Governor’s Child Health Advisory Committee Immunization Advisory Workgroup Topeka, KS February 19, 2010 Nichole Lambrecht KSWebIZ Project Manager Kansas Department of Health & Environment Kansas Immunization Registry KSWebIZ To protect the health and environment of all Kansans by promoting responsible choices.

Overall Goal of Project KSWebIZ will maintain a high level of data quality and compliance with the NVAC approved functional standards for immunization registries and will contain a record with two or more immunizations for 95% of Kansas children less than six years of age by December 31, To protect the health and environment of all Kansans by promoting responsible choices.

Provider Enrollment Status January 31, total provider sites –139 private sites –105 public sites 52 enrolled as direct entry sites 53 enrolled through interface –907 direct entry users 312 schools –71 school districts –181 users To protect the health and environment of all Kansans by promoting responsible choices.

Live Provider Sites as of January 31, 2010 County live on KSWebIZ (direct entry) County live through HL7 interface Private provider live on KSWebIZ

To protect the health and environment of all Kansans by promoting responsible choices. Schools as of February 19, 2010 School district to be trained in 2010 School district live on KSWebIZ School Module Private provider live on KSWebIZ

Current Statistics January 31, 2010 Patients = 1,700,000 Vaccinations = 13,200,000 –Historical vaccinations = 11,860,000 –Administered Vaccinations = 1,373,000 To protect the health and environment of all Kansans by promoting responsible choices.

New Progress All LHDs are accessing KSWebIZ KWIC interface was completed Jan 2010 New source of data (Walgreens) –22,600 new patients –11,000 updates to existing patients –34,500 new vaccinations Annual Report due March 31 for 2009 stats New IZ Data Quality Report GIS work is on-going To protect the health and environment of all Kansans by promoting responsible choices.

Electronic Exchange Status Currently connected –Vital Statistics (nightly batch load) –Medicaid (nightly batch load) –Kansas Women, Infant and & Child (KWIC) –Netsmart Insight (real-time, two-way) = 4 providers –KIPHS, PHClinic (real-time, two-way) = 49 providers –Office Practicum (real-time, two-way) = 1 provider To protect the health and environment of all Kansans by promoting responsible choices.

Currently testing –EPIC Bidirectional exchange capability verified. Need a provider to install interface and test. –EClinical Works Was on hold from H1N1 but rekindling development of two way interface capabilities. –GE Centricity Have communicated ability for bidirectional exchange capability, but has not proven capability. To protect the health and environment of all Kansans by promoting responsible choices. Electronic Exchange Status cont.

Further discussions –NextGen No current work or plans for bidirectional exchange capability, only batch one-way. –eMD No bidirectional exchange development but just recently called to discuss new two way development. Working on resource needs and timeline. –PDS (Practice Partners) No bidirectional exchange development but just recently called to discuss new two way development. Working on resource needs and timeline. To protect the health and environment of all Kansans by promoting responsible choices.

On-going Data Quality Accurate, complete, and timely data in the IIS promote provider confidence in data as well as willingness to participate. –Data quality assurance is conducted at the patient and vaccination level for the following: De-duplication Data completeness, timeliness, and accuracy To protect the health and environment of all Kansans by promoting responsible choices.

Data Use Currently: –Direct Entry providers have access to run their own coverage rates and data quality reports. Future: –Publish county and state level coverage and saturation reports on KIC. Barriers: –Need to ensure complete and accurate data. –Need to gather stakeholder input on needed public reports. To protect the health and environment of all Kansans by promoting responsible choices.

Nichole Lambrecht KSWebIZ Project Manager P: To protect the health and environment of all Kansans by promoting responsible choices. Questions?