New York State
Immunization Information
System
Update for
AAP Vaccine Summit
May 2010
Key Statistics
 As of May 1, 2010:
 3.1 million patients
 36.4 million immunizations
 9,200+ individual users
 3,100+ health care provider organizations
 1,500+ schools
 78.7% of NYS children (outside of NYC)
less than 6 years of age have 2 or more
shots in NYSIIS
Provider Participation in NYSIIS
By Month, January 2009 – May 2010
90
Percent of Known Providers
Participating in NYSIIS
85
80
75
70
65
60
Percent of Children Less Than 6 Years of Age
with Two or More Shots in NYSIIS*
New York State (Outside of New York City)
100
Percent Participating**
90
80
72.4
70
56.2
60
59.6
63.7
78.7
76.0 78.2
67.8
50.8
50
43.3
40
30
32.2
21.2
36.6
23.9 24.0
20
10
0
Jan08
Mar08 May08
Jul08
Sep08 Nov08
Jan09
Mar09 May09
Jul09
Sep09 Nov09
Jan10
Mar10
Apr10
Month
*New York State Immunization Information System
**Based on Claritas population estimates for 2008 (Jan08-Nov08) and 2009 (Jan09-present).
05/03/2010
2009 NYSIIS Saturation Rates* by Region
Children < 6 with 2+ Shots
86.0%
90.4%
87.3%
87.3 %
Western Region
55.7%
Finger Lakes Region
Central New York Region
Capital District Region
Total Upstate
78.7%
52.2%
Lower Hudson
Long Island
*Based on 2009 Claritas population estimates.
Updated 05/03/2010
Counties
Reaching
95%+:
Broome
Cortland
Genesee
Hamilton
Onondaga
Saratoga
Warren
Washington
Wayne
SUPPORTING H1N1 RESPONSE
 Doses administered reporting (age groups and
priority groups)
 Required for children less than 19 years of age
 Encouraged for adults (written consent needed, waived for
public health clinics)
 Cross walked NYSIIS org id to H1N1 PIN for vaccine
accountability
 Successful use of inventory tracking module by 500+
practices
 Doses wasted, expired, recalled
 Successful use of reminder-recall feature especially
with identifying children less than 10 years of age who
required 2nd dose
SUPPORTING H1N1 RESPONSE
 Public clinic data load (PODs)
 All files have been transferred, rejected records are
being corrected by local health departments
 Adverse event monitoring
 Exchanged info with 3 health plans (Aetna, Cigna,
Humana) to compare immunization history to health
care utilization data to monitor potential adverse
events (miscarriages, GBS).
 Evaluation project
 Did different vaccination strategies in counties
impact H1N1 immunization coverage rates in
children?
NYSIIS and H1N1
As of May 11, 2010:

852,944 H1N1 doses administered have been
reported to NYSIIS by 1,831 practices.

51.7% of the 1,648,857 total doses reported to
all NYSDOH systems (IVR, online, CDMS, etc.)

A vast majority (82%) are children and young
adults 6 months through 24 years of age.

45.1% of children 6 months through 9 years of
age with one H1N1 dose reported to NYSIIS also
have the recommended second dose also
recorded in NYSIIS.
Electronic Data Exchange
Vendors and Providers (as of 5/1/10)
• Data export files are being accepted from vendors/providers
using electronic medical record (EMR) or billing systems.
• LIVE: 50 vendors serving 350+practices
(+46 practices using in house systems)
• An additional 22 vendors are testing or in progress.
• A complete list of vendors currently working
with NYSIIS is available on the NYSDOH public web site at:
https://commerce.health.state.ny.us/hpn/bcdc/immunization
/nysiis_data_transfer_specs.html
• Early efforts underway to implement HL-7 version 2.5.
Organizational Extracts
 New feature being tested
 Outbound files (NYSIIS to Provider)
 For providers who are manually using NYSIIS
and are moving to an EMR, a file can be
extracted from NYSIIS for possible loading into
the new EMR software.
Bi-directional Interfacing
 Child Health Information Integration (CHI2)
 Much bigger than NYSIIS!
 Bi-directional real-time exchange between providers
and NYSDOH is ultimate goal
 ARRA funds (through Medicaid program)
accelerating work on a universal public health node
to connect internal and external systems together



