New Mexico Immunization Information
System Interoperability Project
December 05, 2012
Closeout Phase
Presenters: Kevin Bersell, Rand Tilton, & Terry Reusser
Project Background
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Enhancement to the New Mexico Statewide
Immunization Information System (NMSIIS)
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Allow Provider Electronic Health Records (EHR)
systems to electronically submit immunization data to
NMSIIS
Reduce keying errors for manually entering
immunizations and reduce time for reporting
immunizations
Funded by CDC Grant
Immunizations Improve Health Outcomes
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Improve data quality, quantity and timeliness
Decrease the number of children that receive too many
or too few immunizations
Certification History
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Project Initiation and Planning, August 24, 2011,
$262,500
Project Implementation , October 26, 2011, $795,300
Total amount $1,057,800
Project Highlights
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Project Phase Certification Request: Closeout
Project Start Date: January 2011
Project End Date: December 2012
Total project value: $1,057,800
Total expended to date: $773,264
Planning Phase Activities
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Vendor contract negotiated
IV&V contract negotiated
Continue proof of concept by testing HL7 messages
and interfaces
Detailed Schedule, Budget and Communication Plans
completed
Resources identified and committed
Implementation Phase
Activities
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Interface with 6 pilot sites
Upgrade NMSIIS to HL7 2.5.1 and then build a web
services framework for fully automated Bidirectional
data exchange with the 6 pilot sites
Execute IV&V Contract
Execute NMSIIS vendor contract amendment
Execute Contract with Lovelace Clinical Foundation
Document testing procedures leading up to future
data exchange efforts with the ~1,100 immunization
providers across the state
Close Out Phase Activities
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Develop transition document defining the roles and
process for project transition to operations.
Establish document library to archive all project
documents.
Develop Application Support Plan
No additional funding approval requested.
Project Achievements
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Business Objectives
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Goal: 40% of all immunization administered statewide will
be captured by the registry via Health Level 7 (HL7)
interfaces
Outcome: Project resulted in 11% of all immunizations
electronically entered into NMSIIS. Project was not
successful in recruiting all the high volume providers it had
anticipated. In addition the volume of immunizations has
increased by 50% since the beginning of project.
Goal: Increase revenue recovery by enhancing tracking of
immunization across the state.
Outcome: Infrastructure is in place to capture and report
insurance information
Project Achievements
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Goal: Reduce errors by reducing manual and redundant
data entry, and improve efficiency by automating
immunization data entry and retrieval, with real time
bidirectional interfaces between immunization provider EHR
systems and the NMSIIS system.
Outcome: Accomplished. Six providers were able to
eliminate manual data entry and to efficiently submit data
electronically.
Goal: Help immunization providers meet meaningful use
Outcome: Accomplished. Gave providers ability to attest to
Immunization Registry use. Provided resources to enhance
NMHIT.org for MU and IIS use.
Project Achievements
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Goal: Overall, improve health outcomes by increasing
immunization rates and reduce over immunizing
Outcome: Accomplished. Data Exchange information is a
critical component of an overall increase in immunization
reporting and improved immunization rates.
Project Achievements
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Technical Objectives
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Goal: The NMSIIS interoperability project will interface with
immunization providers to attain a one directional feed of
doses administered into the NMSIIS registry
Outcome: Accomplished. 6 providers are submitting data
via one-way interface.
Goal: By 2012 send bidirectional message, so immunization
providers can view, from within their EHR system, the
immunization history of a client prior to administering
additional immunizations.
Outcome: Proof of concept completed. Awaiting provider to
use in production.
Project Achievements
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Goal: Reduce errors by reducing manual and redundant
data entry, and improve efficiency by automating
immunization data entry and retrieval
Outcome: Accomplished. Six providers were able to end
manual and redundant data entry, and improve efficiency.
Goal: Drive compliance to the Health Information
Technology for Economic and Clinical Health (HITECH) Act
by helping immunization providers satisfy meaningful use
criteria.
Outcome: Accomplished. Gave providers ability to attest to
Immunization Registry use. Provided resources to enhance
NMHIT.org for MU and IIS use.
Lessons Learned
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Working in a consortium with other States has
benefits and drawbacks
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Benefits: leveraging other state’s experience, reduced cost
Drawbacks: dependent on other state’s schedules, vendor
desire to move on to next state.
It’s hard to predict EHR vendor abilities without
objective measures
Manage Supplier quality control of specifications,
timeline, and overextension with other customer
commitments.
Lessons Learned
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Executive management support and resource
allocation, excellent working relationship with
Operations and ITSD staffs.
Value of being open to alternative solutions
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Rhapsody solution reduced API costs with increased
flexibility
Questions?
Appendix
EHR-IIS FOA Performance Measurement
Milestone Checklist
Milestone 1: Establish grant staffing and contracts needed for the grant.
Completed
Milestone 2: Datamart in NMSIIS is operational
Milestone 3: Data Quality issues with NMSIIS are addressed
Milestone 3a: Complete demographics for all providers in state
Milestone 4: NMSIIS HL7 Interface is operational and receiving test data
accurately
Milestone 5: Establish working relationship with participating providers
Milestone 6: Conduct pre-implementation survey with participating
providers
Milestone 7: Each participating provider’s EHR system has ability to meet
national standards for HIT interoperability.
Completed
Completed
Completed
Completed
Milestone 8: Establish baseline measures for all participating providers
Completed
Milestone 9: Build an interface between NMSIIS and the NMHIC HIE
network and demonstrate routing and population of information into
NMSIIS through the HIE network.
Milestone 10: Build a direct interface between NMSIIS and a select IHS
clinic.
Milestone 11: Build or enhance interfaces to Presbyterian Healthcare
Services and demonstrate the ability to transfer immunization records to
NMSIIS through the HIE.
Milestone 12: Build or enhance interfaces to and Taos Clinic for Children
& Youth and demonstrate the ability to transfer immunization records to
NMSIIS through either direct interface or via the HIE.
Completed
Completed
Completed
Completed
In Progress
Completed
EHR-IIS FOA Performance Measurement
Milestone Checklist
Milestone 13: Build or enhance NMHIC interfaces to After Hours Pediatrics
and demonstrate the ability to transfer immunization records to NMSIIS
through either direct interface or via the HIE.
Milestone 14: Build or enhance interfaces to BCA Pediatrics and
demonstrate the ability to transfer immunization records to NMSIIS
through either direct interface or via the HIE.
Milestone 15: Build or enhance interfaces to New Mexico IHS facilities and
demonstrate the ability to transfer immunization records to NMSIIS
through either direct interface or via the HIE.
Milestone 16: Build or enhance NMHIC interfaces to ABQ Health Partners
and demonstrate the ability to transfer immunization records to NMSIIS
through either direct interface or via the HIE.
Milestone 17: Build or enhance interfaces to all New Mexico DOH clinics
and demonstrate the ability to transfer immunization records to NMSIIS
through either direct interface or via the HIE.
Milestone 18: Implementation of NMSIIS HL7 2.5.1 interface – for
INBOUND data
Milestone 19: Implementation of NMSIIS HL7 2.5.1 interface – for
OUTBOUND data
Milestone 20: Implement bi-directional data exchange from NMSIIS back
to providers
Milestone 21: Finalize sustainability Plan
Milestone 22: Performance measure reporting
Milestone 23: Post-implementation provider survey
Completed
Completed
Completed
Completed
Completed
Completed
Completed