PANDEMIC INFLUENZA VACCINE: PANDEMIC INFLUENZA VACCINE: DOSES ADMINISTERED AND SAFETY DOSES ADMINISTERED AND SAFETY

TRAINING CONFERENCETRAINING CONFERENCE

August 21-22, 2008August 21-22, 2008

Jeffrey BergJeffrey Berg

Wisconsin Immunization ProgramWisconsin Immunization Program

Options for Aggregate Options for Aggregate Reporting to CDCReporting to CDC

Option 1:Option 1: For states and project areas collecting data For states and project areas collecting data via an existing immunization information system (IIS) via an existing immunization information system (IIS) or other application, technical specifications were or other application, technical specifications were developed for three different data exchange formats: developed for three different data exchange formats: flat file (pipe-delimited), XML file, HL 7flat file (pipe-delimited), XML file, HL 7

Option 2:Option 2: For states and project areas collecting data For states and project areas collecting data manually, an aggregate reporting screen was added to manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a CDC’s CRA application to allow direct data entry via a web browserweb browser

Option 3:Option 3: For states and project areas using CDC’s For states and project areas using CDC’s CRA application to collect patient level information, CRA application to collect patient level information, selected data elements will be automatically selected data elements will be automatically aggregatedaggregated

Why Option 2Why Option 2

Option 1 required programming Option 1 required programming meaning time and cost (Version of meaning time and cost (Version of HL7 was different)HL7 was different)

Option 3 meant sending named data Option 3 meant sending named data and having to enter it into CRA and having to enter it into CRA (Double entry)(Double entry)

With Option 2 it was easy to gather With Option 2 it was easy to gather the aggregate information off of the the aggregate information off of the Wisconsin Immunization RegistryWisconsin Immunization Registry

Data SubmittedData Submitted

# immunized in a given age group# immunized in a given age group 6 – 23 months6 – 23 months 2 – 18 years2 – 18 years 19 – 49 years19 – 49 years 50 – 64 years50 – 64 years 65+ years65+ years

Project area IDProject area ID Date(s) of clinicsDate(s) of clinics

ChallengesChallenges Secure Data Network (SDN) AccessSecure Data Network (SDN) Access

Access was lapsed before expiration and our Access was lapsed before expiration and our staff was not informedstaff was not informed

Regaining access to SDNRegaining access to SDN Aggregate data had to be submitted to the Aggregate data had to be submitted to the

SDN within 48 hours of clinicSDN within 48 hours of clinic Finding a local health department that enters Finding a local health department that enters

influenza vaccine administration data within influenza vaccine administration data within 24 - 36 hours of an all ages clinic so we had 24 - 36 hours of an all ages clinic so we had time to pull the data off of WIR and submit to time to pull the data off of WIR and submit to the SDNthe SDN

Usually no big hurry to enter influenza vaccine Usually no big hurry to enter influenza vaccine only data as it is once per year shotonly data as it is once per year shot

ChallengesChallenges LHD that agreed to participate did not LHD that agreed to participate did not

inform us when data was enteredinform us when data was entered The SDN access problems required us to The SDN access problems required us to

push the timeline into Decemberpush the timeline into December Fewer LHDs and clinics to choose fromFewer LHDs and clinics to choose from Clinic cancelled due to inclement Clinic cancelled due to inclement

weather causing need to find another weather causing need to find another LHD with a clinicLHD with a clinic

Although not a significant issue #s late Although not a significant issue #s late in the year are lowerin the year are lower

SummarySummary

Pulling the aggregate data off the WIR is Pulling the aggregate data off the WIR is the easy part. All the logistics to get to the easy part. All the logistics to get to that point is where the challenges are.that point is where the challenges are.

For additional information please contactFor additional information please contact

Daniel HopfenspergerDaniel Hopfensperger

Wisconsin Immunization ProgramWisconsin Immunization Program

Ph 608-266-1339Ph 608-266-1339

E-mail E-mail Dan.Hopfensperger@wisconsin.govDan.Hopfensperger@wisconsin.gov