Presentation on theme: "New Mexico Immunization Information System Interoperability Project"— Presentation transcript:
1New Mexico Immunization Information System Interoperability Project December 05, 2012Closeout PhasePresenters: Kevin Bersell, Rand Tilton, & Terry Reusser
2Project BackgroundEnhancement to the New Mexico Statewide Immunization Information System (NMSIIS)Allow Provider Electronic Health Records (EHR) systems to electronically submit immunization data to NMSIISReduce keying errors for manually entering immunizations and reduce time for reporting immunizationsFunded by CDC GrantImmunizations Improve Health OutcomesImprove data quality, quantity and timelinessDecrease the number of children that receive too many or too few immunizations
3Certification History Project Initiation and Planning, August 24, 2011, $262,500Project Implementation , October 26, 2011, $795,300Total amount $1,057,800
4Project Highlights Project Phase Certification Request: Closeout Project Start Date: January 2011Project End Date: December 2012Total project value: $1,057,800Total expended to date: $773,264
5Planning Phase Activities Vendor contract negotiatedIV&V contract negotiatedContinue proof of concept by testing HL7 messages and interfacesDetailed Schedule, Budget and Communication Plans completedResources identified and committed
6Implementation Phase Activities Interface with 6 pilot sitesUpgrade NMSIIS to HL and then build a web services framework for fully automated Bidirectional data exchange with the 6 pilot sitesExecute IV&V ContractExecute NMSIIS vendor contract amendmentExecute Contract with Lovelace Clinical FoundationDocument testing procedures leading up to future data exchange efforts with the ~1,100 immunization providers across the state
7Close 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 PlanNo additional funding approval requested.
8Project Achievements Business Objectives Goal: 40% of all immunization administered statewide will be captured by the registry via Health Level 7 (HL7) interfacesOutcome: 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
9Project AchievementsGoal: 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 useOutcome: Accomplished. Gave providers ability to attest to Immunization Registry use. Provided resources to enhance NMHIT.org for MU and IIS use.
10Project AchievementsGoal: Overall, improve health outcomes by increasing immunization rates and reduce over immunizingOutcome: Accomplished. Data Exchange information is a critical component of an overall increase in immunization reporting and improved immunization rates.
11Project 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 registryOutcome: 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.
12Project AchievementsGoal: Reduce errors by reducing manual and redundant data entry, and improve efficiency by automating immunization data entry and retrievalOutcome: 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.
13Lessons LearnedWorking in a consortium with other States has benefits and drawbacksBenefits: leveraging other state’s experience, reduced costDrawbacks: dependent on other state’s schedules, vendor desire to move on to next state.It’s hard to predict EHR vendor abilities without objective measuresManage Supplier quality control of specifications, timeline, and overextension with other customer commitments.
14Lessons LearnedExecutive management support and resource allocation, excellent working relationship with Operations and ITSD staffs.Value of being open to alternative solutionsRhapsody solution reduced API costs with increased flexibility