1. The Benefits of Data Exchange Between Registries and MCOs
Presented By:
Letty Cherry and Abigail Ryan
VaxTrack Immunization Registry
Riverside & San Bernardino County
Departments of Public Health

2. Overview VaxTrack Background and Facts Why Partner?
Establishing a Successful Partnership
Ensuring Data Quality
Benefits of Data Exchange for MCOs

3. Overview - Continued
Benefits of Data Exchange for Medical Care Providers
Benefits of Data Exchange for Registries
Conclusions

5. VaxTrack Background Region covers > 27,000 square miles
Consists of rural, remote, suburban and urban areas
Population > 3.3 million people

6. VaxTrack Background History 1994 - San Bernardino County
First private providers enrolled
1999 – First MCO (IEHP)
2000 – Riverside County added
2001 – Second MCO (Molina)
2002 – View Only

7. VaxTrack Facts More than 738,000 children in the registry
55.4% have immunizations
38.5% of children under 2 years have IZ history

8. Why Partner?
Children were going outside of the health plan to get shots
Parents can change providers and/or health plans every 30 days.

9. Establishing a Successful Partnership – The Beginning
Memorandum of Understanding (MOU) with both Riverside and San Bernardino Counties detailing services – including collaboration on IZ registry.
IEHP’s Medical Director former Health Officer
Childhood immunizations a priority

10. Establishing a Successful Partnership, continued
Both sides agreed on data exchange using billing data.
Designed file format
Negotiated minimum data set for record
Accepted additional data (e.g., plan ID #)
Electronic files sent weekly
Received historical and current data
MCO disclosed to parents

11. Establishing a Successful Partnership, continued
Ongoing QA of data sent
Regular error reports automatically generated
Timely feedback to the MCO

12. Establishing a Successful Partnership, continued
IEHP pays incentives for each IZ given correctly
Encourages proper recording and reporting of IZ

13. Establishing a Successful Partnership, continued
Second MCO began sending billing data in 2001
Results of data exchange with MCOs:
> 113,380 children’s records added from
> 856,000 IZ
Immunization Data Exchange with IEHP
1996 – 146 immunizations (submitted in 1999)
1997 – 11,564 immunizations (late 1999)
1998 – 66,498 immunizations (late 1999)
1999 – 110,578 immunizations (late 1999)
2000 – 145,508 immunizations
2001 – 246,128 immunizations (Riverside County added)
2002 – 276,190 immunizations

14. Benefits of Data Exchange for Managed Care Organizations
 in quantity and timeliness of IZ
Reminder/Recall notices sent to members
Better data for HEDIS
Decreased medical record reviews

15. IEHP HEDIS Data 2001

16. IEHP HEDIS Data 2002

17. Benefits of Data Exchange for Providers
Improved immunization rate for clients
Instant verification of vaccine history
Potential cost savings
Reduced registry data entry burden since data extracted from billing forms

18. Benefits of Data Exchange for Registries
Facilitates registry growth
 provider participation
May encourage other MCO participation.

19. Sources of VaxTrack Data

20. The Benefits of Data Exchange -Conclusions
IEHP’s IZ rate rose from 75th to 90th percentile (12/99 to 12/02)
Molina’s UTD rate for went from 49% to 72%
 Provider participation by 116%
# Children with IZ  94%

21. Contact Information
Letty Cherry, MHA – Riverside County
Abigail Ryan, MPH – San Bernardino County