1. REQUIREMENTS ANALYSIS: Developing a Near-term Plan for Washington’s Statewide Immunization Registry Janna Halverson, Sherry Riddick, Belinda Baker

2. Intentions Describe the CHILD Profile system Describe issues with the current system – leading to the requirements analysis work Describe requirements analysis process Describe findings Describe next steps:  evaluate alternatives  develop recommendation  initiate work  reassessment cycle

3. Brief History and Heading Forward 1993 All Kids Count (King + Snohomish) with DOH support Strategic Planning – early 2000 Governing Board – mid 2000 DOH assumed responsibility on 1/1/02

4. Purpose Provide the infrastructure to ensure Washington’s children receive preventive health care services.

5. What’s the Infrastructure? Health Promotion System Parent reminders of well-child care and immunizations and other important parenting information Immunization Registry Central repository for public and private providers’ use in protecting the public through the control of vaccine preventable disease

6. Vision A fully populated system which is the primary means for communicating public health messages to parents and fostering up-to-date immunization status.

7. Goals By June 30, 2004, increase to 90% the proportion of parents with young children (ages birth to 6 years, born in WA State) sent the CHILD Profile health promotion materials. By June 30, 2006, increase to 95% the proportion of children who participate in CHILD Profile’s fully operational, population-based immunization registry.

8. Issues with Current System Need a plan to meet the NIP Functional Standards Too much effort and funding is being put into maintaining and supporting the network Technology budget fluctuates Very costly to build our own secured, HIPAA-compliant environment Supporting many system access methods

9. Issues with Current System Text-based application is antiquated Varying functionality between the text-based application and the web application Varying provider/plan understanding of the functionality

10. Requirements Analysis Process Interviews/surveys with providers, plans, LHJs and DOH Immunization Program Evaluation of current system functionality  What are the unmet needs?  How are they affecting stakeholders?  What is the priority of each need? Comparison of current system functionality with requirements and user needs

11. Findings from Requirements Analysis Technical findings regarding current scope Planning issues  Vaccine accountability  WIC linkage  Bioterrorism Communication, training, perceptions Policy

12. Findings Fully web-functional Increased quantity and quality of immunization history  Improved de-duplication methods  Improved integration with health plans and practice management software Tracking of primary care provider Improved VFC status tracking Improved CASA extracts

13. Findings Establish vaccine inventory management  Integration with VACMAN for orders and distribution  Provider inventory management capability Linkage with the WIC system (CIMS) Establish an ongoing registry user’s group Institute a process for assessing stakeholder requirements on a regular basis

14. Next Steps Evaluate alternatives Recommendations Select approach (DOH decision making) Initiate work Evolve

15. Evaluate Alternatives Use the assessment of the existing system as a baseline for evaluating other alternatives Evaluate/compare three alternate strategies  Continued modification and enhancement of the existing system  Development of a new system  Purchase off-the-shelf

16. Criteria for Evaluating Alternatives Ability to meet defined functional requirements Feasibility of infrastructure requirements Cost/Benefit (tangible and intangible) Risk Migration issues System limitations

17. Evolve