BACKGROUND:
The existing process for conducting perinatal hepatitis B case management activities in Louisiana required the use of multiple applications to enter and track cases, complete follow up and conduct analysis. In addition, due to network/access limitations, case managers often forwarded case data to a Hepatitis B Coordinator for entry into a central database. This system for completing case management activities was time consuming and redundant. Introduction of the web-based module in Louisiana integrated the functionality of all previously used tools, enabled authorized users to enter necessary data in a timely manner, and provided an HL7 interface for sharing data with the Louisiana Immunization Registry for Kids Statewide (LINKS).

OBJECTIVE:
To promote efficient case management activities and reduce redundant efforts through integration with the state immunization registry.

METHOD:
Evaluated existing process for case management activities. Identified areas where efficiency could be improved and opportunities for integration with existing immunization registry. Developed, tested, and implemented Hepatitis B module. Compared number of staff hours and software applications required to complete all case management activities before and after implementation of Hepatitis B module.

RESULT:
An integrated case management system minimizes efforts required to conduct daily case management activities. A web-based system provides flexibility for case managers to enter cases from any computer connected to the Internet, which streamlines the process for getting data into the database.

CONCLUSION:
Integrating modules into the registry increases efficiency needed to collect data required in active case management. It provides a benefit to patients, providers and case managers as redundant efforts needed to monitor cases are reduced.

LEARNING OBJECTIVES:
Understand how to identify an opportunity for streamlining an antiquated process and create a solution that builds on an existing registry.