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Technological and Organizational Context around Immunization Reporting and Interoperability in Minnesota
Background: Immunization information systems (IIS) operate in an evolving health care landscape with technology changes driven by initiatives such as the Centers for Medicare and Medicaid Services EHR incentive program, promoting adoption and use of electronic health record (EHR) systems, including...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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University of Illinois at Chicago Library
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292531/ https://www.ncbi.nlm.nih.gov/pubmed/25598866 http://dx.doi.org/10.5210/ojphi.v6i3.5587 |
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author | Rajamani, Sripriya Roche, Erin Soderberg, Karen Bieringer, Aaron |
author_facet | Rajamani, Sripriya Roche, Erin Soderberg, Karen Bieringer, Aaron |
author_sort | Rajamani, Sripriya |
collection | PubMed |
description | Background: Immunization information systems (IIS) operate in an evolving health care landscape with technology changes driven by initiatives such as the Centers for Medicare and Medicaid Services EHR incentive program, promoting adoption and use of electronic health record (EHR) systems, including standards-based public health reporting. There is flux in organizational affiliations to support models such as accountable care organizations (ACO). These impact institutional structure of how reporting of immunizations occurs and the methods adopted. Objectives: To evaluate the technical and organizational characteristics of healthcare provider reporting of immunizations to public health in Minnesota and to assess the adoption of standardized codes, formats and transport. Methods: Data on organizations and reporting status was obtained from Minnesota IIS (Minnesota Immunization Information Connection: MIIC) by collating information from existing lists, specialized queries and review of annual reports. EHR adoption data of clinics was obtained in collaboration with informatics office supporting the Minnesota e-Health Initiative. These data from various sources were merged, checked for quality to create a current state assessment of immunization reporting and results validated with subject matter experts. Results: Standards-based reporting of immunizations to MIIC increased to 708 sites over the last 3 years. A growth in automated real-time reporting occurred in 2013 with 143 new sites adopting the method. Though the uptake of message standards (HL7) has increased, the adoption of current version of HL7 and web services transport remains low. The EHR landscape is dominated by a single vendor (used by 40% of clinics) in the state. There is trend towards centralized reporting of immunizations with an organizational unit reporting for many sites ranging from 4 to 140 sites. Conclusion: High EHR adoption in Minnesota, predominance of a vendor in the market, and centralized reporting models present opportunities for better interoperability and also adaptation of strategies to fit this landscape. It is essential for IIS managers to have a good understanding of their constituent landscape for technical assistance and program planning purposes. |
format | Online Article Text |
id | pubmed-4292531 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | University of Illinois at Chicago Library |
record_format | MEDLINE/PubMed |
spelling | pubmed-42925312015-01-16 Technological and Organizational Context around Immunization Reporting and Interoperability in Minnesota Rajamani, Sripriya Roche, Erin Soderberg, Karen Bieringer, Aaron Online J Public Health Inform Research Article Background: Immunization information systems (IIS) operate in an evolving health care landscape with technology changes driven by initiatives such as the Centers for Medicare and Medicaid Services EHR incentive program, promoting adoption and use of electronic health record (EHR) systems, including standards-based public health reporting. There is flux in organizational affiliations to support models such as accountable care organizations (ACO). These impact institutional structure of how reporting of immunizations occurs and the methods adopted. Objectives: To evaluate the technical and organizational characteristics of healthcare provider reporting of immunizations to public health in Minnesota and to assess the adoption of standardized codes, formats and transport. Methods: Data on organizations and reporting status was obtained from Minnesota IIS (Minnesota Immunization Information Connection: MIIC) by collating information from existing lists, specialized queries and review of annual reports. EHR adoption data of clinics was obtained in collaboration with informatics office supporting the Minnesota e-Health Initiative. These data from various sources were merged, checked for quality to create a current state assessment of immunization reporting and results validated with subject matter experts. Results: Standards-based reporting of immunizations to MIIC increased to 708 sites over the last 3 years. A growth in automated real-time reporting occurred in 2013 with 143 new sites adopting the method. Though the uptake of message standards (HL7) has increased, the adoption of current version of HL7 and web services transport remains low. The EHR landscape is dominated by a single vendor (used by 40% of clinics) in the state. There is trend towards centralized reporting of immunizations with an organizational unit reporting for many sites ranging from 4 to 140 sites. Conclusion: High EHR adoption in Minnesota, predominance of a vendor in the market, and centralized reporting models present opportunities for better interoperability and also adaptation of strategies to fit this landscape. It is essential for IIS managers to have a good understanding of their constituent landscape for technical assistance and program planning purposes. University of Illinois at Chicago Library 2014-12-15 /pmc/articles/PMC4292531/ /pubmed/25598866 http://dx.doi.org/10.5210/ojphi.v6i3.5587 Text en This is an Open Access article. Authors own copyright of their articles appearing in the Online Journal of Public Health Informatics. Readers may copy articles without permission of the copyright owner(s), as long as the author and OJPHI are acknowledged in the copy and the copy is used for educational, not-for-profit purposes. |
spellingShingle | Research Article Rajamani, Sripriya Roche, Erin Soderberg, Karen Bieringer, Aaron Technological and Organizational Context around Immunization Reporting and Interoperability in Minnesota |
title | Technological and Organizational Context around Immunization
Reporting and Interoperability in Minnesota |
title_full | Technological and Organizational Context around Immunization
Reporting and Interoperability in Minnesota |
title_fullStr | Technological and Organizational Context around Immunization
Reporting and Interoperability in Minnesota |
title_full_unstemmed | Technological and Organizational Context around Immunization
Reporting and Interoperability in Minnesota |
title_short | Technological and Organizational Context around Immunization
Reporting and Interoperability in Minnesota |
title_sort | technological and organizational context around immunization
reporting and interoperability in minnesota |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292531/ https://www.ncbi.nlm.nih.gov/pubmed/25598866 http://dx.doi.org/10.5210/ojphi.v6i3.5587 |
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