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New York State Immunization Information
System
Update for AAP Vaccine Summit
May 2010
Key StatisticsAs of May 1, 2010:
3.1 million patients36.4 million immunizations9,200+ individual users3,100+ health care provider organizations1,500+ schools
78.7% of NYS children (outside of NYC) less than 6 years of age have 2 or more shots in NYSIIS
Provider Participation in NYSIIS By Month, January 2009 – May 2010
60
65
70
75
80
85
90
Perc
en
t of
Know
n P
rovid
ers
Part
icip
ati
ng
in N
YSIIS
21.224.0
32.236.6
43.3
50.856.2
59.663.7
67.872.4
76.0 78.2 78.7
23.9
0
10
20
30
40
50
60
70
80
90
100
Jan08 Mar08 May08 Jul08 Sep08 Nov08 Jan09 Mar09 May09 Jul09 Sep09 Nov09 Jan10 Mar10 Apr10
Month
05/03/2010*New York State Immunization Information System**Based on Claritas population estimates for 2008 (Jan08-Nov08) and 2009 (Jan09-present).
Percent of Children Less Than 6 Years of Agewith Two or More Shots in NYSIIS*
New York State (Outside of New York City)
Perc
en
t P
art
icip
ati
ng
**
90.4%
87.3%
86.0%
87.3 %
55.7%
*Based on 2009 Claritas population estimates.
Total Upstate78.7%
Updated 05/03/2010
Children < 6 with 2+ Shots
2009 NYSIIS Saturation Rates* by Region
52.2%
Finger Lakes Region
Central New York Region
Lower Hudson
Capital District Region
Western Region
Long Island
Counties Reaching 95%+:
BroomeCortlandGeneseeHamiltonOnondagaSaratogaWarrenWashingtonWayne
SUPPORTING H1N1 RESPONSE
Doses administered reporting (age groups and priority groups)Required for children less than 19 years of ageEncouraged for adults (written consent needed, waived for
public health clinics)Cross walked NYSIIS org id to H1N1 PIN for vaccine
accountabilitySuccessful use of inventory tracking module by 500+
practicesDoses wasted, expired, recalled
Successful use of reminder-recall feature especially with identifying children less than 10 years of age who required 2nd dose
Public clinic data load (PODs)All files have been transferred, rejected records are
being corrected by local health departmentsAdverse event monitoring
Exchanged info with 3 health plans (Aetna, Cigna, Humana) to compare immunization history to health care utilization data to monitor potential adverse events (miscarriages, GBS).
Evaluation projectDid different vaccination strategies in counties
impact H1N1 immunization coverage rates in children?
SUPPORTING H1N1 RESPONSE
NYSIIS and H1N1As of May 11, 2010: 852,944 H1N1 doses administered have been
reported to NYSIIS by 1,831 practices. 51.7% of the 1,648,857 total doses reported to
all NYSDOH systems (IVR, online, CDMS, etc.) A vast majority (82%) are children and young
adults 6 months through 24 years of age. 45.1% of children 6 months through 9 years of
age with one H1N1 dose reported to NYSIIS also have the recommended second dose also recorded in NYSIIS.
• Data export files are being accepted from vendors/providers using electronic medical record (EMR) or billing systems.
• LIVE: 50 vendors serving 350+practices (+46 practices using in house systems)
• An additional 22 vendors are testing or in progress.
• A complete list of vendors currently workingwith NYSIIS is available on the NYSDOH public web site at:
• Early efforts underway to implement HL-7 version 2.5.
https://commerce.health.state.ny.us/hpn/bcdc/immunization/nysiis_data_transfer_specs.html
Organizational ExtractsNew feature being testedOutbound files (NYSIIS to Provider)For providers who are manually using NYSIIS
and are moving to an EMR, a file can be extracted from NYSIIS for possible loading into the new EMR software.
Bi-directional InterfacingChild Health Information Integration (CHI2)
Much bigger than NYSIIS!Bi-directional real-time exchange between providers
and NYSDOH is ultimate goalARRA funds (through Medicaid program)
accelerating work on a universal public health node to connect internal and external systems together NYSIIS is a pilot program to connect to UPHN RHIOs will also connect to node EMR systems connected to RHIOs now linked to NYSDOH
Will be an ADDITIONAL method for providers to connect to NYSIIS (current connections not touched)
Data QualityPatient address is critical
For data entry users: Complete patient address should be recorded, including COUNTY
For data exchangers: verify data is being sent and stored correctly. Problems should be reported to your vendor.
