To protect the health and environment of all Kansans by promoting responsible choices. KSWebIZ: HL7 Users Group Meeting January 26, 2011

To protect the health and environment of all Kansans by promoting responsible choices.

KSWebIZ: HL7 Users Group Meeting

January 26, 2011


AgendaAgenda►Current StatusCurrent Status►CVX UpdatesCVX Updates

Intro of UF vs. NOSIntro of UF vs. NOS Retirement of CVX 15Retirement of CVX 15 Meningococcal vaccinesMeningococcal vaccines

►Data QualityData Quality Duplicate PatientsDuplicate Patients

►Upcoming reportsUpcoming reports



Private Provider live on KSWebIZ

LHD live through direct entry

LHD live through HL7 interface

KSWebIZ Providers as of December 31, 2010

Statistics:

• 264 total providers live:

•159 Private providers (5 interface, 23 non-VFC)

•105 Local Health Departments (53 Direct entry, 52 interface)


KSWebIZ Statistics as of KSWebIZ Statistics as of December 31, 2010December 31, 2010

►Number of Providers = 264Number of Providers = 264 Private =159 (5 interface, 23 Non VFC)Private =159 (5 interface, 23 Non VFC) Public =105 (53 direct entry, 52 interface)Public =105 (53 direct entry, 52 interface)

►Number of Patients = 1,792,399Number of Patients = 1,792,399►Number of Vaccinations = 14,778,855 Number of Vaccinations = 14,778,855


Patients by Updating UserPatients by Updating User


Vaccinations by Updating Vaccinations by Updating UserUser


CVX UpdatesCVX Updates

►Keeping up to dateKeeping up to date►Unspecified Formulation vs. NOSUnspecified Formulation vs. NOS►Retirement of CVX 15Retirement of CVX 15►Meningococcal vaccinesMeningococcal vaccines



CVX NumbersCVX Numbers► Important to keep up to dateImportant to keep up to date►CPT to CVX guideCPT to CVX guide

► http://www2a.cdc.gov/nip/IIS/IISStandards/vaccines.asp?rpt=cpthttp://www2a.cdc.gov/nip/IIS/IISStandards/vaccines.asp?rpt=cpt


CVX: Unspecified FormulationCVX: Unspecified Formulation►Term ‘Unspecified Formulation’ Term ‘Unspecified Formulation’

introduced to replaced ‘NOS’ aka Not introduced to replaced ‘NOS’ aka Not Otherwise SpecifiedOtherwise Specified

► ‘‘NOS’ has other meanings in HITNOS’ has other meanings in HIT Effort to harmonize medical terms for Effort to harmonize medical terms for

Health Information Exchange (HIE) purposesHealth Information Exchange (HIE) purposes

►CVX number remains the same, just the CVX number remains the same, just the description changes to ‘UF’description changes to ‘UF’ Note, ‘UF’ entries do not have a CPT codeNote, ‘UF’ entries do not have a CPT code


CVX: Retirement of CVX 15CVX: Retirement of CVX 15►CVX 15 (Influenza) is being retiredCVX 15 (Influenza) is being retired

OverusedOverused

►CVX 140 (Influenza, seasonal, Pfree)CVX 140 (Influenza, seasonal, Pfree) CPT 90654 CPT 90654 CPT 90655 – 6-35 monthsCPT 90655 – 6-35 months CPT 90656 – greater than 36 monthsCPT 90656 – greater than 36 months

►CVX 141 (Influenza, seasonal)CVX 141 (Influenza, seasonal) CPT 90657 - 6-35 monthsCPT 90657 - 6-35 months CPT 90658 – greater than 36 monthsCPT 90658 – greater than 36 months


Meningococcal CVX numbersMeningococcal CVX numbers

►New numbers have been added recentlyNew numbers have been added recently►Product names add to the confusionProduct names add to the confusion

Description CVX CPT Product Name

MCV4O 136 90734 Menveo

MCV4P 114 90734 Menactra

MPSV4 32 90733 Menomune

C conjugate 103 n/a

Unspecified Formulation

108 n/a n/a


Data QualityData Quality

► ImpactImpact►Duplicate PatientsDuplicate Patients

Upcoming reportsUpcoming reports

►Duplicate VaccinesDuplicate Vaccines



Data QualityData Quality

► Impact of poor data qualityImpact of poor data quality Costly to diagnose and assessCostly to diagnose and assess Costly to repairCostly to repair

►More KSWebIZ deduplication dazeMore KSWebIZ deduplication daze

Impacts quality of care & patient safetyImpacts quality of care & patient safety Erodes trust in system (KSWebIZ)Erodes trust in system (KSWebIZ)


Duplicate PatientsDuplicate Patients►Matching criteria:Matching criteria:

First & last nameFirst & last name DoBDoB SSNSSN

► If more than one match has been found:If more than one match has been found: GenderGender Middle nameMiddle name Alias nameAlias name Mother’s maiden nameMother’s maiden name Mother’s nameMother’s name



Cultural Surnames*Cultural Surnames*►Naming conventions for non-western Naming conventions for non-western

namesnames►Chinese typically written family name firstChinese typically written family name first

Yao Ming => Last name ‘Yao’ Yao Ming => Last name ‘Yao’

