Presented by Rebecca Coyle AIRA Executive Director

Transcription

1 Presented by Rebecca Coyle AIRA Executive Director

2 Project Sponsor: CDC AFIX and IISSB Staff Project Contractor: American Immunization Registry Association (AIRA) AIRA Project Staff: Danielle Reader Jolley (PM), Sue Salkowitz (BA), and Ruth Gubernick (BA) Subject Matter Experts: 8 Awardee projects (IIS & AFIX Teams) 3 Major IIS vendors Association of Immunization Managers (AIM) Phased Approach

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4 Major Consensus: How to build IIS-based coverage assessments for AFIX and ensure standardized results and reporting. Minor Consensus: Operational: How will the IIS be used to support AFIX coverage assessment efforts? Technical: What do developers need to know to be able to develop the necessary functionality to produce the coverage report(s)?

5 IIS Maturity Current abilities of IIS to generate coverage reports Geographic diversity Variety of IIS vendors/platforms 3 big systems Homegrown Different legal/mandatory reporting requirements

6 Florida Kansas Michigan Minnesota New York City Oregon Washington Wisconsin STC HP Envision

7 How do we use the IIS to identify providers in need of a visit? How do we use the IIS to identify the assessment cohort and ensure that we are assessing the patients that most accurately reflect/represent those patients under the care of the provider? What are we assessing, and are there any IIS (or AFIX) variations that may produce nonstandardized results? Who should be able to run these reports? How often should they be run? Does the IIS need to store the results?

8 What are the required inputs? What are the required parameters/criteria for running the assessment? What is the required output and output format? Does the IIS need to produce an export? If so, what is the spec and how often should the export be generated? What are the required calculations in the background needed to ensure a standardized result?

9 What should be the primary focus areas of the Phase 2 effort? Best Practices: How should/could the transition to the IIS coverage reports be facilitated? When is an Immunization Program ready to cease use of CoCASA and begin relying solely on the IIS for coverage assessments?

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11 Inputs include: Providers Patients Assessment

12 Using VFC Pin to uniquely identify and match a provider for AFIX purposes Using IIS to identify high volume providers Using IIS to identify low performers (low coverage rates, poor DQ, poor vaccine management) Ways to improve provider participation in the IIS

13 Confirming which vaccines to assess Defining which vaccines should have special handling in how coverage is determined Applying vaccine forecasting algorithms in the IIS to determine validity of doses Defining how Missed Opportunities would be calculated in IIS Details about running and managing reports

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15 Inputs include: Providers Patients Vaccination Detail Assessment Criteria

16 Providers Provider Site Name IIS ID (optional, acceptable) VFC Pin Number VFC Program Status Field (active, inactive, suspended) Patients Last Name First Name Date of Birth Gender Patient Active/ Inactive Status and/or MOGE

17 Date of Vaccination Captures Doses by Vaccine Type - IIS must have the ability to tie each vaccine to the corresponding CVX code Routine Childhood Vaccines Routine Adolescent Vaccines

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19 All IIS collect the minimum fields required to run a basic childhood or adolescent assessment All IIS have the general ability to apply the necessary Assessment Criteria All IIS can produce the basic childhood coverage assessment Most can produce a partial adolescent coverage assessment, but only half can produce the full coverage assessment

20 Only two IIS report the ability to assess adolescent and childhood missed opportunities for individual antigens and the 4:3:1:3:3:1:4 series, and one IIS is in progress of implementing adolescent missed opportunities for selected antigens IIS terminology and provider hierarchy varies (sometimes significantly) from IIS to IIS IIS administrative configurations account for various differences in data element requirements and display

21 Phase 1 Oct 2014 Specific focus: Coverage Assessments reported to AFIX Online Tool for AFIXAR Defines minimum, mandatory IIS functionality Phase 2 Sept 2015 Other reports critical to AFIX visits/feedback sessions Other priority areas TBD

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24 Patients Identifying which patients belong to a provider in the IIS Identifying which patients to include in the assessment Defining rules for patient inclusion/ exclusion

25 Provider Selection (by name, VFC PIN and/or IIS ID) Assessment Date Age Range in Months Age Range in Years Age Range by Date of Birth (optional/ acceptable) As of Date Series/Antigen Selection Active Patients/Valid Vaccinations Only

26 Provider Site Name VFC Pin Number Assessment Date Ages Assessed As of Date Birthdate Range Number of records analyzed Selected series/antigens

27 4 DTaP (%) 3 IPV (%) 1 MMR (%) 3 HIB (%) 3 Hep B (%) 1 VAR (%) 4 PCV13 (%) 2-3 RV (%) 1-2 Flu (%) (note: current flu season) 2 Hep A (%) 4:3:1:3:3:1:4 (%) Series

28 3 Hep B (%) 2 MMR (%) 2 VAR (%) 1 Tdap (%) 1 MCV4 (%) 3 HPV (%) 1 HPV (%) 1 Flu (%) (note: current flu season) 2 Hep A (%)