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OCTOBER 2000 Immunization registry news from All Kids Count.
Issue Number 7 October 25, 1999 All Kids Count is a national network of demonstration projects working to develop and implement community-based immunization registries for infants and toddlers. Collectively, All Kids Count projects represent the country's most advanced base of experience with immunization registries. All Kids Count is supported by The Robert Wood Johnson Foundation with direction and technical assistance from The Task Force for Child Survival and Development. HEADLINES Data Quality Workgroup Promotes Best Practices via the Web HIPAA'S Impact: Bigger Than Y2K? Vaccine Inventory Modules Save Time for Providers Philadelphia Registry Helps Outreach Workers Bring Kids Every Child By Two Award for Best Use of Registry Data APHA "Best Bets" for Immunization Registries National Conference on Immunization Coalitions Back to Registry News & Information Data Quality Workgroup Promotes Best Practices via the Web To share immunization registries' experiences with record consolidation (deduplication), the AKC Data Quality Workgroup has created a Web page featuring a variety of solutions. These solutions, used by state and local community-based registries, vary in their degree of automation and sophistication in accordance with the size of the database, the technical environment, and other influences. You can view this new resource on the All Kids Count Web site at http://www.allkidscount.org/deduplication.htm. If you have a successful record consolidation process and would like to share it with others, please send an email to Barbara Canavan at barbara.c.canavan@state.or.us.
HIPAA's Impact: Bigger Than Y2K? With the failure of Congress to pass federal privacy legislation, the Department of Health and Human Services (DHHS) is expected to publish a Notice of Proposed Rulemaking for privacy regulation in the Federal Register at the end of October. There will be 60 days for public comment. The proposed regulation will be posted on the NCVHS website: http://aspe.os.dhhs.gov/ncvhs. Standards in the proposed regulation will apply to all health plans, all health care clearinghouses, and to every health care provider that transmits health information in electronic form in connection with certain specified administrative and financial transactions. Congress can still enact privacy legislation at any time; it could be broader in scope and could supercede DHHS regulations. Some experts have cautioned that HIPAA regulations on health information systems could make Y2K look small by comparison. Look for analysis of the proposed regulation in the next issue of SnapShots. (Please note that the privacy regulation is different from DHHS' HIPAA security regulation, for which the comment period has already passed.)
Vaccine Inventory Modules Save Time for Providers As immunization registries add inventory modules to their list of registry features, tally marks on a piece of paper are being replaced by detailed reports on doses administered with information on vaccine type, dose number, patient age, manufacturer, supply source, expiration date and more. Providers, especially those with large practices, are finding that immunization registries inventory modules that help manage vaccine stocks are just one more way that a registry can help to streamline their practices. The Washington state registry, CHILD Profile, released its inventory module - called the Vaccine Accountability Module - over several months last year. It includes four reports: Vaccine Doses Received; Vaccine Doses Administered; Doses Administered Detail report; and Vaccines Received By Lot Number report. The Vaccine Doses Received report is linked to the state vaccine distribution center, which enters the expiration date for each lot number as it receives shipments. This, then, automatically populates the expiration field when a provider enters that lot number in their list of vaccines received. Registry staff estimate that half of the 58 medical groups use the vaccine accountability module. While not yet providing a complete inventory system, it is, nonetheless, one of the providers' favorite registry features because of the time savings it provides. One nurse practitioner who administers a medium-size primary care clinic (4 providers) notes that with the new vaccine accountability module, the state-required monthly vaccine reporting was reduced from a two-hour task each month to two minutes. Contact Sherry Riddick, sherry.riddick@shd.snohomish.wa.gov. The recent addition of a Vaccine Inventory Module (VIM) to the Michigan Childhood Immunization Registry also is proving popular. The VIM allows providers to maintain inventories as they immunize patients and receive new quantities of vaccine, and to generate a variety of vaccine inventory forms and reports, including the VFC-required "Doses Administered" report. In addition, it allows providers to order VFC vaccines from the local health department online, and then submit the order by mail, fax or online. Contact Therese Hoyle, hoylet@state.mi.us.
Philadelphia Registry Helps Outreach Workers Bring Kids Up-to-date In Philadelphia, the KIDS immunization registry successfully combines registry data with the efforts of community outreach workers to bring hard-to-find children back to a provider for immunizations and other medical services. In 1998, of the 7,571 children identified by the registry as "immunization delayed," community outreach workers located 5,841 children. Once located, almost 50% were found to be up-to-date with their immunizations. Immunization data for these children were collected for the registry Of the children who were not up-to-date, 61% were brought to care within 30-60 days - a strong indication that community outreach works. KIDS staff believe the effectiveness of outreach efforts will increase as the registry's data becomes more complete.
Every Child By Two Award for Best Use of Registry Data The data registries collect are valuable for many reasons, including the evaluation and improvement of immunization programs. At its annual Immunization Partners Conference and Awards Banquet, December 6-7, in Washington, D.C., Every Child By Two (ECBT) will recognize and reward an immunization program that has used data from their registry to assess an immunization issue and/or monitor program impact. For example, has the registry looked at the introduction and use of new vaccines? The effects of changes in the ACIP recommendations on coverage? Special recall efforts? The agenda and invited speakers for the Immunization Partners Conference and an award application for "Best use of data to promote public health" can be found on the ECBT web site, www.ecbt.org. The award application deadline is November 12. For additional information, contact Amy Pisani, Amy@ecbt.org.
APHA "Best Bets" for Immunization Registries A panel on "Immunization Registries: Tomorrow's Tool Today" will be presented at he 1999 Annual Meeting of the American Public Health Association, November 7-11 in Chicago. Alan Hinman of All Kids Count will moderate the panel covering topicsentitled Topics will include: current status of immunization registries, NVAC update, case studies on private provider knowledge and recruitment, registry cost studies, registry uses for vaccine inventories, building registry coalitions, indicators of registry performance, and the prospects of building a national coalition of immunization registries. Other sessions of interest to registry developers are listed below. For a complete listing of sessions and registration information, go to the APHA web site at http://www.apha.org.
National Conference on Immunization Coalitions Mark your calendars for the 2nd National Conference on Immunization Coalitions, January 23-25, 2000, in San Diego, Calif. Invited speakers include Sharon Davis, First Lady of California, Senator Dianne Feinstein of California; Joel Kuritsky, MD, CDC; Jay Lieberman, MD, Chief, Pediatric Infectious Diseases, Miller Children's Hospital; John Deadwyler, Midwest Center for Non-Profit Leadership; and Betty Bumpers, Every Child By Two. Workshops will be held on coalition marketing; addressing disparities; anti-vaccine issues; media advocacy; core function and how coalitions complement state program needs. For information call Concepts Worldwide at (858) 535-0050.
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