USIIS Consumer Access June 2020 Jon Reid USIIS Program Manager jreidutahgov immunizeutahgov usiis Michael Perretta Team Docket michaelperrettahellodocketcom Overall Data Stats Utah Statewide Immunization Information System USIIS ID: 934475
Download Presentation The PPT/PDF document "HEALTHIEST PEOPLE | OPTIMIZE MEDICAID ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
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
Slide2Overall 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
Slide3System 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
Slide4Providers
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
Slide5Total Vaccines per Year
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Slide6Patient
Zipcodes
in USIIS
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Slide7Vaccines in USIIS
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Slide8Data Entry Methods
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Slide9Consumer 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
Slide10Consumer 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
Slide11State-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
Slide12Consumer Access to Immunization Records
Utah Department of Health
June 24, 2020
Slide13Jim Daniel, MPH
Margeaux Akazawa, MPH
Michael Perretta
Nathan Scott
Slide14IZ Gateway Portfolio
Slide15Project 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.
Slide16Human-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:
Slide17Launched May 2020
Immunization Gateway
Immunization (IZ)
Gateway
+ IIS
+ IIS
Slide18About
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
Slide19Immunization 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
Slide20Human-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
Slide21Identified
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
Slide22Utah 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
Slide23Utah Pilot – Initial Results
(May 4 - 29)
130 unique users
141 linked child records
53
linked adult records
200
official PDF reports generated (estimate)
Slide24Identity 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.
Slide25Development 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
Slide26Launched May 2020
Consumer Mediated Cross Jurisdictional Exchange
IZ Gateway
+ IIS
Slide27Buzz
Slide28Thank you
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Jon Reid
USIIS Program Manager
jreid@utah.gov
immunize.utah.gov/
usiis