Houston-Harris County Houston-Harris County Immunization Registry Immunization Registry Dr. Julie Boom Associate Professor, Baylor College of Medicine Director, Immunization Project, Texas Children’s Hospital HHCIR Medical Director Immunization Registry Town Hall Meeting July 30, 2008
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Houston-Harris County Immunization Registry Dr. Julie Boom Associate Professor, Baylor College of Medicine Director, Immunization Project, Texas Children’s.
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Houston-Harris County Houston-Harris County Immunization RegistryImmunization Registry
Dr. Julie BoomAssociate Professor, Baylor College of MedicineDirector, Immunization Project, Texas Children’s
HospitalHHCIR Medical Director
Immunization Registry Town Hall MeetingJuly 30, 2008
Number of Children in HHCIRNumber of Children in HHCIR
678,361
739,647
892,496
1,122,1461,167,699
1,192,015
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
2003 2004 2005 2006 2007 2008 (year to date)
Number of Clinics Using HHCIRNumber of Clinics Using HHCIR
422369
337
10773
050
100150200250300350400450
2004 2005 2006 2007 2008(year to
date)
Clinics
Concentration of ProvidersConcentration of Providers
Healthy People 2010Healthy People 2010
95
80
69
44
3025
20
30
40
50
60
70
80
90
100
'04 '05 '06 '07 '08 (yearto date)
2010 Goal
Pe
rce
nt
(%)
Children 4 months – 6 years with 2 immunizations in HHCIR (based on 2004 census data)
Houston’s Childhood Immunization Coverage Houston’s Childhood Immunization Coverage Levels for 4:3:1:3:3 series: 1995-2006Levels for 4:3:1:3:3 series: 1995-2006
Children aged 19-35 months who received the recommended vaccines: 4 DTaP, 3 Polio, and 1 MMR, 3 Haemophilus influenzae type b (Hib), & 3 Hepatitis B (Hep B).
*Rates for 4:3:1:3:3:1 were 76.6% in 2005 and 69.6% in 2006
Current HHCIR FunctionalityCurrent HHCIR Functionality
• HL7 Compliant
• Extensive interface with billing systems and patient management systems
• Bi-Directional Data Exchange with ImmTrac
• State-of-the-art deduplication module
• Advanced data security
• Ability to link with other HL7 systems
• Direct connection to LINKS (Louisiana IIS)
• Improved forecasting algorithm (in deployment)
HHCIR ImmTrac
ALL DATA
ImmTrac Consented Data
HL7 Communication Platform
HL7 Communication Platform
LINKS
Medisoft
MisysEpic
SeasoftLogician Manual
Data Entry
KS Flat Files
Other Registries
ImmTrac
Data Translator
Medisoft
MisysEpic
Seasoft
Logician
Manual Data Entry
KS Flat Files
ConsentConsent
Provider’sConfidential Electronic Data Set
All data reported
to ImmTrac per state law
ImmTrac ConsentVerified
Data Shared with ImmTrac &
HHCIR Providers
Data Shared with HHCIR
Providers Only
HHCIR Consent
Consent Unknown
Data NOT Shared Remain in Provider’s
Confidential Electronic
Data Set
Consent Status of RecordsConsent Status of Records
HHCIR-only ImmTrac Unknown
216,646 621,641 345,171
Identifying Consent StatusIdentifying Consent Status
Designating Dual ConsentDesignating Dual Consent
Prior to transition, problems and questions regarding HHCIR should be directed to Rachel
Cunningham at 832-824-2010. Interface questions should be directed to Wen Li at 832-