New York State Immunization Information System Not Just for Kids
As of September 8, 2009: 2.4 million patients 28.2 million immunizations 6,946 individual users 2,253 health care provider organizations 1,022 schools 1 Pharmacy Key Statistics
Electronic Data Exchange Vendors and Providers (as of 8/25/09) Data export files are being accepted from vendors/providers using electronic medical record (EMR) or billing systems. LIVE: 47 vendors serving 256 organizations (+32 in house systems) An additional 9 vendors are testing or in progress. A complete list of vendors currently working with NYSIIS is available on the NYSIIS web site under Data Exchange Information at: https://commerce.health.state.ny.us/hpn/bcdc/immunization/ nysiis_data_transfer_specs.html
Data Exchange Supporting H1N1 Adding H1N1 codes to data exchange tables Identifying additional high volume providers who would benefit from data exchange linkages H1N1 Related Enhancements Countermeasure and Response Administration (CRA) module will be added into NYSIIS (Release 1.5) Module used by 2 other WIR states Will allow collection of event/campaign info and priority group designation Will create aggregate doses administered report by age group per CDC requirements New H1N1 vaccine CPT and CVX codes being added to data tables for online data entry or electronic batch file load Scheduler modified to accommodate 2 dose schedule 28 days apart (pending results of clinical trial results)
H1N1 Vaccine Information Tracking Doses administered and inventory reporting will be a condition of H1N1vaccine receipt. Individual patient level data reporting into NYSIIS will continue to be required by LHDs & health care providers for children less than 19 years of age per State law including H1N1 vaccine doses administered. NYSIIS is strongly encouraged for providers administering H1N1 vaccine to person 19 years and older. Anticipating Governor s s emergency declaration which will suspend section of PHL 2168 and temporarily allow influenza vaccination information to be recorded in NYSIIS for adults without written consent. Provider Recruitment and Registration Central website to stream line process: https://hcsteamwork1.health.state.ny.us/pub/top.html Three necessary steps: 1. Establish Health Commerce System Account 2. Pre-register register with the Vaccine Program 3. Participate in NYSIIS Training (Enrollment)
Under Consideration: Inventory Tracking From the endpoint perspective (vaccinating organization) NYSIIS has the ability to assist with inventory tracking. Inventory info could be pre-loaded at the State level (as obtained from State vaccine/logistics group) Sites would be able to autopick from inventory list, system would decrement as doses administered, low inventory alerts could be set Reduces data entry time, potential data entry errors and increases vaccine accountability Additional Consideration: Adverse Events Tracking NYSIIS has ability to record reactions Free text field could collect adverse event info and if VAERS report was filed Potential linkage of NYSIIS immunization history data with health insurer utilization information Monitor diagnoses and id potential signals if correlated with vaccine administration i.e. Guillain-Barre Syndrome, miscarriages, etc.
October-December Schedule Register at: http://www.zoomerang.com/survey/?p www.zoomerang.com/survey/?p=web229mqabj7s7 Hands-on Classroom Sessions Syracuse October 7 Troy October 14 Amherst October 15 Rochester October 16 Yonkers October 27 Ronkonkoma October 28 Westbury October 29 Tarrytown November 17-18 18 Melville December 2-32 October-December Schedule Webinars Register at: http://nysdoh.webex.com Live 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
Advanced Reports Live Webinar Session Covers: Adhoc List and Count Assessment Benchmark Custom Letter for Reminder-Recall Recall Patient Query Listing Participant Handout available October-December Schedule On-line self-guided tutorials 10 modules posted on NYSIIS Training Page in Health Commerce System: https://commerce.health.state.ny.us/hpn/bcdc/immunization/training_info.html ng_info.html 3 new modules for Advanced Reports will be added October 1: Ad Hoc Benchmark Assessment
Ask The Trainer This open forum webinar was designed to allow NYSIIS users to bring their questions to the NYSIIS trainers for one-on on-one one resolutions. NYSIIS users were invited via email and NYSIIS announcements to join the webinar anytime during the 2 hour session (11:00AM to 1:00PM). July 24 8 users participated August 28 10 users participated Upcoming webinar on September 25 th http://nysdoh.webex.com click Training Center Select Ask the Trainer: NYSIIS Noon Time Webinar Enter Name and Email Enter Session Password: train09 Additional Sessions Scheduled for October-December: (The time has been reduced to one hour from 11:30am-12:30pm) 12:30pm) October 2 & 23 November 6 & 20 December 4 & 18 Schools Schools can have read-only access for student look up. Data cannot be entered or edited by school users. Recorded, 39 minute School User webinar training is available on demand. 685 persons trained since January (873 total) School users MUST have their own NYSDOH Health Commerce System account to access NYSIIS.
l NYS CONSENT FORM Must be signed by patient for shots to be recorded for those over 19. Stored at providers office Must record a YES for shots to be recorded
l VACCINE ADMIN RECORD Can be used as a formal record of immunizations l Ad Hoc List Allows users to choose from many fields to generate specific reports. This example is for those born before Oct 1990 who has had a influenza shots at sometime.
Help Desks Commerce Accounts Management Unit (CAMU) Help Desk For HPN access or account issues (866) 529-1890 or hinhpn@health.state.ny.us NYSIIS Technical Help Desk For NYSIIS user access or questions on how to use the system (866) 389-0371 or nysiishelpdesk@hp.com NYSIIS staff For general program or policy questions (518) 473-2839 or nysiis@health.state.ny.us Growing Up Healthy Hotline For parents/public 1-800-522-50065006 Q & A (518) 473-2839 nysiis@health.state.ny.us