Technical enhancements Ease-of-use Facilitate electronic reporting

16. For Additional Information: Claude Longoria, Manager ImmTrac Group, Immunization Branch Texas Department of State Health Services 1100 W. 49 th St. Austin, TX 78756 Claude.Longoria@dshs.state.tx.us Tel: (512) 458-7111 x6454 Fax: (512) 458-7790