Philadelphia KIDS Plus IISMid-Atlantic Health Care Informatics Symposium

Lisa McKeown, MPHApril 25, 2014

KIDS Plus Background1993 Robert Wood Johnson Foundation

fundingBoard of Health regulation and expansion

Requires all vaccines administered in Philadelphia to be reported to KIDS Plus.

0-7 years2007: 0-18 expansion2009: 0-18, 18+ adults

Complete system upgrades 2006 & 2012

Snapshot of KIDS PlusAs of January 1, 2014

930,727 Philadelphia residents

11,650,940 doses of vaccine

277,037 patients with 20+ vaccines

1,240 active providers

Individuals with:

2013

1 vaccination 255,709

1 Flu vaccination

140,931

20+ vaccinations

277,037

Total individuals 930,727

Number of Vaccines per Patient*

*As of January 1, 2013

Snapshot of KIDS PlusVaccine Doses in KIDS Plus by Year of Administration

9,570,316 Total Doses

KIDS Plus IIS Reporting• Data collection:

• HL7 Interface – Currently supports HL7 versions 2.3.1 and 2.5.1

• Billing or EMR delimited files• Direct entry• Paper logs

Methods of transport: • Batch messaging to sFTP• Real-time unidirectional and bidirectional via

SOAP web services.

KIDS Plus IIS ReportingNumber of Vaccinations by Reporting Method in 2012-2013

Number of Vaccinations by Reporting Method in 2013-2014

IIS Meaningful Use Stages

*HL7 2.5.1 – ONC specifically references Implementation Guide v. 1.4, see ONC Final Rule Federal Register Vol. 77, No. 171, p. 54240

Stage One Stage TwoIIS Submission IIS submission is a “menu option” IIS submission is a “core” measure

SustainabilityTest message to IIS; ongoing submission if successful/possible “Successful ongoing submission”

“Dummy” data permitted for test“Actual patient data is required” for ongoing submission

HL7 Version HL7 2.3.1 or 2.5.1 HL7 2.5.1 only * (including Stage 1 in 2014)

Transport Transport not specifiedTransport as specified by Local Health Agency (LHA)

AuditProvider attests to having made a test; may be audited but no documentation prescribed

Provider attests to ongoing submission; proof of submission provided by LHA

EHR – KIDS Plus IIS Integration – WHY?• Ensures complete, accurate and timely

immunization • Quick access to consolidated patient

information• Provides access to up-to-date vaccination

information to other health care providers and institutions such as schools

• Benefits for clinicians – time savings• Prevents over and under immunizing patients

Improvement in Timeliness

Future plans• HL7 v.2.5.1 upgrades to current interfaces• Meaningful Use Stage 2 - In-patient hospitals• Employee Health & Pharmacy Data Exchange data with Pennsylvania Statewide

Immunization Information System (PA-SIIS) Meaningful use stage 3 - Real-time bidirectional

exchange

Thank YouLisa McKeown, MPHLisa.McKeown@phila.gov215-685-6468