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Tuesday, October 19, 2004 - 1:35 PM

Customizing an Immunization Registry for Use in a Provider-centered, Universal Access State

James Daniel1, William Adams2, Robert Moriarty3, Danielle Norton3, Dennis Michaud4, Susan Lett4, Min Zeng1, Pejman Talebian4, and Marie O'Donnell4. (1) Integrated Surveillance and Informatics Services, Massachusetts Department of Public Health, State Laboratory Institute, 305 South Street, Jamaica Plain, MA, USA, (2) General Pediatrics, Boston University School of Medicine, 91 East Concord St., Maternity 412, Boston, MA, USA, (3) DBM Solutions, LLC, Boston, MA, USA, (4) Division of Epidemiology and Immunization, Massachusetts Department of Public Health, State Laboratory Institute, 305 South Street, Jamaica Plain, MA, USA

Availability of the Wisconsin Immunization Registry (WIR) provided the Massachusetts Department of Public Health (MDPH) with an opportunity to build a registry at substantially reduced time and cost through open licensing. However, differences in vaccine purchasing, supply, and delivery between the states required that changes and enhancements be made to meet the needs of immunization providers and the MDPH.

To describe the process and content of: 1) a statewide immunization registry needs assessment; 2) the priortiziation process for requested changes and enhancements; and 3) process of planning to implement highest priority changes.

The Massachusetts Immunization Information System (MIIS) development team is a collaboration between the MDPH, data and clinical-informatics consultants, and a software developer (Electronic Data Systems (EDS)). To identify and prioritize changes for the WIR, the MIIS team lead 20 meetings across the state during a 6 month period. Stakeholders were from local boards of health, existing registries (Boston and Springfield), pediatric care providers, larger hospital groups, pediatric nurses, school nurses, and potential data partners.

150 changes were requested. Requests ranged from minor changes in documentation style to the creation of an advanced vaccine management and distribution system. The team ultimately identified 70 changes to be made for the first implementation of the MIIS. In this presentation we will describe: 1) the process of identifying and prioritizing changes; 2) details of selected changes; and 3) plans for implementation of changes.

Our model of shared software resources, detailed needs assessment, and collaborative prioritization demonstrates one way that state health departments can leverage limited resources to deliver a customized immunization registry to meet their needs and the need of their immunizations providers..

Understand a process for determining registry user needs
Understand opportunities available from existing registry systems
Understand critical design features for a provider-centered, universal access state

[ Recorded presentation ]   Recorded presentation

See more of Technical Challenges and Innovations Relating to Immunization Information Systems
See more of The 2004 Immunization Registry Conference