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AIRA Members & Partners Quarterly Meeting January 27, 2020
AIRA Members & Partners Quarterly MeetingJanuary 27, 2020
All phone linesare muted
Welcome – Aaron Bieringer, AIRA President
This meeting is being recorded and will be posted in the
AIRA repository
Welcome – Aaron Bieringer, AIRA President
• How do I ask a question?• There will be time allotted for
Q&A following each of the updates, to unmute your line press *6
• Via WebEx:
Select the chat icon next to the host and type question into the chat box.
Select the hand icon next to your name and you will be called on.
National Center for Immunization & Respiratory Diseases
CDC Updates
Lynn Gibbs Scharf, MPH, Branch Chief NCIRD/ISD/IISSB
AIRA Members & Partners MeetingJanuary 2020
Upcoming Opportunity All Awardee Meeting
– Training and discussion on a variety of program areas with a special emphasis on the IIS
– Topics: data quality, IIS platform consortia, IIS cost tracking, future technology considerations, and procuring IIS goods and services
– Audience: Immunization Program Managers, IIS managers, and other key staff
– January 28-30
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Immunization Information Systems (IIS) Data Quality Blueprint
The blueprint focuses on driving improvement on four data quality characteristics. There are other enabling characteristics (e.g., ACCURACY, CONSISTENCY, and UNIQUENESS) and functional processes (e.g., interoperability) that are inherent to high quality IIS data and complement the blueprint data quality
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The IIS Data Quality Blueprint is a guide to help immunization program awardees address and advance data quality within IISs. Its measures focus on improving all IIS data, with a primary focus on data related to children and adolescents (0-18).
BLUEPRINT ENDPOINTIISs have trusted data to:
Assess national, state, and local immunization coverage
Support responses to emerging needs
Identify vulnerable populations and pockets of need
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2
3
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Suggested Activities by Data Quality Characteristic
Prov ider Participation • Establish a protocol and process to define and calculate the jurisdiction’s provider site denominator (D1a)• Implement strategies to overcome VFC providers’ barriers to submitting data to the IIS (D1b)• Implement an outreach campaign to increase provider participation in the IIS (D1b)• Analyze provider enrollment data to identify provider sites not submitting data to the IIS; develop and
implement a follow-up strategy (D1b)• Establish tools and processes for monitoring established interfaces with provider sites and following up when
interface issues are identified (D1c)Demographic Records• Identify, assess, and plan to incorporate data from available sources to improve demographic record
completeness and accuracy (e.g., vital records, newborn screenings, driver l icense data) (D1a)• Implement strategies to ensure and verify that provider sites submit required data fields for each
demographic record (e.g., first and last name, DOB, address, and phone number) (D1b)• Implement strategies to ensure that demographic records associated with historical vaccinations are
submitted to the IIS at the time the interface is established (D1c) • Establish interjurisdictional data exchange (D1c)• Engage the IIS Consortium to exchange data with jurisdictions using the same/similar IIS platform (D1c)
Vaccination Records
Cov erage Estimates and Reporting• Implement functionality in the IIS that immunization program staff can use to generate both canned and
ad hoc coverage assessments (D1e)• Generate provider level coverage assessments based on query parameters (e.g., a patient age
group/DOB range, l ist of specific individuals, geographic area, recipients of specific vaccines) and use them for provider quality improvement activities (D1e)
• Demonstrate the abil ity of the IIS to generate population-based coverage assessments based on query parameters (e.g., a patient age group/DOB range, l ist of specific individuals, geographic area, recipients of specific vaccines) to identify under-immunized populations (D1e)
• Use IIS data to support Medicaid, Medicare, HEDIS, and other performance reporting requirements (D1e)
Vaccination Record Timeliness• Assess and improve immunization program and provider workflows to ensure timely vaccination record
receipt (D1a)• Establish bidirectional data exchange with provider sites to ensure that provider sites can query the IIS for
evaluations and forecasts and submit immunization data to the IIS in a timely manner (D1c)• Implement tools and processes and/or increase staffing to decrease the time to onboard provider sites to the
IIS (D1c)
Vaccines Ev aluated Against ACIP Recommendations• Implement CDS functionality, utilizing the CDSi resources (e.g., the Supporting Data or Test
Cases) (D2e)• Implement CDS functionality that flags vaccines not given according to ACIP guidelines as invalid
and ensure that users are able to view the reason why vaccines were not valid (D2e)Addresses Validated with External Sources• Use external sources to standardize patient addresses (e.g., SmartyStreets), geocode patient addresses (for
pockets of need), and identify and correct implausible patient addresses (D2f)• Verify that patients reside at the addresses listed in their IIS record (e.g., using tools such as Lexis Nexis)
(D2f)• Leverage returned mail from reminder/recall efforts to verify and update incorrect addresses (D2f)
TIMELYVALID
AVAILABLE COMPLETE
ENABLING CHARACTERISTICSThe following activ ities related to Accuracy, Consistency, and Uniqueness support the path toward high quality data and should be conducted in conjunction with blueprint activ ities:
Accurate Consistent UniqueEstablish and implement
tools and processes to monitor IIS data quality,
compare IIS data to source data, and confirm
accuracy (D1a)
Institute methods for providers to submit updates of each patient’s
status (D1f)
Establish a collaborative process with VFC, IQIP, IT, and vendor staff to
update and review patient status regularly
(D1f)
Participate in AIRA’s Measurement and
Improvement (M&I) Initiative for all topic areas to achieve
consistency with IIS standards (D2c)
Undertake process or IIS system
changes to address areas not fully
validated for each M&I topic (D2c)
Document local variations from the latest CDC HL7 implementation guide,
including the policy basis; eliminate variations not required by policy (D2c)
Develop and document the standard operating procedures for routine matching and merging
of incoming patient records (D1f)
Analyze provider and IIS level patient demographic and
vaccination data to identify and correct duplicate vaccine and demographic records for
data at rest (D1f)
Assess the effectiveness of the current IIS vaccine deduplication algorithm; identify and implement needed improvements
(D1f)
7Note: The text in parentheses refers to the reference number for the corresponding 2020 IPOM Chapter D required activity.
