1. 1 CASA Reports From Registry Data Making it Easier for Providers Central Valley Immunization Information System San Joaquin Valley Health Consortium California DHS Immunization Branch HLN Consulting, LLC

2. 2 Goal: increase up-to-date CASA rates Context: California’s regional registries Solution: provide a web-based registry system with automated data export Process: design by committee (seriously) “CASA Audit Process Used in San Luis Obispo County” tour by Karen Turner, Central Coast Regional Registry Coordinator Presentation Outline March 19, 2003

3. 3 Context: California Home to 12% of the United States Total Population: 40 Million Half of all Californians were born outside of the state. Source: Census 2000 California Profile

4. 4 Context: California IZ rate ranked 34th of 51 in 2001 Age 19-35 months with 4:3:1:3:3 series. YearAll RacesLatinoAsian African American 2000- 2001 74%*73%81%N/A 1998- 1999 72%69%73%61% Equal to national average. Other state rates range from 82% in RI to 63% in NM.

5. 5 IZR Map 2002 CAIR Users Shots For Tots Region Bay Area Region Central Valley Region Central Coast Region Los Angeles Region Butte County Del Norte County

6. 6 Sponsorship Public-Private-NGO partnership Funded by State and Federal Sources Administered by Mary Wallace, Director, San Joaquin Valley Health Consortium Managed by Ayesha Gill, Ph.D., Director, CA DHS Immunization Branch SIIS Developed by HLN Consulting, LLC

7. 7 Software Development multiple jurisdictions Continuous stakeholder involvement Weekly conference calls Continuous rapid development Full visibility of process and product Rapid-response prototyping

8. 8 Regional Representatives at the Center

9. 9 Scope Management: “All the requirements, and nothing more” Sponsors define core deliverables Representatives define interface Representatives prioritize enhancements Developers produce technical requirements Change Control by consensus of users

10. 10 Communication Is The Key location doesn’t matter Project web page with detailed minutes Discussion board with Q & A, Issue Tracking Web conferencing for prototyping On-site training & networking consultations Twice-yearly conferences hosted by CA DHS

11. 11 Key Features CAIR registry system Access-level hierarchy for user accounts Context-sensitive online user manual Optional inventory management subsystem Optional TB test tracking subsystem Custom CASA data export Custom reminder/recall mailings

12. 12 CAIR Immunization History Page

13. 13 School Immunization Report

14. 14 CAIR Update March 2003 Seven registries (26 counties) use CAIR software 63% of California births are in CAIR regions Continuous sharing of expertise and work outputs Increasing private provider participation Increasing public provider participation Planning for HL7 exchange and for PVS compliance

15. 15 CASA Reports From Registry Data contact information Joshua Frost, Project Manager Joshua@hln.com, (916) 454-4394 Joshua@hln.com Karen Turner, CCIR Registry Manager KTurner@co.slo.ca.us, (805) 237-3105 KTurner@co.slo.ca.us

16. 16 Karen Turner Central Coast Registry Manager Karen Turner has worked for San Luis Obispo County Public Health since 1990, in the immunization program since 1999. She is the Regional Registry Manager for the Central Coast Immunization Registry (CCIR), which is one of nine regional registries in California. The CCIR consists of Santa Barbara, Ventura, and San Luis Obispo Counties. Karen is the current chair of the California SIIS confidentiality committee, a member of AIRA, and is the San Luis Obispo County Public Health HIPAA privacy officer.