Tuesday, October 19, 2004 - 1:55 PM
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Using Registries to Ensure a Higher Level of Quality Care for High Risk Patients

BACKGROUND:
Mountain Park Health Center in Phoenix, Arizona is one of the largest federally qualified health care centers in the country. Its staff has successfully piloted a two year program to track high risk children electronically. This will primarily ensure that influenza vaccinations are received beyond 23 months of age. Tracking is also critical during vaccine shortages as, frequently, a high risk patient won’t need to be deferred. These children are a high priority and can often be given the vaccine, even during a shortage. If a vaccination must be deferred, the high risk patient can be actively recalled when vaccine is made available again.

OBJECTIVE:
Inform and educate on lessons learned while tracking high risk patients in the ASIIS registry.

METHOD:
The Arizona State Immunization Information System (ASIIS) tracks patients that fall under high risk categories. When a patient is diagnosed as being at high risk, it is critical for this information to be transferred from a patient’s chart to an immunization registry.

RESULT:
Influenza vaccination will result in a dramatic decline in hospital admissions for otitis media, influenza, and pneumonia. Having a list of high risk children justifies not deferring a vaccination that is medically necessary.

CONCLUSION:
High risk patient tracking is a critical component of an immunization registry, as has been demonstrated by the success of the ASIIS tracking functionality.

LEARNING OBJECTIVES:
Understand the goals of high risk patient tracking. Appreciate the importance of this functionality being provided by immunization registries. Demonstrate the use of the registry in ensuring influenza vaccinations, providing vaccinations during a shortage, and recalling patients when a vaccination was deferred.

  Recorded presentation

See more of Using Immunization Registries for Influenza and Pneumococcal Recall Efforts and to Monitor Provider Adherence to Vaccine Recommendations
See more of The 2004 Immunization Registry Conference