1. Mid-Atlantic Health Care Informatics Symposium Lisa McKeown, MPH April 25, 2014

2. KIDS Plus Background 1993 Robert Wood Johnson Foundation funding Board of Health regulation and expansion Requires all vaccines administered in Philadelphia to be reported to KIDS Plus. 0-7 years 2007: 0-18 expansion 2009: 0-18, 18+ adults Complete system upgrades 2006 & 2012

3. Snapshot of KIDS Plus As of January 1, 2014 930,727 Philadelphia residents 11,650,940 doses of vaccine 277,037 patients with 20+ vaccines 1,240 active providers Individuals with:2013 1 vaccination255,709 1 Flu vaccination140,931 20+ vaccinations277,037 Total individuals930,727 Number of Vaccines per Patient* *As of January 1, 2013

4. Snapshot of KIDS Plus Vaccine Doses in KIDS Plus by Year of Administration 9,570,316 Total Doses

5. KIDS Plus IIS Reporting Data collection: HL7 Interface – Currently supports HL7 versions 2.3.1 and 2.5.1 Billing or EMR delimited files Direct entry Paper logs Methods of transport: Batch messaging to sFTP Real-time unidirectional and bidirectional via SOAP web services.

6. KIDS Plus IIS Reporting Number of Vaccinations by Reporting Method in 2012-2013 Number of Vaccinations by Reporting Method in 2013-2014

7. IIS Meaningful Use Stages *HL7 2.5.1 – ONC specifically references Implementation Guide v. 1.4, see ONC Final Rule Federal Register Vol. 77, No. 171, p. 54240

8. EHR – KIDS Plus IIS Integration – WHY? Ensures complete, accurate and timely immunization Quick access to consolidated patient information Provides access to up-to-date vaccination information to other health care providers and institutions such as schools Benefits for clinicians – time savings Prevents over and under immunizing patients

9. Improvement in Timeliness

10. Future plans HL7 v.2.5.1 upgrades to current interfaces Meaningful Use Stage 2 - In-patient hospitals Employee Health & Pharmacy Data Exchange data with Pennsylvania Statewide Immunization Information System (PA-SIIS) Meaningful use stage 3 - Real-time bidirectional exchange

11. Lisa McKeown, MPH Lisa.McKeown@phila.gov 215-685-6468