►Multiple family names (e.g. Hispanic)Multiple family names (e.g. Hispanic) Ricardo Gonzalez + Carmen Ramirez = RosaRicardo Gonzalez + Carmen Ramirez = Rosa Rosa Gonzalez Ramirez = okRosa Gonzalez Ramirez = ok Rosa Gonzalez = okRosa Gonzalez = ok Rosa Ramirez = not okayRosa Ramirez = not okay

* Privacy and Security Solutions for Interoperable Health Information Exchange* Privacy and Security Solutions for Interoperable Health Information Exchange


Bad SSNsBad SSNs► Impact of bad SSNsImpact of bad SSNs► Impact of not updating KSWebIZ with a Impact of not updating KSWebIZ with a

new SSNnew SSN Queries won’t find their matchQueries won’t find their match Remember to update KSWebIZ whenever Remember to update KSWebIZ whenever

any demographic information changesany demographic information changes


Duplicate Patients: Illustrated Duplicate Patients: Illustrated

Vital RecordsBart SimpsonDoB: 3/6/2003SSN: 123-45-6789HepB: 3/3/2003

Duplicate Patients: Illustrated Duplicate Patients: Illustrated

CHD BBart SimpsonDoB: 3/6/2003SSN:

CHD ABart SimpsonDoB: 3/6/2003SSN: 234-56-7890


Duplicate Patients: Now Duplicate Patients: Now What?What?

►Call the helpdeskCall the helpdesk►Data entry tipsData entry tips

Make sure SSN is the patient’sMake sure SSN is the patient’s Correctly spelled namesCorrectly spelled names

►Take into account special charactersTake into account special characters E.g. Hyphen, tilde, apostrophe, …E.g. Hyphen, tilde, apostrophe, …


KSWebIZ Dup PatientsKSWebIZ Dup Patients

►Donna Conley (Data Quality Guru)Donna Conley (Data Quality Guru) Always cleaning up duplicatesAlways cleaning up duplicates

►However, potential duplicate still at However, potential duplicate still at CHDCHD

►KSWebIZ fix needs to happen at CHD KSWebIZ fix needs to happen at CHD tootoo

►Duplicate reportDuplicate report


Example: Duplicate Patient Example: Duplicate Patient ReportReport


Example: Closer LookExample: Closer Look


Example: Duplicate Patient Example: Duplicate Patient ReportReport


Steps: Dup Patient ReportSteps: Dup Patient Report

1.1. KSWebIZ: Generate CHD reportKSWebIZ: Generate CHD report

2.2. KSWebIZ: Email password protected KSWebIZ: Email password protected zip filezip file

3.3. LHD: Refer to instructions for fixingLHD: Refer to instructions for fixing

4.4. LHD: Call / email Donna for questionsLHD: Call / email Donna for questions

► Initially just Vital Record duplicatesInitially just Vital Record duplicates


Duplicate VaccinesDuplicate Vaccines►Making sure your procedures are Making sure your procedures are

accurateaccurate E.g. Hibtiter vs. Hib PRP-T (aka ActHib)E.g. Hibtiter vs. Hib PRP-T (aka ActHib)


Duplicate Vaccines: Duplicate Vaccines: IllustratedIllustrated

Provider AKSWebIZ

Bart Simpson, Historical Hibtiter (CVX=47), DoS=6/13/2005,


LHD AKSWebIZ

Bart Simpson, Administered ActHib (CVX=48), Lot #=AA1234, DoS=6/13/2005

No duplicate created as the vaccine is from the same date and the same antigen family.


LHD A KSWebIZBart Simpson, Administered ActHib (CVX=48), Lot #=AA1234, DoS=6/13/2005

Bart Simpson, Historical Hibtiter (CVX=47), Lot #=AA1234, DoS=6/13/2005,

Bart Simpson, Historical Hibtiter (CVX=47), Lot #=AA1234, DoS=6/13/2005,

Duplicate created because CVX 47 not equal to CVX 48.


Duplicate Vaccines: Now Duplicate Vaccines: Now What?What?

► Immunization Hx Screen (SM-109)Immunization Hx Screen (SM-109)► If you are If you are notnot the administering LHD: the administering LHD:

Delete your history (ie. Accept the entry Delete your history (ie. Accept the entry from KSWebIZ)from KSWebIZ)

► If you If you areare the administering LHD: the administering LHD: Call KSWebIZ Helpdesk Call KSWebIZ Helpdesk


Questions?Questions?


Contact InformationContact Information

Mike McPhersonMike McPhersonKS IIS Interface CoordinatorKS IIS Interface Coordinator

Kansas Department of Health & EnvironmentKansas Department of Health & Environment

[email protected]

Donna ConleyDonna Conley

KSWebIZ Data Quality CoordinatorKSWebIZ Data Quality Coordinator

Kansas Department of Health & EnvironmentKansas Department of Health & Environment

785-296-2774785-296-2774

http://kdheks.gov/immunize/webiz.htmlhttp://kdheks.gov/immunize/webiz.html


Documents

To protect the health and environment of all Kansans by promoting responsible choices. KSWebIZ: HL7 Users Group Meeting January 26, 2011