HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION - PowerPoint Presentation

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HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

USIIS Consumer Access

June 2020

Jon Reid

USIIS Program Managerjreid@utah.gov

immunize.utah.gov/usiis

Michael Perretta

Team Docket

michael.perretta@hellodocket.com

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Overall Data Stats

Utah Statewide Immunization Information System (USIIS)

Created in 1996

Opt-out system

Contains all ages

Voluntary participations by providers

VFC immunizations must be reported

Pharmacies required by DOPL Vaccine Administration Protocol

Total Identities: 5,176,289

Total Vaccine records (2000-2020): 49,942,692 Providers: 3163

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

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System Integrations

Integrated with state and private health systems

Import data from Vital Records (Birth/Death)

Link data with

EpiTrax

(communicable disease surveillance)

Link to refugee health system

Uni-directional interfaces setup with majority of health systems/clinics

Allows for single entry of immunization

EHR submits data to USIISBi-directional interfaces

EHR requests vaccine data from USIISAllows healthcare provider to access real-time immunization data and vaccine forecasts at point of careProviders stays in EHR, no secondary login

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

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Providers

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

Provider Type

Count

Charter School

131

Daycare

266

EHR Vendor

35

FQHC / RHC / CHC

68

HeadStart

37

Health Maintenance Organization

9

Hospital

57

Indian Health Service

20

Interface Vendor

12

Local Health Department

54

Long Term Care/Nursing Care/Home Care

103

Other Early Childhood Program

46

Other Public

71

Pharmacy

542

Private Provider

866

Private School

62

Public School

732

School District

43

Unknown Provider

7

Vital Records

1

WIC

1

Total

3163

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Total Vaccines per Year

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

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Patient

Zipcodes

in USIIS

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

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Vaccines in USIIS

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

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Data Entry Methods

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

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Consumer Access

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

Enable individual to access own immunization record

Current Method:

Request record from healthcare provider

Request record from school/LHD

Submit notarized form to UDOH

Future Method:

Utah citizen portal (required under 63F-3-103)

USIIS Personal Immunization Portal

Mobile phone apps

Partnered with Docket.care (docket.care) and HHS

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Consumer Access

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

Benefits:

Inform individuals of immunization status

Track due dates

Get alerts/notifications when due

Access recommendations and guidelines

Educate on shared decision vaccines (

MenB

, PCV, HPV)

Help improve reporting from providersLink to disease surveillance

Get notified when vaccine preventable outbreak occurs in your area

Help alert when vaccine is available (COVID, Flu)

Access school immunization record

Reduce burden on LHDs/Healthcare providers

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State-State Sharing

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

IZGateway

Utilize bi-directional APHL hub

Allow sending out of state immunization records to state of residence

Allow query of other state IIS for immunization records

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Consumer Access to Immunization Records

Utah Department of Health

June 24, 2020

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Jim Daniel, MPH

Margeaux Akazawa, MPH

Michael Perretta

Nathan Scott

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IZ Gateway Portfolio

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Project Goals

Support individual and family member access

to immunization data held in Immunization Information Systems (IIS)

Use innovative tools

that are already in use to manage health (e.g. PHRs, digital health apps, etc.)Apply human-centered design

to understand consumer’s needs and design solutions with and for them.

Create an intuitive user experience

directly informed by diverse groups of stakeholders and through iterative testing with end users.

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Human-centered Design (HCD) Partners

Project is supported by the Department of Health and Human Services (HHS) Office of the Chief Technology Officer (CTO) and the Centers for Medicare and Medicaid Services (CMS)

Current project partners:

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Launched May 2020

Immunization Gateway

Immunization (IZ)

Gateway

+ IIS

+ IIS

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About

Docket is a digital health company working to give consumers control of their health data.

Consumer access to immunization records

Health screening and QR code data transfer

Appointment reminder text messaging

First Place –

ONC’s Move Health Data Forward Challenge

HL7 FHIR

®

, OAuth 2.0, User-managed accessApple Health and Google Fit integration

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Immunization Records in a Snap

Docket makes it easier for consumers to

access, manage, and share

personal and family immunization records.

Access your official immunization certificatesKeep track of upcoming and overdue shots

Review past immunizations

Download the

free

mobile app

Optional Google loginIdentify verification

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Human-centered Design Methodology

Focus:

User experience and usability, features, identity proofing, terminology

12 low- and hi-resolution design iterations

Online webinars, in-person interviews, and interactive prototypes100+ stakeholder interviewsConsumers, clinicians, school nurses, public health, and technologists

4 in-person design trips

Washington, DC </> Salt Lake City, UT

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Identified

4 themes from our low and hi-res iterations:

Identity ProofingNeed

a multi-layered approach to identity proofing that was not burdensome to consumers 

AccessibilityNeed to clearly portray immunization concepts in language and ways that consumers understand.  Need to support multiple languages, particularly Spanish, and multiple platforms (iOS and Android)UsabilityMake changes to the app interface for a more seamless user experience, including approach to manage dependents from a single panel 

Sharing

Need various means to share information for a variety of use cases, including sharing information across states

“

I like that I have all my records at my fingertips.”

~ Father of 2 young children, Utah user-testing

What we Learned

“

I like that I can keep control of everything.”

~ Mother of 2 older children, Utah user-testing

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Utah Pilot – Overview

Launched pilot on

May 4

th, 2020

Initial pilot launch: Partnered with the Utah School Nurse Association

Email distribution to targeted group: 646 parents of rising 7

th

graders in Salt Lake City School District

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Utah Pilot – Initial Results

(May 4 - 29)

130 unique users 

141 linked child records 

53

linked adult records

200

official PDF reports generated (estimate)

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Identity Verification

Scenario A:

User’s basic info (first, last names, DOB, sex)

and verified cellphone number match IIS records

(~60% of matched records)

Scenario B:

User’s basic info matches IIS records, but

not

verified cellphone number

(~30% of matched records)

Docket sends PIN to any alternate contacts on file with the IISScenario C: User receives PIN from their official immunization certificate for one-time verification (

~10% of matched records)

Note:

workflows are customizable for different states.

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Development Roadmap

Complete:

Immunization records for iOS

Optional Google login

Two-factor cellphone authentication Multiple identity verification workflowsAbility to add family members

Ability to share PDF immunization certificatesAlerts for upcoming and overdue shots

CDC vaccine information statements

“Slot machine” refresh

Integration Complete

Docket <> IZ Gateway <> Utah

iOS Launch – SLC School DistrictMay 2020Spanish Versions –

iOS, Android

ETA August 2020

Additional State Connections

2021 Project Year

Cross-jurisdictional Exchange

2021 Project Year

Android Development In-progress

ETA July 2020

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Launched May 2020

Consumer Mediated Cross Jurisdictional Exchange

IZ Gateway

+ IIS

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Buzz

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Thank you

HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION

Jon Reid

USIIS Program Manager

jreid@utah.gov

immunize.utah.gov/

usiis