1. CAIR 2.0 Bigger, Better, Faster !

2. Agenda Why CAIR 2.0? What is CAIR 2.0? What’s not changing? What’s changing? When will it happen and how? – Timelines and milestones – Training – Data Migration How to prepare? – What providers can do now

3. Why CAIR 2.0? The California Immunization Registry (CAIR) is getting even better. We’re implementing a new, faster, Immunization Information System (IIS) with many new features such as easy integration with EHR systems. No more double entry! The same software has already been successful in 17 other states. You will be able to access immunization information from across the state. All existing immunization data from the regional registries in California are being combined into one system.

4. CA IIS History State IIS County ACounty BCounty CCounty DCounty ECounty FCounty GCounty HCounty I Counties 1990s 10 ‘Regions’ 2000s 1 ‘CAIR’ 2010s CAIR

5. What is CAIR 2.0?

6. CAIR 2.0 is Bigger… Access to more patient records statewide means new patients are more likely to be in the system, decreasing time for data entry, increasing record completeness, decreasing needless repeating of vaccinations.

7. CAIR 2.0 is Better… No more double-entry. EHRs that have HL7 standards can access CAIR data from their EHR after an easy automated system check. Inventory will be automatically adjusted in CAIR after recording in your EHR and vice versa. State-of-the-art software works with any browser and is web- based so no downloading or installation is required. Built-in help options link to video demonstrations and other resources from where you need it within the software.

8. CAIR 2.0 is Faster…  No more waiting to give yellow cards to your patients. New servers will increase band width improving performance. Information entered into the system is immediately accessible.  Data is updated in real-time and is patient- specific. If another provider such as an ER or pharmacy enters a shot for your patient into CAIR, it will immediately show up in your CAIR and EHR patient records.

9. What’s not changing? The functions you love are still here. You can add historical shots; update demographic or vaccine information; run inventory and usage reports; even run your own reminder/recall letters ! We’re committed to supporting you. We’ll be making training available to help you learn how to navigate the new look of CAIR 2.0. Plus, we’ll have help desk support just an email or phone call away, Monday through Friday, 8:00 to 5:00. Data confidentiality and privacy is still of primary importance. We’re committed to maintaining and improving our security protocols with strict password protection.

10. What’s changing - Some new features… Can search for patients throughout CAIR regions Faster flow of data from EMR into CAIR Decrementing doses in CAIR inventory for DE submitters Bi-directional flow of shot records between your EMR and CAIR Push-button CoCASA-like reports and ‘Ad hoc’ reporting capability School module w/ roster status report (compliant, missing doses)

11. And some coming enhancements… Parent/patient access to immunization record CAIR inventory link to myVFCvaccines ordering form AFIX Integration – no more CoCASA! ‘Dashboard’ reports for providers USPS address standardization and geocoding of addresses

12. CAIR 2.0 – Tentative Timeline http://cairweb.org/cair-2-project/#how

13. User Training Options Webinars Live trainings Videos for Read Only Users User Guides: Manual, Regular (Basic), Inventory, Read-Only On-screen Help pages in the software

14. User Training Requirements – User Training Requirements – EXISTING Users No hands-on training but will include a Demo and Q&A. Classes will be larger (40+). Regular: Training required (webinar or live). Users from Clinical, Limited Clinical and Data Exchange (DE) sites. Power: Training required (webinar or live). Both Regular and Power training will be covered in one training. Data Exchange (DE) Power: Training required (webinar). Both Regular and Power training will be covered in one training. Read-only: No training required, but will have videos and a Read Only user guide on website.

15. User Training Requirements – User Training Requirements – NEW Users Webinars only Hands-on training with smaller class size (15 max) Interactive, participation required for … – Regular: Users from Clinical, Limited Clinical and Data Exchange (DE) sites. – Power: Will be required to take a Regular training first. Power training is separate. – DE Power: Will be required to take a Regular training first. Power training is separate. Read-only: No Training. Will be given a R/O User Guide and video.

16. Post-Transition Training After the Transition, we will: Continue Regular and Power trainings for New Users. Create additional Guides and Cheat-sheets as needed (e.g., Reminder/Recall, Special Reports) Implement additional trainings as needed (e.g., Reminder/Recall, Special Reports)

17. CAIR Data Migration

18. Data Cleaning Decide what data to keep And what to let go – Inactive Users – Patients with no doses – Baby Boy/Baby Girl

19. What can Providers do now? Ensure clean accurate data – Update vaccine inventory in CAIR – Include inventory expired lots that have been archived – IMPORTANT – IMPORTANT: whatever is in ‘live’ inventory will be carried over to the new system Select and verify who’s to be trained

20. Questions?

21. CAIR Contact Information Steven J. VanTine, Educational Consultant, Immunization Branch (CAIR 2.0) Office number: 510-412-1608 Email: Steven.Vantine@cdph.ca.gov Steven.Vantine@cdph.ca.gov Marcia Santillan Mangubat – LCR Bay Area Region Office number: 510-412-1608 Email: Marcia.Santillan@cdph.ca.govMarcia.Santillan@cdph.ca.gov Jeanette Chapman – LCR Bay Area Region Office number: 510-412-1603 Email: Jeanette.Chapman@cdph.ca.govJeanette.Chapman@cdph.ca.gov