NYSIIS is a pilot program to connect to UPHN
RHIOs will also connect to node
EMR systems connected to RHIOs now linked to NYSDOH
 Will be an ADDITIONAL method for providers to
connect to NYSIIS (current connections not touched)
Data Quality
 Patient address is critical
 For data entry users: Complete patient address
should be recorded, including COUNTY
 For data exchangers: verify data is being sent and
stored correctly. Problems should be reported to
your vendor.
Data Quality
 Completeness: H1N1 doses administered still
being reviewed
 Expecting 100% compliance!
 Manufacturer and Lot number – important for
vaccine recall, safety issues
Data Quality
 VFC Reporting
 VFC program is using NYSIIS in verifying shots
administered.
 Data exchangers should verify that VFC eligibility is
being sent and stored correctly
AND
practice is identified as owning the shots you
administer (i.e. not being sent as historical).
 If VFC eligibility is not being sent, or is being stored
incorrectly, your VFC reports are NOT VALID.
 Any problems should be reported to your vendor
and NYSIIS staff.
System Modifications
 NYSIIS releases 1.5.0, 1.5.1, 1.5.2 and 1.5.3 were
successfully completed in October, December,
February and April. The releases included:
 Countermeasure and Response Administration
(CRA) module to support H1N1 response.
 Scheduler updates to accommodate new
vaccines, age range changes, and prevent
conflicts among live viruses.
 VFC eligibility tracking and reporting
enhancements.
Upcoming Releases
 Release 1.6 (Clinical) – May 2010
 Add new vaccines and modify schedules as
appropriate for Hiberix, Cervarix, and Prevnar13.
 Update HPV schedule for age and adjacent dose
rules
 Include HPV series for males (Gardasil only)
 Release 2.0 Lead – July 2010
 Lead user interface module, historical data
upload from LeadWeb
 Phase 3 (reports and prompts) to follow later
NYSIIS Training by Modality
December 2007 - Present
400
Number of Participants Trained
350
300
250
200
150
100
50
0
Classroom
Live Webinar
Recorded Webinar
Online Tutorials
Onsite
2010 TRAINING PLAN






Outreach by HP (formerly EDS) staff
 Phone contact at the county level
 Contact Providers
 Increased onsite trainings (key strategy)
 Org-specific webinars
Classroom sessions (heavy Downstate)
Webinars (live and recorded)
Online Self-Guided Tutorials
Ask The Trainer Webinar
Newly revised user manual released January 2010
2010 Webinar Schedule
 Register at: http://nysdoh.webex.com
 Live instructor led sessions scheduled
approximately once a week.



Standard User
Combined Standard/Administrator User
Advanced Reports
 Previously recorded sessions available on
demand.




Beginning User (Standard & Combined)
AFIX-CoCASA
School Access User
Standard User for Pharmacy
ON-LINE SELF-GUIDED TUTORIALS
 13 modules posted on NYSIIS Training Page in
Health Commerce System:
https://commerce.health.state.ny.us/hpn/bcdc/immuniz
ation/training_info.html

NEWEST MODULES - Advanced Reports:



Ad Hoc lists and counts
Benchmark
Assessment
ASK THE TRAINER
 This open forum webinar was designed to allow
NYSIIS users to bring their questions to the NYSIIS
trainers for one-on-one resolutions.
 Last Friday Each Month at 11:30-12:30
http://nysdoh.webex.com – click “Training Center”
Select “Ask the Trainer: NYSIIS Noon Time Webinar”
Enter Name and Email
Enter Session Password: train10
COMMUNICATIONS
 NYSIIS News –distributed electronically in March
2010
 NYSIIS application announcements and blast email
distributions
 Important vaccine specific and general
immunization related information
 Maintenance/outage notices
 Training/user group reminders
 NYSIIS tips of the month
Program Linkages and Future Priorities
Program Linkages
 WIR Consortium – continued code sharing with
various projects, especially Oregon
 Enhanced immunization evaluator (scheduler)
 Data exchange file interacting with inventory module
 Health Insurance Plans – query only
capability to support QUARR and HEDIS reporting
 Inter-state data sharing agreement
 Template under final revisions
Future Priorities - 2010
 Commissioner’s Prevention Agenda
http://www.nyhealth.gov/prevention/prevention_agenda/
 American Recovery and Reinvestment Act
(ARRA) aka “Stimulus Funding”
 Disaster recovery server
 Integrated immunization support visits
 NYSIIS enhancements
 Bi-directional interfacing
Help Desks
 Commerce Accounts Management Unit (CAMU) Help Desk
 For HPN access or account issues
 (866) 529-1890
or
hinhpn@health.state.ny.us
 NYSIIS Technical Help Desk
 For NYSIIS user access or questions on how to use the
system
 (866) 389-0371
or
nysiishelpdesk@hp.com
 NYSIIS staff
 For general program or policy questions
 (518) 473-2839
or
nysiis@health.state.ny.us
 Growing Up Healthy Hotline
 For parents/public
 1-800-522-5006
Q&A
(518) 473-2839
nysiis@health.state.ny.us