1. Using MIIC for Immunization Practice Miriam Muscoplat, MPH Sudha Setty, MPH

2. Overview MIIC (Minnesota Immunization Information Connection) is our statewide immunization information system or IIS (or immunization registry) MIIC is one of the more well-established registries in the nation In existence for over 11 years One of 6 IIS sentinel sites in the nation Contains over 66 million immunizations for 6.9 million clients 2

3. MIIC Functionality Log in View client immunizations View vaccine forecasting Order MDH vaccines Run assessment reports 3

4. Log In 4

5. View Client Immunizations 5

6. MIIC Forecaster Clinical decision support tool Helps providers see what shots a patient is due for Administrative support tool Can help school users determine what a student needs for school entry

7. MIIC Forecaster

8. MnVFC Program Goals 2014 Continue to use technology to make program easier to manage MIIC enhancements, online tools for annual reports Manage changing federal accountability requirements Written policies and procedures for replacement sites Increase outreach and recruitment Outreach to immunization managers at system level Recruit more MnVFC providers

9. MnVFC and MIIC January 2014 monthly orders in MIIC

10. 2014 MIIC Enhancements Providers can track shipping information in MIIC under View Orders www.health.state.mn.us/divs/idepc/immunize/registry/hp/ordering.html

11. Assessment About Child Adolescent List based

12. Immunization Assessment Reports The Minnesota Immunization Information Connection (MIIC) offers easy-to-use immunization assessment reports to help monitor immunization rates for child and adolescent vaccines. The assessment reports offer clinic-based and county- based immunization rates as a tool to assist in monitoring immunization coverage rates and plan improvement activities. NEW: Fact Sheets about the uses of these reports for providers Located on MIIC User Guidance website

13. Fact Sheets

14. Quick Assessment Demonstration MIIC

17. List Based MIIC feature: List-based assessment reports MIIC builds a relationship between a patient and a clinic when a shot is given to that patient and entered by that clinic. Users must inactivate patients that are no longer part of their practice. The list based assessment can be used to get rates for active patients only Many EMRs can produce a list of patients that MIIC can use to calculate rates

18. Using Reports for Quality Improvement Run Baseline Report: Run an assessment report to establish rates and identify the areas most in need of improvement. Perform Evaluation: Measure both the steps taken to improve clinic process and the improvement in immunization rates by monitoring activity timelines and by periodically re-running assessment reports. Having solid quality improvement plans and activities in place can help health care providers demonstrate meaningful use of electronic health record immunization data. Monitoring and acting to improve immunization rates helps protect patients and the community from vaccine-preventable disease.

19. Submit Client Query The Submit Client Query feature allows you to submit a list of clients to MIIC and receive the immunization records of those on the list. An added benefit is that the immunization records can then be loaded into your organizations electronic health record system, giving you up to date immunization data.

20. Uses for Submit Client Query School nurses use this function to review immunization records of students to see if they are compliant with Minnesotas school immunization law. Health plans use this function to get data to report on how their plan members are meeting national health goals. They also publicly report this data to show the quality of health care received under their plans. Clinic staff can use this function to update immunization records, especially patients that have recently joined their practice.

21. Client Follow Up Identifies patients who are due or overdue for immunizations and uses a process called reminder/recall to follow-up with those individuals Can be used with the Childhood or Adolescent Immunization Summary Reports

22. CFU demo

23. Client Follow Up-Manual

24. Client Follow Up-List

25. Client Follow Up

28. Prevention and Public Health Fund activities Funding to 11 sites (7 states, 4 cities) MDH promoting entire adolescent platform Tdap, meningococcal, HPV & influenza vaccines Using every opportunity to also get message out about the new school law changes effective September 1, 2014 Activities also coincide with the Minnesota Cancer Alliances current initiative to promote HPV vaccine as a cancer prevention measure Grant period ends December 29, 2014. 28

29. Public & partner engagement Statewide news release 1/29/2014 Quarterly email focusing on grant activities, resources & collaborative opportunities Webinar on March 24 on strategies to promote adolescent vaccination and opportunities to collaborate To access the archived version of the webinar: Go to https://health-state-mn-ustraining.webex.comhttps://health-state-mn-ustraining.webex.com Click Recorded Sessions under Attend a Session in the left- hand toolbar Look for Partnering to Promote Adolescent Vaccination from March 24, 2014 29

30. Statewide Postcard 30

31. Public Campaign School Space Media Minnesota State High School League & Channel 45 HPV public service announcements Social Media Reach out to diverse media Minnesota State Fair 31

32. 32 Exhibit at Xcel during tournaments

33. HPV Public Service Announcements Channel 45 and Prep45.com air PSA 33 Close the Door to Cancer Audience: Parents This 30-second PSA reminds us why girls and boys need HPV vaccine protection nowto prevent cancer later.

34. 34 3/27/14 Facebook and Twitter – Making the game-winning shot is hard. Getting vaccinated is easy. Do something easy today get vaccinated! www.health.state.mn.us/vax4teens www.health.state.mn.us/vax4teens 3/10/14 Facebook - Have you seen our vax4teens postcard? If youre the parent of an 11 or 12 year old, watch your mailbox for this postcard to arrive soon with info on getting your teen vaccinated. www.health.state.mn.us/vax4teenswww.health.state.mn.us/vax4teens Twitter - Did you get our vax4teens postcard? www.health.state.mn.us/vax4teens www.health.state.mn.us/vax4teens Social Media

35. Reach out to diverse media 35 Included an HPV message/ad in December 2013 Will do another round of ads Spring 2014 Diverse media outlets include: Asian American Press Hmong Times Hmong Today Insight News La Prensa Liberian Journal Mogadishu Times Mshale PepperSoup Ze-Habesha/Tenaadam KFAI radio (in 8 different languages)

36. Provider Education Activities One set of content, three presentation types Webcast Grand Rounds-style lectures Clinic inservices Presented by Vince LaPorte, MD CME/CE available for all 36

37. Lectures Duluth May 8 Minneapolis May 29 St. Paul June 12 Willmar (Broadcast to others) April 2 Bemidji May 7 37

38. In development Adult Assessment Adult CFU Adolescent Missed Opportunities