Informatics Activities Informatics Activities to Support the to Support the

2009-2010 H1N1 2009-2010 H1N1 Vaccination CampaignVaccination Campaign

Loretta A. Santilli, M.P.H.Loretta A. Santilli, M.P.H.

NYSIIS Program ManagerNYSIIS Program Manager

Patient Level Information Tracking Patient Level Information Tracking

Individual level data collection will be required Individual level data collection will be required for every dose of H1N1 vaccine administered, for every dose of H1N1 vaccine administered, regardless of the age of the recipient.regardless of the age of the recipient.Data collection tool for external partnersData collection tool for external partners New York State Immunization Information System New York State Immunization Information System

(NYSIIS)(NYSIIS) Electronic, statewide database (i.e. authorized users Electronic, statewide database (i.e. authorized users

have access to entire database)have access to entire database) Widely used by LHDs, pediatric providers, birthing Widely used by LHDs, pediatric providers, birthing

hospitals (2,200+ orgs, 6,000+ users)hospitals (2,200+ orgs, 6,000+ users) Limited use (but available to Limited use (but available to anyany) adult providers, ) adult providers,

health care facilities, etc.health care facilities, etc.

Authority to Collect InfoAuthority to Collect Info

As of January 1, 2008, PHL2168 As of January 1, 2008, PHL2168 requiresrequires reporting reporting immunization information for all persons less than 19 immunization information for all persons less than 19 years of age.years of age.Information for 19+ Information for 19+ cancan be included with “express be included with “express written consent of the vaccinee” (not required)written consent of the vaccinee” (not required)

Anticipating Governor’s emergency declaration which will suspend this section Anticipating Governor’s emergency declaration which will suspend this section of law and temporarily allow influenza vaccination information to be recorded in of law and temporarily allow influenza vaccination information to be recorded in NYSIIS for adults without written consent.NYSIIS for adults without written consent.

Doses administered reporting will be a condition of Doses administered reporting will be a condition of H1N1 vaccine receipt (Vaccine Provider Agreement).H1N1 vaccine receipt (Vaccine Provider Agreement).

NYSIIS EnhancementsNYSIIS Enhancements

Contractor (EDS) tasked with adding the Contractor (EDS) tasked with adding the Countermeasure and Response Administration Countermeasure and Response Administration (CRA) module into NYSIIS (due 9/1/09)(CRA) module into NYSIIS (due 9/1/09) Module used by 2 other WIR states, based on CDC Module used by 2 other WIR states, based on CDC

DAX specsDAX specs Will allow collection of event/campaign info and Will allow collection of event/campaign info and

priority group designation and creation of aggregate priority group designation and creation of aggregate doses administered report per CDC requirementsdoses administered report per CDC requirements

Will need to add new vaccine codesWill need to add new vaccine codes CVX codes just released by CDCCVX codes just released by CDC

Will need to modify scheduler to accommodate 1 Will need to modify scheduler to accommodate 1 or 2 dose schedule based on clinical trial resultsor 2 dose schedule based on clinical trial results

Provider Recruitment Provider Recruitment and Registrationand Registration

Three necessary steps:Three necessary steps:

1.1. Health Commerce System AccountHealth Commerce System Accounthttps://hcsteamwork1.health.state.ny.us/pub

2.2. Vaccine Program RegistrationVaccine Program Registration

3.3. NYSIIS Training (Enrollment)NYSIIS Training (Enrollment)https://commerce.health.state.ny.us/hpn/bcdc/immunization/training_info.html

Developing a streamlined process to cover Developing a streamlined process to cover all 3 requirements in one electronic all 3 requirements in one electronic workflow.workflow.

Additional Consideration: Additional Consideration: Inventory TrackingInventory Tracking

From the endpoint perspective (vaccinating From the endpoint perspective (vaccinating organization) NYSIIS has the ability to assist organization) NYSIIS has the ability to assist with inventory tracking.with inventory tracking.State level pre-load of inventory info (obtained State level pre-load of inventory info (obtained from State vaccine/logistics group)from State vaccine/logistics group)Sites would be able to autopick from inventory Sites would be able to autopick from inventory list, system would decrement as doses list, system would decrement as doses administered, low inventory alerts could be setadministered, low inventory alerts could be setReduces data entry time, potential data entry Reduces data entry time, potential data entry errors and increases vaccine accountabilityerrors and increases vaccine accountability

Additional Consideration: Additional Consideration: Adverse Events TrackingAdverse Events Tracking

NYSIIS has ability to record ‘reactions’NYSIIS has ability to record ‘reactions’Free text field could collect adverse event Free text field could collect adverse event info and if VAERS report was filedinfo and if VAERS report was filedPotential linkage of NYSIIS immunization Potential linkage of NYSIIS immunization history data with health insurer utilization history data with health insurer utilization information information Monitor diagnoses and id potential ‘signals’ if Monitor diagnoses and id potential ‘signals’ if

correlated with vaccine administrationcorrelated with vaccine administration i.e. Guillain-Barre Syndrome, miscarriages, i.e. Guillain-Barre Syndrome, miscarriages,

etc.etc.

Questions?Questions?