Mark Misener, MD, MPH¹, Michael Suralik, BA, MCS², Paul Schaeffer, MPA¹, Carol McDonald, RN, BSN, MA¹, Jane R. Zucker, MD, MSc¹, Angel Aponte, -¹ and Noam Arzt, PhD, FHIMSS³, 1Bureau of Immunization, New York City Department of Health and Mental Hygiene, Long Island City, NY, 2-, HLN Consulting, LLC, Voorhees, NJ, 3-, HLN Consulting, LLC, San Diego, CA