Birth Record Timeliness • Assess and improve immunization program, vital records, and provider workflows to
ensure birth record is created in a timely manner (D1a)
• Implement strategies to ensure that historical vaccination records are submitted to the IIS at the time the interface is established (D1c)
• Establish interjurisdictional data exchange (D1c)• Engage the IIS Consortium to exchange data with jurisdictions using the same/similar IIS
platform (D1c)
• Implement strategies to ensure and verify that provider sites submit required data fields for each vaccination record (e.g., vaccine product type administered, administration date, lot number, VFC program eligibility at dose level, NDC codes) (D1b)
Blueprint Implementation Data Quality Report – a summary of information from the jurisdiction’s
2018 IISAR responses, the AIRA Measurement and Improvement Initiative results, and other sources, organized according to seven data quality characteristics.
CoAg Activities and Measures – a summary of activities and associated measures appropriate for inclusion in the 2020 317/VFC CoAg application work plan.
IIS SMEs are recommending a set of 3 to 5 IIS data quality improvement activities to include in each awardee’s 2020 CoAg application based on a review of the jurisdiction’s data quality report.
Save the Date
IIS All Awardee Forum: Question and Answer Session for IIS Portions of 317/VFC CoAg Application
Tuesday, February 11 from 2:00 to 3:00 p.m. ET
Other Updates IISAR is live and the due date for responses is March 31 IISAR AIRA Discovery Session today, 4-5:00 PM
For more information, contact CDC1-800-CDC-INFO (232-4636)TTY: 1-888-232-6348 www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Questions?
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Public Health Informatics Institute (PHII) UpdateBill Brand
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American Academy of Pediatrics (AAP) UpdateDana Bright
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Office of the National Coordinator for Health Information Technology (ONC) UpdateAaron Bieringer on behalf of Rachel Abbey
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Overview
2020-2025Federal Health IT Strategic Plan
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• Draft 2020-2025 Federal Health IT Strategic Plan is available for public comment
• The plan is intended to guide federal health information technology activities
• Public comment period ends on March 18
• The plan is available at: healthit.gov/plan
2020-2025 Federal Health IT Strategic PlanPublic Comment Period
2020-2025 Federal Health IT Strategic Plan
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Why we are Updating the Plan2020-2025 Federal Health IT Strategic Plan
The HITECH Act requires ONC, in consultation with other appropriate federal agencies and the private sector, to update the Federal Health IT Strategic Plan.
Technology in the health care environment and market is constantly evolving.
21st Century Cures Act sets in motion the need to move towards improved access, exchange, and use of electronic health information.
Federal agencies’ health priorities increasingly rely on health IT and the access, exchange, and use of electronic health information.
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Participating Federal Contributors2020-2025 Federal Health IT Strategic Plan
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• Through the Federal Health IT Strategic Plan, ONC aims to:• Ensure that individuals have access to their electronic health information to enable
them to manage their health and shop for care
• Create new business models made possible through the use of APIs that benefit individuals and providers
• Establish data sharing practices that are in use by the healthcare industry
• Serve as an operational tool to manage federal activity and collaboration through Plan implementation and continual assessments
Federal Health IT Strategic Direction2020-2025 Federal Health IT Strategic Plan
Subscribe to our weekly eblast at healthit.gov for the latest updates!
Phone: 202-690-7151
Health IT Feedback Form: https://www.healthit.gov/form/healthit-feedback-form
Twitter: @onc_healthIT
LinkedIn: Search “Office of the National Coordinator for Health Information Technology”
Add additional call to action or relevant speaker information and contact details.
