REQUIREMENTS ANALYSIS:

Developing a Near-term Plan for Washington’s Statewide

Immunization Registry

Janna Halverson, Sherry Riddick, Belinda Baker

Intentions

• Describe the CHILD Profile system• Describe issues with the current system – leading to the requirements analysis work• Describe requirements analysis process• Describe findings• Describe next steps:

evaluate alternatives develop recommendation initiate work reassessment cycle

Brief History and Heading Forward

• 1993

• All Kids Count (King + Snohomish) with DOH support

• Strategic Planning – early 2000

• Governing Board – mid 2000

• DOH assumed responsibility on 1/1/02

Purpose

Provide the infrastructure to ensure Washington’s children receive preventive

health care services.

What’s the Infrastructure?

• Health Promotion System Parent reminders of well-child care and immunizations and other important parenting information

• Immunization Registry Central repository for public and private providers’ use in protecting the public through the control of vaccine preventable disease

Vision

A fully populated system which is the primary means for communicating public health messages to parents and fostering

up-to-date immunization status.

Goals

• By June 30, 2004, increase to 90% the proportion of parents with young children (ages birth to 6 years, born in WA State) sent the CHILD Profile health promotion materials.

• By June 30, 2006, increase to 95% the proportion of children who participate in CHILD Profile’s fully operational, population-based immunization registry.  

Issues with Current System

• Need a plan to meet the NIP Functional Standards

• Too much effort and funding is being put into maintaining and supporting the network

• Technology budget fluctuates

• Very costly to build our own secured, HIPAA-compliant environment

• Supporting many system access methods

Issues with Current System

• Text-based application is antiquated

• Varying functionality between the text-based application and the web application

• Varying provider/plan understanding of the functionality

Requirements Analysis Process

• Interviews/surveys with providers, plans, LHJs and DOH Immunization Program

• Evaluation of current system functionality What are the unmet needs? How are they affecting stakeholders? What is the priority of each need?

• Comparison of current system functionality with requirements and user needs

Findings from Requirements Analysis

• Technical findings regarding current scope

• Planning issues Vaccine accountability WIC linkage Bioterrorism

• Communication, training, perceptions

• Policy

Findings

• Fully web-functional

• Increased quantity and quality of immunization history

Improved de-duplication methods Improved integration with health plans and practice management software

• Tracking of primary care provider

• Improved VFC status tracking

• Improved CASA extracts

Findings

• Establish vaccine inventory management Integration with VACMAN for orders and distribution Provider inventory management capability

• Linkage with the WIC system (CIMS)

• Establish an ongoing registry user’s group

• Institute a process for assessing stakeholder requirements on a regular basis

Next Steps

• Evaluate alternatives

• Recommendations

• Select approach (DOH decision making)

• Initiate work

• Evolve

Evaluate Alternatives

• Use the assessment of the existing system as a baseline for evaluating other alternatives

• Evaluate/compare three alternate strategies Continued modification and enhancement of the existing system Development of a new system Purchase off-the-shelf

Criteria for Evaluating Alternatives

• Ability to meet defined functional requirements

• Feasibility of infrastructure requirements

• Cost/Benefit (tangible and intangible)

• Risk

• Migration issues

• System limitations

Evolve