Claude C. Longoria, M.B.A.Manager

ImmTrac Group

ImmTrac UpdateTexas Immunization

StakeholdersWorking Group

November 1, 2007

ImmTrac Snapshot: Q3 2007

65.8 million immunizations recorded

5.5 million Texas children2 million children under age 6>3,900 active online user sites>48,000 immunization history

reports generated per month (avg)

Immunization RecordsVaccine Doses Recorded (By Quarter)

2025

30

35

40

45

50

55

60

65

70

Mill

ions

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3

2003 2004 2005 2006 2007

Active Online User Sites(By Quarter)

400

900

1400

1900

2400

2900

3400

3900

4400

3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3

2003 2004 2005 2006 2007

Immunizations – Reported Online

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

2000 2001 2002 2003 2004 2005 2006 2007Projected

Immunizations Reported by Electronic Data Import - 2006

Public Health 36%

Local Registries 26%

Providers, EMRs 6%

Medicaid, CHIP, Health Plans 32%

7.8 Million Immunizations

Reported

Immunization HistoriesGenerated Online (By Quarter)

0

50,000

100,000

150,000

200,000

250,000

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3

2002 2003 2004 2005 2006 2007

Health Plan Participation

35 health plans reporting >4 million immunizations added to

ImmTrac client records (2007) 23 immunization history request

files submitted by 8 health plans >27 million immunizations*

conveyed to health plans

*includes multiple requests

Senate Bill 204

Requires EMR vendors to include capability to interface with ImmTrac or generate electronic reports for data submission

Requires DSHS to define data exchange fields and standards compatible with national standards

Senate Bill 204 - Implementation

National standards have not yet been defined

Projected adoption in 2009 Rules and implementation will proceed

after national standards are adopted Working with EMR vendors to facilitate

reporting using current standards, new “Electronic Data Translation” technology and HL7 protocol

Senate Bill 11

Allows for affirmation of consent by a health care provider, birth registrar, regional health information exchange, or local immunization registry

Allows for inclusion of First Responders or immediate family members

Requires DSHS to educate First Responders about benefits of ImmTrac

Senate Bill 11

Provides for reporting of vaccine adverse events through ImmTrac

Allows for inclusion of information about persons who receive an immunization, antiviral or other medication to prepare for, or in response to, a disaster or emergency event

Senate Bill 11 – Implementation

Proposed Rules Interdepartmental Collaboration Technology design

Legal/Business/Budget requirements Technical Design Programming/IT coding and testing

Operational planning Educational/promotional planning

Senate Bill 11 – Timeline (Projected)

Nov/Dec 2007

Preliminary Stakeholder input on proposed Rules

Jan 2008 State Health Services Council Meeting

Feb/Mar 2008

Public comment period

Jun/Aug 2008

Rules effective dateRollout of new functionality

Initiatives

Refocus ImmTrac Provider Working Group (IPWG) Progress on IPWG recommendations Legislative action

Improve data quality Increase utilization of Registry data Technical enhancements

Ease-of-use Facilitate electronic reporting

For Additional Information:

Claude Longoria, ManagerImmTrac Group, Immunization Branch

Texas Department of State Health Services1100 W. 49th St.

Austin, TX 78756

Claude.Longoria@dshs.state.tx.usTel: (512) 458-7111 x6454

Fax: (512) 458-7790