Introduction & Traning for the PA-SIIS Web...
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PA-SIIS Update PA Department of Health Bureau of Health Statistics & Registries Kathy Till, RHIA PA SIIS Registry Specialist
Transcript of Introduction & Traning for the PA-SIIS Web...
PA-SIIS Update
PA Department of HealthBureau of Health Statistics & Registries
Kathy Till, RHIA
PA SIIS Registry Specialist
DisclosureI have no relevant financial
relationship with any proprietary entity producing, marketing, re-
selling, or distributing health care goods or services, used on, or
consumed by, patients.
Agenda
Background information
PA SIIS Implementation Types
Data Entry Challenges (HL7)
Meaningful Use (HL7 sites)
Background Information
PA-SIIS
Pennsylvania Statewide Immunization Information System
Background Information
The PA-SIIS is a statewide immunization registry and tracking system that serves the public health goal of reducing or eliminating vaccine preventable diseases. The PA-SIIS was developed to achieve complete and timely immunizations of individuals. Source: PASIIS Confidentiality Policy
Background Information
Use of Immunization Registry Data
The purpose of the PA-SIIS is to assist in deterring vaccine preventable diseases by collecting and tracking immunization histories through a shared network. Source: PASIIS Confidentiality Policy
Background InformationPA-SIIS
Internet based tracking system for immunizations
Population based (all ages)
Began in May of 2000
Software vendor (Avanza) since 2003
Background Information
Populated w/ PA birth records
(1996-2000)
Vital Events Registry populates PA-SIIS weekly
PA’s annual birth rate
• 143, 000/year
PA SIIS Implementation
Implementation Types-PA/AC Active Web & HL7 sites (Updating
patient records)
PA- 6396
AC – 1602 25%
PA SIIS Implementation
Implementation Types-PA/ACWeb Application sites -
PA- 771
AC – 567%
HL7/EHR sites –
PA - 5625
AC – 154627%
PA SIIS Implementation
Implementation status-PA/ACVFC ordering only (Inventory only) -
PA – 475
AC – 327%
Schools/Districts (View Only) –
PA 586/484
AC – 6211%
PA SIIS Implementation
Implementation status-PA/ACH1N1 sites – (2009-10) Currently Inactive
unless site has fully implemented SIIS via web application or HL7 interface
PA - 4,489
PA SIIS Implementation-PA
PA SIIS ImplementationPA vs Allegheny County (2015)
PA SIIS ImplementationAllegheny County
Large Groups: UPMC, AHN, Pediatric Alliance, Genesis Medical Associates, Preferred Primary Care Physicians, Heritage Valley Health System, Premier Medical Associates, UPMC CA Centers
PA SIIS ImplementationAllegheny County
Pharmacy Chains: Walgreens, Rite Aid, Sams Club, Walmart
IP Acute Facilities: UPMC (all including CHP), AHN-Forbes Regional, St Clair Hospital
IP facilities onboarding soon:
AGH (Nov 7, 2015)
OVH
PA SIIS Implementation
Immunization volume/Total (PA-March 2014)
Immunizations - 56,835,952
Patient Records - 7,124,025
PA SIIS Implementation
Immunization volume/Total
(PA-September 2015)
Immunizations – 68,568,437Patient Records – 8,692,789
PA SIIS Implementation
Immunization volume/Increase
(From March 2014 to September 2015)
Immunizations - 11,732,485Patient Records - 1,568,764
Immunization volume/Total(2014 vs 2015)
Patient Record volume/Total(2014 vs 2015)
PA SIIS Implementation
PAIIS Maturity rate Allegheny County and Statewide
(Excluding Philadelphia County)
Effective September 2015
PA SIIS Implementation
PAIIS Maturity rate
Definitions: Numerator: Total Number of Active Patients
in Geography and Age Group with 2 or more vaccines
Denominator: Total Number of Active Patients in Geography and Age Group
PA SIIS Implementation
PAIIS Maturity rate Under 19 YO
PA - 65.1%
AC - 76.9%
19 Years Old and Over
PA - 56.8%
AC - 65.9%
PA SIIS Implementation
Maturity rate
PA SIIS Implementation
Immunization volume/HL7
HL7 = Health Level 7
EHR Vendors – @ 25 implemented
Not all support bidirectional
PA SIIS Implementation
Immunization volume/HL7
PA - HL7 Transmissions/week = @ 131393 (Average)
AC - HL7 Transmissions/week = @ 27651 (Average)
21% from AC
PA SIIS Implementation
Immunization volume/HL7 - PA
HL7 (VXU=vaccine updates) Transmissions/week = @ 62579 (Average) 48%
HL7 (Queries) Transmissions/week = @ 68814 (Average) 52%
PA SIIS Implementation
Immunization volume/HL7 - AC
HL7 (VXU=vaccine updates) Transmissions/week = @ 5965 (Average)22%
HL7 (Queries) Transmissions/week = @ 21686 (Average)78%
PA SIIS Implementation Immunization volume/HL7 – PA vs AC
(Patient Summary) Vaccine History
ENT Column
Refers to how vaccination was entered into the PASIIS
A = Add History
G = Give Vaccine (link to Inventory)
U = Uploaded
ENT =HowEntered
A=Add History
G =Give Vaccine
ENT =HowEntered
U =Uploaded (HL7)
Data Entry Issues/challenges
Types of vaccines
Enter as administered
DTaP vs DTP vs Tdap
IPV vs OPV
Adult vs Child dose
Data Entry Issues/challenges
Combination vaccines
Enter as combination/not individually
DTaP-IPV-Hep B
DTaP-IPV-Hib
Hep B-Hib
Meaningful Use (HL7 sites)
Where did the term MU originate?
“The American Reinvestment & Recovery Act (ARRA) was enacted on February 17, 2009. ARRA includes many measures to modernize our nation's infrastructure, one of which is the Health Information Technology for Economic and Clinical Health (HITECH) Act. The HITECH Act supports the concept of Electronic Health Records.”Source: http://www.cdc.gov/ehrmeaningfuluse/
Meaningful Use (HL7 sites)
Meaningful use is using certified electronic health record (EHR) technology to:
• Improve quality, safety, efficiency, and reduce health disparities.
• Engage patients and family.
Meaningful Use (HL7 sites)
• Improve care coordination, and population and public health.
• Maintain privacy and security of patient health information.
Source: http://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives public health
Meaningful Use (HL7 sites)
3 stage Plan for providers to phase-in/Implement EHR technology
Stage 1 (Effective in 2010)
Data capture and sharing
Stage 2 (Effective 2013 for EH/2014 for EP)
Advance clinical processesSource: http://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives public health/
Source: http://www.cdc.gov/ehrmeaningfuluse/
Meaningful Use (HL7 sites)Stage 3 (Effective 2018)
Bidirectional function will be required for Stage 3 beginning in 2018 (2017 for early adopters*)
Improved outcomesSource: http://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives public health
*Source: Medicare and Medicaid Programs: Electronic Health Record Incentive Program --Stage 3 and Modifications to Meaningful Use in 2015 through 2017 -https://federalregister.gov/a/2015-25595
Meaningful Use (HL7 sites)
CMS/MA AuditsAudit Letter/period
Practice is certified with the PASIIS (not individual provider)
Contact Information
(W PA)/ [email protected]/ 412-209-6263
Bureau of Health Statistics and Registries
555 Walnut Street, 6th Floor
Harrisburg, PA 17101-1900
717-783-2548 (Harrisburg)
877-774-4748 (Toll Free)
