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Minnesota Immunization Information Connection (MIIC)
Kristen Ehresmann, RN, MPH
Director, Infectious Disease Epidemiology, Prevention, and Control Division
Outline
2
• MIIC Data
• MIIC Data Use
• Health Equity
• Maternal Vaccination
• Health Care Personnel Influenza Vaccination
• Child Care Reporting
• Outbreak Response
MIIC Data3
Immunization Data
0
10
20
30
40
50
60
70
80
90
2006 2008 2010 2012 2014 2016
Imm
un
izat
ion
s (M
illio
ns)
Year
Total Immunizations in MIIC
~80,000,000immunizations
20,000+added daily during flu
season
4
Nation-Leading Client Participation
0%
25%
50%
75%
100%
Children Adolescents Adults
Percent of Residents with Immunizationsin an IIS
Minnesota
National Average
• 95% of Minnesotaadults haveimmunizations in MIIC
• National average is 39%
5
MIIC Data Sources: Data Connections
6
MIICVital
Records
Wisconsin
North Dakota
DHS
Refugee Health eShare
MIIC Data Sources: User Groups
7
MIICPrimary care clinic
Specialty clinic
Hospital
Pharmacy
Community vaccinator Occupational
health
Local public health
Nursing home/long-term
care
School/school-based clinic
Urgent care clinic
Convenience/ retail clinic
College/ university
Home care/hospice
Child care
Text Version
2011 2012 2013 2014 2015 2016
0%
25%
50%
75%
100%
> 30 days
8 through 30 days
>1 through 7 days
1 day or less
8
Data Submission Time Since Immunization
Premier Immunization Registry
• One of six IIS nationally recognized for high data quality and effective data use
• Others include MI, ND, NYC, OR, and WI
9
MIIC Data Use10
Health Equity
• Matched birth certificate andMIIC data to assessimmunization rates byrace/ethnicity andmaternal/paternal birth country
• Use results to:
• Build provider/partnerrelationships
• Inform education and outreach
• Prepare for/respond to outbreaks
11
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
1+ MMR Vaccination Rates by 24 Months, by Birth Year
Somali MMR Non Somali MMR Somali VAR Non Somali VAR
Maternal Vaccination
12
Tdap
Unadjusted
RR
95%CI
Flu
Unadjusted
RR
95%CI
Black vs White 0.9483* 0.9325, 0.9644 0.8319* 0.8128, 0.8515
Native American vs
White0.8034* 0.7682, 0.8403 0.8358* 0.7928, 0.8811
South Asian vs
White1.0483 1.0088, 1.0894 1.0239 0.9734, 1.0770
Asian vs White 1.0216 1.0013, 1.0423 1.0103 0.9845, 1.0368
Hispanic vs Non-
Hispanic0.9468* 0.9251, 0.9691 0.9794 0.9518, 1.0079
*Statistically significant at p<0.0001.
• Matched mother’s birth certificate and MIIC data to assess compliance with Tdap and influenza recs
• Little data available nationally
• Assessed vaccination rates by demographic factors and prenatal care quality
• Use results to inform outreach and future research
Health Care Personnel Influenza Vaccination
• FluSafe: HCP influenza vaccination program for hospitals and long-term cares
• Facilities use MIIC to accurately track rates and inform improvement efforts
• MDH publicly recognizes facilities with high rates
• Higher rates among participating facilities -especially long-term cares
Child Care Reporting
14
• Minnesota requires child care centers to submit annual immunization report
• MIIC & Child Care Assistance Program helps centers complete report using MIIC data and tools
• Benefits to child cares
• Frees up staff time
• Reduces staff frustration
• Limits report errors
• Benefits to public health
• Improves MIIC information
• Helps equip centers to promote immunizations
Outbreak Response
15
• MIIC is highly useful during VPDoutbreaks (e.g. 2017 measlesoutbreak)
• Used to:
• Verify immunization status ofcases and exposed individualsquickly
• Help providers determine whichpatients need vaccine
• Watch overall vaccination trends
• Order VFC vaccine0
1000
2000
3000
4000
5000
6000
7000
8000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
MM
R D
ose
sWeek
MMR Administered by Week 2017
Thank you!
Kristen Ehresmann
June 2017 Protecting, maintaining and improving the health of all Minnesotans | www.health.state.mn.us 16
Text only version
14 MIIC Data sources user groups:
Primary care clinic
Specialty clinic
Hospital
Community vaccinator
Pharmacy
Occupational health
Local public health
Nursing home/long-term care
School/school-based clinic
Urgent care clinic
Convenience/retail clinic
College/university
Home care/hospice
Child care