Immunization Information Systems (Registries) (IIS)

dIIS Home: https://www.cdc.gov/vaccines/programs/iis/index.html

Code Sets: https://www.cdc.gov/vaccines/programs/iis/code-sets.html

IIS Data Elements: https://www.cdc.gov/vaccines/programs/iis/core-data-elements/iis-func-stds.html

Graphic: https://www.cdc.gov/vaccines/programs/iis/downloads/basics-immun-info-sys-iis-508.pdf

GOAL

To be able to answer - or find out if, from the data partners are providing, we would be able to answer the following questions:

Did the patient get the vaccination at the health center? What vaccine and when?
If given elsewhere, is it validated by an external record? If so, what vaccine was given, when and where?
Does the patient report vaccination without a record of it being done? If so, what vaccine was given, when and where?
Was the patient offered the vaccination and declined?

Introductory Language for IIS/eCR Survey:

Thank you for all you are doing to combat the COVID pandemic and provide preventive health services for our nation's underserved!

NACHC has been inundated by requests from partners including the CDC, HRSA and even the Biden transition team to provide as specific as possible information about our public health infrastructure's readiness and the capacity of FQHCs and their partners to rapidly deploy the COVID vaccine to bend the curve of the pandemic. As our partners working on COVID vaccine deployment and tracking, we want to ask you what the current state of your immunization and public health reporting infrastructures and capacities are. This survey is designed to take less than 1 hour for a partner stakeholder with insight into the current state of immunization and public health reporting; however, we encourage you to provide as much detail or additional information as you choose to inform our national partners in the right approaches to breaking barriers and resourcing a successful COVID vaccination campaign. You can provide supplemental data in lieu or along with this survey: please email these to jskapik@nachc.com and sprice@nachc.com.

We are requesting completion of this survey by 12pm ET on January 29, 2021. We are grateful for your feedback and welcome any volunteers who would like to speak further on this topic with federal stakeholders in the space.

What is an IIS?

Who supports IIS and what are the reporting requirements?

CDC IIS resources
HRSA requirements

Where is my state IIS?

What is the opportunity to engage the IIS in AIM?

Improve UDS and other quality measure rates on vaccinations without additional effort
Reducing resource investments of redundant vaccines
Reduce care team LOE for follow up on needed immunizations
Reduce preventable illnesses in patients and their communities'

Workflow:

sample diagram

Worksheet for Partners:

1) Are you familiar with your state(s) IIS?

Name the states you see patients in:
Name the IIS you are working with:

2) What data do you send and how do you send it?

What systems does the data go from? EHR locally, pop health system, HCCN data warehouse, other
What data is sent? Patient identifiers, demographics, CVX or other codes, CPT
How is it sent? Automated from system above, manually entered, reports uploaded

How often? daily, weekly, etc

3) Describe the level of effort your organization expends into IIS reporting. Highlight challenges that cost the organization additional resources and barriers that are preventing successful data extraction and reporting.

4) Do you access data from IIS to verify or fill in data gaps at your centers?

How do you access it? individual person logs in, queries by patients of interest, bulk downloads, automated reports
How often do you do this?

5) What would you like to do to report immunizations and obtain records of immunizations from the IIS?