making an impact collaborations are key to the growth of your registry odh logo
TRANSCRIPT
MAKING AN IMPACT
Collaborations Are Key to the Growth of Your Registry
ODH logo
Laurie Dietsch, MPHProject L.O.V.E.
Love Our Kids…Vaccinate Early!
Mark Sulzman, BAOhio Department of Health
Immunization Rates for Children 19-35 Months of Age
National Immunization Survey, Q1/2001-Q4/2001
4DTaP:3Polio:1MMR*
4DTaP:3Polio:1MMR*:3HIB
Ohio 76.3 74.7
Cuyahoga 74.0 72.8
Franklin (Columbus)
79.3 78.3
Rest of State 76.2 74.5
OHIO
• Population of State = 11.4 million*– Cleveland = 478,000– Cincinnati = 331,000– Columbus = 702,000
• Annual Birth Cohort = 155,700**– Franklin County (Columbus) = 17,400
* U.S. Census Data 2000, ** Ohio Department of Health Vital Statistics
Historical Timeline IMPACTSIIS • The ODH immunization registry began
collecting data from public health clinics in 1997
• Public health clinics have entered data into their PC’s using special front end software (private or ODH designed)
• Data forwarded via batch uploads using modems 1-4 times a month
• Registry access was via telephone using interactive voice response (IVR)
• Key Issue: At least 60%-65% is administered in private sector
Changing Climate Lessons Learned Since 1997– Servicing front end software for 88 counties impractical– Data extracted from PC’s can be corrupted or lost in
transmission via modem batch uploads– Extracts from billing systems met with resistance Current Trends– 2000 NVAC adopts minimum core standard for all US
registries– HL7 protocol mandated by HIPAA– ODH recognizes web offers best option for public and
private providers
Project L.O.V.E. (Love Our Kids...Vaccinate Early!) is a unique
partnership between Franklin County hospitals, area physicians,
City of Columbus and Franklin County Health Departments, local
businesses and community organizations, whose goal is to
assure that Franklin County 2 year-olds are fully immunized.
•Market an Immunization Registry among central Ohio physicians in order to establish a centralized source of individual immunization records across the county and state•Maintain and improve current immunization levels throughout the general population of Franklin County
Project L.O.V.E. Two Primary Goals
Project L.O.V.E. Partners• Hospitals (Mount Carmel, Doctors, Grant, Riverside,
St. Ann’s, Ohio State University and Children’s)• Foundations (Columbus Medical Association
Foundation and The Columbus Foundation)• Ross Labs• 2 Health Departments (Franklin County Board of
Health and Columbus Health Department)• Pharmaceutical Companies (Merck, Wyeth & Glaxo
Smith Klein)• Columbus Compact Corporation (Empowerment Zone)• Media (NBC4)• Political Officials (Mayor and Representatives)
Franklin County’s Quest for a Registry
• 1993-1997– Focus Groups– Planning
• 1997-2000– Pilot Central Repository (Public Health)– Talking Relationship With ODH– 3 Options
• Develop a registry locally• Buy an existing system• Partner with ODH
Three Options• Develop System Locally
– Money to develop AND sustain– Technical upkeep
• Buy HII or STC?– Money to purchase AND Maintenance– Not “our” system– Web-based
• ODH– “Free” for us– Our input made the system– Strengths and Weaknesses Fit
STRENGTHS
• State – ODH– IMPACT SIIS– National/CDC
Support– Technical Staff
and Resources– Sustainability– Privacy/Security/
Confidentiality– Power and
Influence
• Local – PLOVE/CHD– Local Contacts– Local Name
Recognition for Coalition and Marketing Capability
– Funding for Marketing– End User Perspective– Not as Many Funding
Constraints– Incentive Due to Low
Immunization Rates
PLIRAC Project L.O.V.E. Immunization
Registry Advisory Council• HD Immunization Program Staff • Health Commissioners – CHD and FCBH• Project LOVE Director and Registry
Coordinator• Ohio Department of Health Staff• Legal Representatives• Paul Werth Marketing Firm• Technically Inclined Members• Partner Representatives• Parents
Web Design Group
• Made up of Representatives from:– Development Staff from Keane (GSA
Contract)– Ohio Department of Health– Columbus Health Department– Office Managers and Physicians
Statewide– Interested members of the POINT
Team
Design Team
• Functionality– What needs to be in the registry– Web page layout
• Usability– Developer versus user viewpoint
POINT TeamPhysician Office Impact INTeraction Team
• Made up of representatives from around the state– ODH and Columbus Health Department– Other Local Health Departments– Hospitals– American Academy of Pediatrics (AAP)
President - Ohio Chapter (Chris Rizzo, MD)– Managed Care Organizations
POINT Team
• Privacy, Security and Confidentiality
• Legal Issues• Policy Development• HIPAA
Negatives– Negative History (Trust Issues)– Change in Leadership– Getting to Know Each Other– Communication Difficulties
Technical vs Non-technicalTunnel VisionMisunderstandings
– Limited Staffing– Different Perspective
State vs Local
– Fear of Making “Another” Mistake
Positives+Successful State and Local Partnership+Immunization Registry+Complimenting Strengths and
Weaknesses+Communication is More Open+Different Perspectives
State vs Local
+Improved Relations+System That is User-Friendly and FREE
If the registry is implemented
successfully it will occur quietly.
However, if the registry is not implemented
successfully, it will be heard loudly.
Columbus Health
Department