1. New Mexico Immunization Information System Interoperability Project
December 05, 2012
Closeout Phase
Presenters: Kevin Bersell, Rand Tilton, & Terry Reusser

2. Project Background
Enhancement to the New Mexico Statewide Immunization Information System (NMSIIS)
Allow Provider Electronic Health Records (EHR) systems to electronically submit immunization data to NMSIIS
Reduce keying errors for manually entering immunizations and reduce time for reporting immunizations
Funded by CDC Grant
Immunizations Improve Health Outcomes
Improve data quality, quantity and timeliness
Decrease the number of children that receive too many or too few immunizations

3. Certification History
Project Initiation and Planning, August 24, 2011, $262,500
Project Implementation , October 26, 2011, $795,300
Total amount $1,057,800

4. Project Highlights Project Phase Certification Request: Closeout
Project Start Date: January 2011
Project End Date: December 2012
Total project value: $1,057,800
Total expended to date: $773,264

5. Planning Phase Activities
Vendor contract negotiated
IV&V contract negotiated
Continue proof of concept by testing HL7 messages and interfaces
Detailed Schedule, Budget and Communication Plans completed
Resources identified and committed

6. Implementation Phase Activities
Interface with 6 pilot sites
Upgrade NMSIIS to HL and then build a web services framework for fully automated Bidirectional data exchange with the 6 pilot sites
Execute IV&V Contract
Execute NMSIIS vendor contract amendment
Execute Contract with Lovelace Clinical Foundation
Document testing procedures leading up to future data exchange efforts with the ~1,100 immunization providers across the state

7. Close Out Phase Activities
Develop transition document defining the roles and process for project transition to operations.
Establish document library to archive all project documents.
Develop Application Support Plan
No additional funding approval requested.

8. Project Achievements Business Objectives
Goal: 40% of all immunization administered statewide will be captured by the registry via Health Level 7 (HL7) interfaces
Outcome: Project resulted in 11% of all immunizations electronically entered into NMSIIS. Project was not successful in recruiting all the high volume providers it had anticipated. In addition the volume of immunizations has increased by 50% since the beginning of project.
Goal: Increase revenue recovery by enhancing tracking of immunization across the state.
Outcome: Infrastructure is in place to capture and report insurance information

9. Project Achievements
Goal: Reduce errors by reducing manual and redundant data entry, and improve efficiency by automating immunization data entry and retrieval, with real time bidirectional interfaces between immunization provider EHR systems and the NMSIIS system.
Outcome: Accomplished. Six providers were able to eliminate manual data entry and to efficiently submit data electronically.
Goal: Help immunization providers meet meaningful use
Outcome: Accomplished. Gave providers ability to attest to Immunization Registry use. Provided resources to enhance NMHIT.org for MU and IIS use.

10. Project Achievements
Goal: Overall, improve health outcomes by increasing immunization rates and reduce over immunizing
Outcome: Accomplished. Data Exchange information is a critical component of an overall increase in immunization reporting and improved immunization rates.

11. Project Achievements Technical Objectives
Goal: The NMSIIS interoperability project will interface with immunization providers to attain a one directional feed of doses administered into the NMSIIS registry
Outcome: Accomplished. 6 providers are submitting data via one-way interface.
Goal: By 2012 send bidirectional message, so immunization providers can view, from within their EHR system, the immunization history of a client prior to administering additional immunizations.
Outcome: Proof of concept completed. Awaiting provider to use in production.

12. Project Achievements
Goal: Reduce errors by reducing manual and redundant data entry, and improve efficiency by automating immunization data entry and retrieval
Outcome: Accomplished. Six providers were able to end manual and redundant data entry, and improve efficiency.
Goal: Drive compliance to the Health Information Technology for Economic and Clinical Health (HITECH) Act by helping immunization providers satisfy meaningful use criteria.
Outcome: Accomplished. Gave providers ability to attest to Immunization Registry use. Provided resources to enhance NMHIT.org for MU and IIS use.

13. Lessons Learned
Working in a consortium with other States has benefits and drawbacks
Benefits: leveraging other state’s experience, reduced cost
Drawbacks: dependent on other state’s schedules, vendor desire to move on to next state.
It’s hard to predict EHR vendor abilities without objective measures
Manage Supplier quality control of specifications, timeline, and overextension with other customer commitments.

14. Lessons Learned
Executive management support and resource allocation, excellent working relationship with Operations and ITSD staffs.
Value of being open to alternative solutions
Rhapsody solution reduced API costs with increased flexibility

15. Questions?

16. Appendix

17. EHR-IIS FOA Performance Measurement Milestone Checklist

18. EHR-IIS FOA Performance Measurement Milestone Checklist