Tuesday, October 28, 2003 - 4:30 PM
3804

This presentation is part of D7: PROW = Registry Maximization

Using an Immunization Registry to Enhance Immunization Program Core Functions: The New York City Experience

S L Palevsky1, S Friedman1, A Metroka1, L Turner1, S Huie1, V Papadouka1, A E Chi2, J R Zucker1, D Sarecha1, Y Andrews-Gillan1, K Seastone Stern1, J Tubridy1, and S Anim-Addo1. (1) Bureau of Immunization, New York City Department of Health and Mental Hygiene, New York, NY, USA, (2) Citywide Immunization Registry, Medical & Health Research Assn, New York, NY, USA


KEYWORDS:
Immunization program core components; Standards

BACKGROUND:
National attention was recently focused on the potential for immunization registries to be used by immunization programs to integrate and enhance core program functions. The Programmatic Registry Operations Workgroup (PROW), a collaboration of the American Immunization Registry Association (AIRA), the Association of Immunization Program Manangers (AIM), and the CDC, recently published the Registry Standards of Excellence in Support of an Immunization Program. These PROW standards were endorsed by the National Vaccine Advisory Committee earlier this year. Registries are encouraged to assess their status and to plan next steps for meeting unmet standards.

OBJECTIVE:
To identify PROW standards currently met by the New York Citywide Immunization Registry(CIR). To describe how, by meeting these standards, CIR enhances the NYC Bureau of Immunization (BOI) core program components. To describe plans for CIR to reach a higher level of compliance with the standards and, in doing so, provide increased support to the BOI.

METHOD:
The PROW self-assessment tool was used to ascertain the status of CIR and to develop a plan to reach a higher level of compliance.

RESULT:
CIR currently meets several Level I and II standards in all program areas. Examples are: producing VFC doses administered reports (Vaccine Management); highlighting invalid doses; use of CIR data for AFIX (Provider Quality Assurance); identifying overdue patients for outreach (Service Delivery); generating official immunization records (Consumer Information); providing immunization histories to disease investigators (Surveillance); enabling access by WIC, Medicaid and Managed Care Organizations (Assessment). Unmet standards that CIR plans to meet include capturing VFC eligibility status for each immunization; linking to VACMAN; generating VFC practice profiles; supporting a provider vaccine inventory feature (Vaccine Management). Meeting these standards will enable the program to increase accountability and reduce costs for VFC vaccine.

CONCLUSION:
CIR is currently meeting several PROW standards and is effectively integrating Immunization Bureau program components. Additional resources must be allocated to expand CIR functionality to further enhance Immunization Bureau program components.

LEARNING OBJECTIVES:
To demonstrate best practices for using an immunization registry to enhance immunization program core components.

Handout (.ppt format, 218.0 kb)

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