1. Vermont Department of Health Integrating the Immunization Registry into your Practice Bridget Ahrens, MPH October 2011

2. Vermont Department of Health 2 IMR TEAM  IT Development Staff: Karen Clark, Matt Sontum, Dan Smith, Anna Roesner, Tim Berry, others.  Megan Barnes, User Support  Immunization Program staff, especially Karen Halverson, Margaret Wilson, Wanda Cosman.  VDH Trainers-in-the-Field: Rebecca Olmstead, Jeff Health, Sarah Orr.

3. Vermont Department of Health 3 IMR PROGRESS 32 practices send monthly files. 47 practices enter data regularly. Regular insurer and hospital data imports. 188,173 imms added via batch import since Jan 2011.

4. Vermont Department of Health 4 NOW THAT YOU’RE USING THE IMR  What’s the latest?  Using the Vaccine Forecaster to benefit health care delivery.  How to utilize Reports to help your practice.  What’s on the horizon for IMR?

5. Vermont Department of Health 5 THE LATEST!!!  SHIPPING LOGS from McKesson pre-load into the IMR.

6. Vermont Department of Health 6 SHIPPING LOGS LOAD INTO IMR IMR McKesson Vaccine Shipments

7. Vermont Department of Health 7 WHAT YOU WILL SEE..

8. Vermont Department of Health 8 GET ALL THE DETAILS -- EASILY

9. Vermont Department of Health 9 HOW TO RECORD AN IMMUNIZATION Takes only seconds to do!

10. Vermont Department of Health 10 REPORTS  Patient level  Practice level  Global level

11. Vermont Department of Health 11 PATIENT LEVEL REPORTS  Data regarding a single individual.  Medical providers and school nurses have access.  Patients new to you probably have records here you can access!

12. Vermont Department of Health 12 IMMUNIZATION RECORD Use for school reporting. Includes all expected child- hood vaccines.

13. Vermont Department of Health 13 VACCINE ADMINISTRATION RECORD Best for printing adult records.

14. Vermont Department of Health 14 Coming 2012: Objections Report Supplemental information – if you record Objections.

15. Vermont Department of Health 15 PRACTICE LEVEL REPORTS  Based on patients associated with your practice.  Become useful once you have data in the system.  They can SHOW you how much data you have in the system….

16. Vermont Department of Health 16 WHO ARE YOUR PATIENTS? List by DOB

17. Vermont Department of Health 17 SELECT AGE RANGE

18. Vermont Department of Health 18

19. Vermont Department of Health 19 THAT’S NOT MY PATIENT! Select MOGE Coming Mar 2012: Patient Status Variable And SAVE

20. Vermont Department of Health 20 PRIMARY PRACTICE FIELD Remember to Save!

21. Vermont Department of Health 21 HOW IS OUR VACCINE COVERAGE?  VACCINE COVERAGE REPORT prints a summary report of patients UTD for 4:3:1:3:3:1.

22. Vermont Department of Health 22

23. Vermont Department of Health 23 VACCINE COVERAGE REPORTS -- NEW

24. Vermont Department of Health 24 VACCINE COVERAGE REPORTS -- NEW

25. Vermont Department of Health 25 VACCINE COVERAGE REPORTS -- NEW

26. Vermont Department of Health 26 NOT UP TO DATE REPORT  Creates list of patients not up to date for any one series.

27. Vermont Department of Health 27 CHOOSING A SERIES  DTP/aP – most commonly missed immunization is 4 th dose.  HepB – commonly missed immunization.  MMR – good to run at start of school year.  Limitation – Varicella is tricky. Report will not take Varicella history into account.

28. Vermont Department of Health 28 VACCINES DUE BY PRACTICE  Prints a list of patients who are beyond the ACIP recommended date for ANY vaccine.  Patient line list shows all series not up to date.

29. Vermont Department of Health 29

30. Vermont Department of Health 30 RECALL NOTICES  Creates a set of labels for patients in a selected age range who are overdue for a series.

31. Vermont Department of Health 31 RECALL NOTICES

32. Vermont Department of Health 32 INVALID DOSES Coming March 2012

33. Vermont Department of Health 33 PATIENTS IMMUNIZED BY SERIES Coming March 2012

34. Vermont Department of Health 34 FEATURE: THE FORECASTER MMR due today

35. Vermont Department of Health 35

36. Vermont Department of Health 36 Use Include Vaccination Record to show series Progress and invalid imms. Forecaster

37. Vermont Department of Health 37 Look here first – Is Imm Due? Look here second – If you gave the imm today would it be Valid?

38. Vermont Department of Health 38 FORECASTER DETAILS  Forecaster matches ACIP recommendations  Settings use 4 day grace period  “Invalid” immunizations – conflict with ACIP recommendations, may be a clinical decision.  Limitation – Varicella history is not incorporated in Forecaster.

39. Vermont Department of Health 39 New Report – PRINT FORECASTER RESULTS Vaccines Recommended Based on ACIP Schedule and Immunization History as of [CURRENT DATE]

40. Vermont Department of Health 40 THANKS FOR YOUR SUPPORT!  Questions, comments, suggestions always welcome. (888)688-4667 imr@ahs.state.vt.us

41. Vermont Department of Health 41 What about HL7? VITL IMR Patient match

42. Vermont Department of Health 42 Age Guidance http://www.timeanddate.com/