1. Michael McElwain ImmTrac Immunization Branch TISWG Meeting ImmTrac February 19, 2009

2. ImmTrac Snapshot: Q3 2008 >73 million immunizations recorded 5.8 million Texas children 2.1 million children under age 6 >5,000 active online user sites >109,000 immunization history reports generated per month (avg)

3. Immunization Records Total Vaccine Doses Recorded (By Quarter) 20032004 2005 200620072008

4. Active Online User Sites Through 3 rd quarter 2008

5. ImmTrac Back-To-School Rush Immunization Histories Generated Online (3 rd Quarter)

6. Nov. 2005--Immtrac is in collaboration with Texas Medical Association TMA and Texas Pediatric Society TPS to develop a working group to discuss ImmTrac issues with private providers. Priority High leverage Actions –Derived from a much larger set of tasks –Deemed most critical IPWG

7. Priority High leverage Actions Target Birth Registrars and educate on the benefits (G1) Data entry through clearinghouse / billing data (TISWG) Approach large physician groups first (large = 25+ pediatricians) (G2) Physician and/or administrative champion to see implementation through (G2); enlist physician champions to influence peers (TISWG) Get school nurses to add immunization data (G1) Commitment to educate within organized medical roundtables/forums, etc. (G3) Grassroots campaign to get volunteers to do data entry; such as RSVP (G3) Train the physicians staff (G2) Get health plans to report activities (with incentives if needed) (G1) Educate providers to encourage ownership and involvement (TISWG) Hands-on training for those not using program may increase participation (G3) Give TWICES to providers that dont have other access to systems that feed ImmTrac (G1) Make ImmTrac information/consent information available at daycare centers, Head Start, WIC (G1)

8. Texans Speak Out Survey effort put together by a coalition including St. Davids and the Houston Area Immunization Partnership Information gathered via a series of Town Hall Meetings Presented at the 2008 Immunization Summit in Austin

9. Texans Speak Out, Key Recommendations To improve immunization information systems, we should: –Ease the burden of data entry for clinics by adopting HL7 standards to link with electronic interfaces to existing software packages –Improve data quality –Make data available to health care providers in a more timely manner –Balance individual rights to privacy and access to information –Allow adults to maintain their immunization records in ImmTrac –Make immunization data accessible inside and outside Texas –Create financial incentives for full participation in immunization information systems

10. Overlapping Goals Ease the burden of data entry for clinics by adopting HL7/Data entry through clearinghouse- billing data Create financial incentives for full participation in immunization information systems/Get health plans to report activities (with incentives if needed)

11. What are our priorities? 2 years later What we see as our priorities –Data exchange –Data quality –Promotion, Education & Training –Emergency Response What are your thoughts?

12. Wrap Thank You Michael McElwain ImmTrac 512.458.7111 x6454 Michael.McElwain@DSHS.State.Tx.US