Data Quality
Completeness: H1N1 doses administered still being reviewedExpecting 100% compliance!
Manufacturer and Lot number – important for vaccine recall, safety issues
Data QualityVFC Reporting
VFC program is using NYSIIS in verifying shots administered.
Data exchangers should verify that VFC eligibility is being sent and stored correctlyAND practice is identified as owning the shots you administer (i.e. not being sent as historical).
If VFC eligibility is not being sent, or is being stored incorrectly, your VFC reports are NOT VALID.
Any problems should be reported to your vendor and NYSIIS staff.
System ModificationsNYSIIS releases 1.5.0, 1.5.1, 1.5.2 and 1.5.3 were
successfully completed in October, December, February and April. The releases included:Countermeasure and Response Administration
(CRA) module to support H1N1 response.Scheduler updates to accommodate new
vaccines, age range changes, and prevent conflicts among live viruses.
VFC eligibility tracking and reporting enhancements.
Upcoming ReleasesRelease 1.6 (Clinical) – May 2010
Add new vaccines and modify schedules as appropriate for Hiberix, Cervarix, and Prevnar13.
Update HPV schedule for age and adjacent dose rules
Include HPV series for males (Gardasil only)
Release 2.0 Lead – July 2010Lead user interface module, historical data
upload from LeadWebPhase 3 (reports and prompts) to follow later
Outreach by HP (formerly EDS) staff Phone contact at the county level Contact Providers Increased onsite trainings (key strategy) Org-specific webinars
Classroom sessions (heavy Downstate) Webinars (live and recorded) Online Self-Guided Tutorials Ask The Trainer Webinar Newly revised user manual released January 2010
2010 Webinar ScheduleRegister at: http://nysdoh.webex.comLive instructor led sessions scheduled
approximately once a week. Standard User Combined Standard/Administrator User Advanced Reports
Previously recorded sessions available on demand. Beginning User (Standard & Combined) AFIX-CoCASA School Access User Standard User for Pharmacy
13 modules posted on NYSIIS Training Page in Health Commerce System:https://commerce.health.state.ny.us/hpn/bcdc/immunization/training_info.html
NEWEST MODULES - Advanced Reports: Ad Hoc lists and counts Benchmark Assessment
ASK THE TRAINERThis open forum webinar was designed to allow
NYSIIS users to bring their questions to the NYSIIS trainers for one-on-one resolutions.
Last Friday Each Month at 11:30-12:30
http://nysdoh.webex.com – click “Training Center”Select “Ask the Trainer: NYSIIS Noon Time Webinar”Enter Name and EmailEnter Session Password: train10
NYSIIS News –distributed electronically in March 2010
NYSIIS application announcements and blast email distributionsImportant vaccine specific and general
immunization related informationMaintenance/outage noticesTraining/user group remindersNYSIIS tips of the month
Program Linkages and Future Priorities
Program LinkagesWIR Consortium – continued code sharing with
various projects, especially OregonEnhanced immunization evaluator (scheduler)Data exchange file interacting with inventory
module Health Insurance Plans – query only
capability to support QUARR and HEDIS reportingInter-state data sharing agreement
Template under final revisions
Future Priorities - 2010Commissioner’s Prevention Agenda
http://www.nyhealth.gov/prevention/prevention_agenda/
American Recovery and Reinvestment Act (ARRA) aka “Stimulus Funding”Disaster recovery serverIntegrated immunization support visitsNYSIIS enhancementsBi-directional interfacing
Help DesksCommerce Accounts Management Unit (CAMU) Help
DeskFor HPN access or account issues (866) 529-1890 or [email protected]
NYSIIS Technical Help DeskFor NYSIIS user access or questions on how to use the
system (866) 389-0371 or [email protected]
NYSIIS staffFor general program or policy questions (518) 473-2839 or [email protected]
Growing Up Healthy HotlineFor parents/public1-800-522-5006
