BACKGROUND:
The use of immunization registry data alone, without the need to assess medical records, is a powerful tool for the improvement of immunization practices. Attaining this goal takes time but the resulting benefits and opportunities are many.

OBJECTIVE:
To communicate Oregon’s experiences using registry data for assessments, and to outline key processes that have contributed to the ability to use data to improve clinic-based immunization practices.

METHOD:
Many methodologies have contributed to Oregon’s ability to provide assessments using registry data alone. Testing the reliability and validity of the registry data and defining the population to be assessed were key early processes. Also, participation levels in the registry affected assessment results making it necessary to determine how to thus interpret and communicate results. Partnerships have been crucial, especially between the registry and the Immunization Program. Communicating with the registry and understanding their operation and data quality mechanisms have all been important to the effective use of the data for assessments.

RESULT:
Productive and meaningful discussion with clinic staff about their immunization practices has been one key product of Oregon’s registry-based assessment process. Similarly, the use of the registry has allowed customized assessments according to the needs of the interested provider. An equally important result, because of the feedback process, has been the improvement of data quality in the registry. Overall, the use of registry date has contributed to relevant assessments, strong partnerships, minimal intrusion in provider offices, and improvement in immunization practice.

CONCLUSION:
Evaluating registry data and having a level of confidence in them is crucial. Using the registry will improve both the data and clinical practice, and will lead to greater opportunities to impact immunization rates.

LEARNING OBJECTIVES:
Participants will be able to 1) identify the processes used for the development of registry-based assessments and 2) identify the benefits of using registry data alone for assessments.