Learning Objectives for this Presentation:
By the end of the presentation, participants will be able to -
• Identify two data export strategies that increased provider participation in the CHILD Profile Immunization Registry.
• Describe the benefit of local health jurisdiction (LHJ) support of registry participation



Background:
Washington State does not have a regulation requiring health care provider participation in the registry. Public provider participation has increased to 91% statewide; the number of enrolled private providers is 53%. Private providers cite manual data entry as a barrier. Private providers refuse to enroll in CHILD Profile or enroll but share no data, citing the absence of a data export. Providers are unwilling/unable to pay data export costs. A number of data export strategies are available. CHILD Profile revised the registry's approach to data sharing with private providers.


Setting:
Private providers in Washington State, including providers not enrolled in CHILD Profile and those enrolled but sharing no data.


Population:
Patients with incomplete immunization registry records as a result of providers not sharing data.


Project Description:
From July 1 – December 31, 2005, CHILD Profile worked with private providers and software vendors to identify practice management software and electronic medical records (EMR) utilized in WA State. Data exports were created for practice management software products and one EMR. Registry funds were dedicated to pay data export costs, create one EMR interface, and install an HL7 data bridge; one LHJ provided funds for data sharing.


Results/Lessons Learned:
CHILD Profile enrolled new providers as a result of the project. Current and historical immunizations were added to the registry database, improving the % of complete records. The assistance of one LHJ in registry data sharing contributed to the success of the project. Although data exports were created and costs were paid by the registry, all private providers eligible to enroll did not enroll during the project time period.