Contact ONC
Office of the Chief Technology Officer (CTO) UpdateJim Daniel
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American Immunization Registry Association (AIRA) UpdateAlison Chi
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Strategic Plan
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Background & Process
Background• Organizations periodically need to update their priorities and
identify strategic objectives and activities to meet those priorities
Process• The AIRA Board identified the key priority areas• The Board and staff broke into small groups to further
identify the Goals, Objectives, and Strategies• Strategic Plan was approved in November
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Priority Goal Objective Strategies
Priority Area I: Enhance IIS influence and relevance within the health information
and technology landscape.Goal: Cultivate and strengthen AIRA’s influence in the evolution of health IT, ensuring the role of IIS is increasingly recognized.
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OBJECTIVESPriority Area I: Enhance IIS influence and relevance within the health information and technology landscape.
1. Monitor key stakeholder activities within health the information technology landscape to identify important issues impacting IIS.
2. Share and engage the IIS community on important issues and emerging trends from within the health information and technology landscape.
3. Share and engage the broader health IT community on important issues impacting IIS.
Priority Area II: Address the gap between member needs and utilization
of AIRA resources and services.Goal: Provide programs, services, and resources to help IIS
maximize performance and utilization.
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OBJECTIVESPriority Area II: Address the gap between member needs and utilization of AIRA resources and services.
1. Identify the needs of the IIS community.2. Develop programs, services, and resources to meet the
needs of the community.3. Support the implementation of programs, services, and
resources to meet the needs of the community.
Priority Area III: Provide the necessary organizational infrastructure to support
the work of AIRA.Goal: AIRA will have a strong organizational structure to
support its vision and mission.
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OBJECTIVESPriority Area III: Provide the necessary organizational infrastructure to support the work of AIRA.
1. Maintain appropriate resources to support AIRA activities.2. Ensure the composition of AIRA’s Officers and Board of
Directors supports the goals of the organization.3. Foster an engaged AIRA community.
Priority Area IV: Strengthen AIRA’s funding portfolio through diversification
Goal: No single funding stream will represent more than 75% of AIRA’s total revenue.
OBJECTIVESPriority Area IV: Strengthen AIRA’s funding portfolio through diversification
1. Establish the necessary infrastructure to provide oversight, direction, and framework for AIRA’s financial operations.
2. Define new programs, products, or services to add to the AIRA portfolio that align with its current vision and mission.
3. Identify opportunities to expand existing revenue sources.
4. Explore the feasibility of developing a global AIRA program.
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Improving Awareness and Use of IIS Among Adult Care Providers
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Purpose
• Adult data capture and usage has specific challenges• No single report has documented the specific strengths,
weaknesses, and opportunities• Goal is to catalogue the challenges and potential solutions• Identify strategies for change
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Project Components
1. Landscape analysis to define the current state of barriers facing adult data capture
2. Identify consensus-based recommendations to improve IIS adult data capture
3. Final report that provides an analysis of the current landscape including operational, legal, and technical:• Strengths• Weaknesses• Opportunities• Threats
4. Identify key strategies for improving adult data capture
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Emergency Response Component
• Current IIS capabilities for preparedness/emergency response
• Evaluate key attributes of the systems• Identify key components of a preparedness/emergency
response module
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Project Status
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Status
• Hired Liz Abbot as the Adult Program Manager• Meeting with CDC later this week to finalize the scope for the
SWOT analysis• Identify key stakeholders for input and feedback
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Measurement and Improvement: What’s Up Next?• M&I had three documents out for review in January
• Incoming/Ongoing Data: Proposed Assessment Measures and Tests• CDS: Proposed Changes to Thresholds for January 2021• CDS: Proposed Basic and Complete Levels for Validation
• MACAW held a Town Hall Meeting on January 9 for community discussion
• The comment period closed on January 24• Comments will be resolved with MACAW by February 13• Recommendations go to AIRA Board on February 17
Upcoming Discovery Sessions
• January 27, 4pm ET (TODAY!) –CDC will share about and welcome feedback on the changes in the 2019 IIS Annual Report
• February 10, 4pm ET – Several presenters will discuss Provider Organization Participation and Management
Upcoming 3-part IIS-Based Reminder/Recall Webinar Series• Join us for “Centralized
Reminder/Recall: A Deep Dive into Using a New Toolkit
• February 4, 11, and 18 at 3:00 PM ET
2019 Education Survey Summary Report• Just released last week• Find it easily on the AIRA repository landing
page under Featured Resources
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Business Continuity Guide• Latest MIROW chapter was released in December
www.airanationalmeeting.org
A Sampling of AIRA Staff Out and About
• Helped to celebrate AIM’s 20 year Anniversary at their Leadership in Action meeting in December 2019
• Congratulations, AIM!• Representing IIS and Public Health on a panel about Unique
Patient Identifiers at the ONC Annual Meeting this week• Thank you to all those who provided input/perspective!
• Attending CDC’s Immunization Awardee Meeting in Atlanta this week
• Come by and say hello if you are also attending!
Additional Questions?• How do I ask a question?
• There will be time allotted for Q&A following each of the updates, to unmute your line press *6
• Via WebEx:
Select the chat icon next to the host and type question into the chat box.
Select the hand icon next to your name and you will be called on.
Thank you for joining us! Next Meeting: April 20, 2020 at 2 pm ET
