ACIR- What, How & WhenNovember 2014

Anne Nunan

Allison Elliot

Objectives

• Understand the Australian Childhood Immunisation Register

(ACIR)

• Understand data available from ACIR for general practice &

Medicare Local

• Know how to enhance the practice role of immunisation data

management within general practice

• knowing how to troubleshoot immunisation data issues and be

ongoing reference.

ACIR

• The Australian Childhood Immunisation Register- 1996

• History statements

• Coverage data

• Family Tax Benefit – Centrelink

• Collects data on vaccine refuses/ and natural immunity

• Aboriginal and Torres Strait Islander Status.

Immunisation coverage

Coverage report• 31 March• 30 June• 30 September• 31 December

Children included• Cohort 1: 12-15 months (2,4,& 6 month encounters)

• Cohort 2: 24-27 months (2,4,6 & 12 month encounters)

• Cohort 3: 60-63 months (2,4,6,12 , 18 month and 4 years)

Calculation method:Immunisation status of a child is assessed according to the NIP and the National Due & Overdue rules. Immunisation coverage is determined by the department of Health. All antigens included in the NIP are currently included in coverage calculations except Rotavirus.

ACIR Reports/Statements General Practice

Practice statements• Immunisation payment statement /monthly

• ACIR Access via portal

ACIR Reports• ACIR001A – number of children registered with ACIR

• ACIR002A – number (or percentage) of children who have received valid vaccinations

• ACIR011B - due / overdue report by provider

• ACIR0021A – due /overdue report

General Practice Systems

Daily/Weekly:

• Timely data delivery

• Quality data entry

Monthly:

• Check immunisation payment statement

• Clarify rejected encounters (code)-

• Recall/reminder letters/SMS/Birthday cards to parents/carers

Quarterly

• ACIR Secure Web site

• Check data base/client and correct any data errors.

• Follow-up any over due

Monthly ACIR Statement

ACIR- 11B report

Provider Reporting to ACIR

Reporting to ACIR

• ACIR via Medicare online

• Online via Portal

• Immunisation encounter forms- post/email

• Phone

ACIR access to Secure Site

• http://www.medicareaustralia.gov.au/provider/

Reporting other information to ACIR

Information Method of reporting to ACIR

Aboriginal & Torres Strait Islander Status

Identify using practice software- ACIR will be notified through electronic transfer process.

Immunisation by another provider

Immunisations that the child has been given, either in Australia or overseas, should be reported to the ACIR. This information can be reported using the (purple) ACIR Immunisation History Form or the secure web site portal. h

Vaccine Refuses This can be submitted via fax on the form: http://www.humanservices.gov.au/healthprofessionals/forms/immu12

Medical Contraindication This can only be submitted manually: http://www.humanservices.gov.au/health-professionals/forms/immu11

Natural Immunity No longer necessary to report as 18 month encounter still MMRV

Deceased child This can be submitted in writing on practice letter head with the GP providers’ signature.

http://www.humanservices.gov.au/health-professionals/services/australian-childhood-immunisation-register/

ACIR Reports/Statements Medicare Locals/PHN

• ACIR001A=Number of children registered with ACIR

• ACIR002A – Number (or %) of children who have received valid vaccinations

• ACIR003A – Number of children whose parents have withdrawn consent

• ACIR005 - Number of providers who have submitted valid vaccination information to ACIR

• ACIRA011A – Due/Overdue report by locality

• ACIR012A- Database exchange report

• ACIRA016A Provider contact details

• ACIR033A – General practices supplying immunisation data to the ACIR as a DDMONCCYY

• ACIR036A – Due/Overdue report

http://www.humanservices.gov.au/health-professionals/services/australian-childhood-immunisation-register/

Medicare Local

• ACIR – access

• Promote program eNews/newsletter/web

• Review quarterly data – (KR2, LGA data, Provider Split)

Published datahttp://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/acir-curr-data-atsi-child.htm

Quarterly• Promote access and use of 11B report to practices Include age of cohorts to be assessed by ACIR next date

• 36A report- check duplicate child.

Collaborating with Local Government to Improve Childhood Immunisation Coverage Rates

• Assess Immunisation Provider Split via ACIR NIC5B report

• Order and download ACIR 36A from ACIR Secure Site

• Import data (5 excel files) into ACIR Update Database

• Create Local Government reports and liaise with LGA officers for follow-up

Report Analysis

Contacts/Resources

ACIR General Enquires: 1800 653 809Assist parents and practices regarding the immunisation history of a child.

ACIR Internet Help Desk: 1300 650 039Assists practices regarding the ACIR Secure Site

ACIR Stationary Orders:1800 067 307Stationary requests

ACIR Forms:http://www.medicareaustralia.gov.au/provider/pubs/forms/acir.jspACIR Information for providers: http://www.medicareaustralia.gov.au/provider/patients/acir/providers.jspACIR Information for parents:http://www.humanservices.gov.au/customer/services/medicare/australian-childhood-immunisation-registerACIR Secure site:http://www.medicareaustralia.gov.au/hpos/index.jsp

ACIR GPO Box M933Perth WA 6843Fax: (08) 9254 4810