1. TM Aggregate Reporting of Pandemic Influenza Vaccine Doses Administered Discussion of Options 2 & 3: Submitting Aggregate Reports using the Web-Based User Interfaces of the CDC’s CRA System Joint Presentation by: Immunization Services Division National Center for Immunization and Respiratory Diseases and Division of Emergency Preparedness and Response National Center for Public Health Informatics Webinar Presentation and Demonstration To Public Health Project Areas June 13, 2007

2. TM Agenda Learning Objectives Background Details and Demonstration of Option 2 of CRA System Details and Demonstration of Option 3 of CRA System CDC Resources and Contacts Questions and Answers

3. TM Learning Objectives Understand Options 2 & 3 for reporting aggregate counts to the CRA system Understand the operational steps and decisions to be made for Options 2 & 3 Understand the CDC technical support available for Options 2 & 3 of CRA system for aggregate reporting

4. TM Background The National Strategy for Pandemic Influenza: Implementation Plan calls for monitoring of the appropriate use of a scarce pandemic influenza vaccine To accomplish this, states/ project areas will track vaccine doses administered and collect and aggregate minimum data elements and transmit weekly to CDC

5. TM Options for Aggregate Reporting to CDC Option 1: For states and project areas collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: flat file (pipe- delimited), XML file, HL 7 Option 2: For states and project areas collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser Option 3: For states and project areas using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated

6. TM Basic Operational Issues For Pandemic Influenza Reporting Maintain individual shot record at provider site in accordance with standard medical practice Ensure the timely and complete reporting of vaccine data Need to know provider sites and/or distribution sub sites Collaborate with key staff, including Immunization and BT Preparedness Ensure staff are trained and equipped Develop data entry capacity as needed Develop quality assurance measures and follow up plans For example, ‘did the provider report their doses’

7. TM Example of Doses Administered Provider Record ( Required Data Noted )

8. TM Option 2: Direct Data Entry Via CRA Web Form Summary of Option Healthcare provider collects summarized data using the Doses Administered Provider Record Each week, the healthcare provider submits counts to CDC via CRA’s web-based aggregate reporting user interface Process Considerations Determine who will enter information on-line Technical Considerations Staff entering data on-line must have access to the internet via web browser Staff accessing CRA must have a digital certificate

9. TM Option 2: Responsibilities Provider/Local Public Health Enter aggregate data into CRA system Project area Define and load providers in CRA system Identify data enterers for each provider in CRA system Has oversight responsibilities; will be able to see and edit entered data in CRA system CDC Aggregate at project level

10. TM Option 2 Demonstration

11. TM Option 3: Calculate from CRA Detail Record Summary of Option Healthcare provider collects patient level information locally using CDC’s CRA application CRA automatically calculates counts from patient level core data elements Process Considerations Determine by whom and at what level of detail vaccination data will be collected CDC’s CRA system can collect detailed individual level information in addition to core data elements; additional elements are for project area use only Technical Considerations Staff entering data on-line must have access to the internet via web browser Staff accessing CRA must have a digital certificate

12. TM Option 3: Responsibilities Provider Enter individual data into CRA system Project Area Define and load providers in CRA system Identify data enterers for each provider in CRA system Has oversight responsibilities; will be able to see and edit entered data in CRA system CDC Store and secure entered data Calculate aggregates from entered individual data Aggregate at project level

13. TM Option 3 (phase 1) Demonstration

14. TM CDC Technical Support Request username and password to access the CRA Demo system (http://crademo.cdc.gov); contact the PHIN Help Desk (PHINTech@cdc.gov or 1-800-532- 9929, option 2)http://crademo.cdc.govPHINTech@cdc.gov Apply for an SDN Certificate at https://ca.cdc.gov; for password contact the PHIN Help Desk (PHINTech@cdc.gov) https://ca.cdc.govPHINTech@cdc.gov Contact the CRA Help at CRAHelp@cdc.gov to request access to the CRA Exchange area of CDC Team website (https://team.cdc.gov)CRAHelp@cdc.govhttps://team.cdc.gov

15. TM Option 2: Action Items 1.If you haven’t already, identify a vaccine coordinator or point of contact (POC) for your project area and notify Toscha Stanley (tstanley@cdc.gov)tstanley@cdc.gov 2.Notify Sanjeeb Sapkota (ssapkota@cdc.gov) of your decision to use Option 2ssapkota@cdc.gov 3.Identify the providers for which aggregate counts will be submitted; add those providers to the CRA system 4.Manage the aggregate reporting process 5.Identify the users who will be using CRA to submit counts for each provider; add users to the CRA system 6.Ensure the users have an SDN Digital Certificate and access to the CRA Application activity

16. TM Option 3: Action Items 1.If you haven’t already, identify a vaccination coordinator/point of contact (POC) for your project area and notify Toscha Stanley (tstanley@cdc.gov)tstanley@cdc.gov 2.Notify Sanjeeb Sapkota (ssapkota@cdc.gov) of your decision to use Option 3ssapkota@cdc.gov 3.Identify the providers that will be submitting individual patient-level data; add those providers to the CRA system 4.Manage the detailed data entry process 5.Identify the users who will be using CRA to submit individual data for each provider 6.Ensure the site users have an SDN Digital Certificate and access to the CRA Application activity

17. TM Points of Contact and Resources Toscha Stanley, Immunization Services Division (ISD), tstanley@cdc.gov Submit POC information by June 30 Sanjeeb Sapkota, CRA Team, Division of Emergency Preparedness and Response, ssapkota@cdc.gov or CRAHelp@cdc.gov@cdc.govCRAHelp@cdc.gov Submit option choice by June 30 CRA Help E-mail CRAHelp@cdc.govCRAHelp@cdc.gov General aggregate reporting questions and inquiries Getting access to CRA Exchange, an interactive knowledge sharing and exchange web site (http://team.cdc.gov/)http://team.cdc.gov/ PHIN E-mail PHINTech@cdc.gov PHINTech@cdc.gov Issuing digital certificates Getting access to CRA demonstration site Problem solving To get a copy of this presentation: http://www.cdc.gov/phin/preparedness/cra.html

18. TM Webinar and Meeting Schedule June 27 : Discuss the seasonal influenza pilot test using CRA system July TBD: Open Q&A and updates on options and pilot test August TBD: Open Q&A and updates on options and pilot test

19. TM Questions?