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Immunization registries in the EMR Era.

Stevens LA, Palma JP, Pandher KK, Longhurst CA - Online J Public Health Inform (2013)

Bottom Line: A group of healthcare providers were surveyed before and after implementation of the new interface.Information Technology (IT) teams developed a "smart-link" within the electronic patient chart that provides a single-click interface for visual integration of data within the CAIR database.Visual integration of external registries into a vendor EMR system is feasible and improves provider satisfaction and registry reporting.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, ; Department of Clinical Informatics, Lucile Packard Children's Hospital, Palo Alto, California.

ABSTRACT

Background: The CDC established a national objective to create population-based tracking of immunizations through regional and statewide registries nearly 2 decades ago, and these registries have increased coverage rates and reduced duplicate immunizations. With increased adoption of commercial electronic medical records (EMR), some institutions have used unidirectional links to send immunization data to designated registries. However, access to these registries within a vendor EMR has not been previously reported.

Purpose: To develop a visually integrated interface between an EMR and a statewide immunization registry at a previously non-reporting hospital, and to assess subsequent changes in provider use and satisfaction.

Methods: A group of healthcare providers were surveyed before and after implementation of the new interface. The surveys addressed access of the California Immunization Registry (CAIR), and satisfaction with the availability of immunization information. Information Technology (IT) teams developed a "smart-link" within the electronic patient chart that provides a single-click interface for visual integration of data within the CAIR database.

Results: Use of the tool has increased in the months since its initiation, and over 20,000 new immunizations have been exported successfully to CAIR since the hospital began sharing data with the registry. Survey data suggest that providers find this tool improves workflow and overall satisfaction with availability of immunization data. (p=0.009).

Conclusions: Visual integration of external registries into a vendor EMR system is feasible and improves provider satisfaction and registry reporting.

No MeSH data available.


Screen shot of the patient’s immunization record that is accessed when the link is clicked.
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f2: Screen shot of the patient’s immunization record that is accessed when the link is clicked.

Mentions: Creation of the visually integrated registry interface within the vendor EMR required two different efforts. The first was to upload hospital immunization data to the IIS, transferring nightly any new immunizations recorded at LPCH using HL7 code. Historical data, including all immunizations previously ordered using Computerized Physician Order Entry (CPOE) from, were also uploaded. The second aspect was to create a “smart link” – a web-based icon in the “Patient Summary” area of the chart that directs providers to the CAIR registry site. (Figure 1). Clicking this link sends patient identifiers to the CAIR database, using an institutional login to access the patient’s CAIR chart. The CAIR interface includes both immunizations from LPCH data uploads and any others added to the database by outside institutions, as well as its native decision support tool. (Figure 2). The new interface was implemented at the end of the 2011 calendar year.


Immunization registries in the EMR Era.

Stevens LA, Palma JP, Pandher KK, Longhurst CA - Online J Public Health Inform (2013)

Screen shot of the patient’s immunization record that is accessed when the link is clicked.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3733755&req=5

f2: Screen shot of the patient’s immunization record that is accessed when the link is clicked.
Mentions: Creation of the visually integrated registry interface within the vendor EMR required two different efforts. The first was to upload hospital immunization data to the IIS, transferring nightly any new immunizations recorded at LPCH using HL7 code. Historical data, including all immunizations previously ordered using Computerized Physician Order Entry (CPOE) from, were also uploaded. The second aspect was to create a “smart link” – a web-based icon in the “Patient Summary” area of the chart that directs providers to the CAIR registry site. (Figure 1). Clicking this link sends patient identifiers to the CAIR database, using an institutional login to access the patient’s CAIR chart. The CAIR interface includes both immunizations from LPCH data uploads and any others added to the database by outside institutions, as well as its native decision support tool. (Figure 2). The new interface was implemented at the end of the 2011 calendar year.

Bottom Line: A group of healthcare providers were surveyed before and after implementation of the new interface.Information Technology (IT) teams developed a "smart-link" within the electronic patient chart that provides a single-click interface for visual integration of data within the CAIR database.Visual integration of external registries into a vendor EMR system is feasible and improves provider satisfaction and registry reporting.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, ; Department of Clinical Informatics, Lucile Packard Children's Hospital, Palo Alto, California.

ABSTRACT

Background: The CDC established a national objective to create population-based tracking of immunizations through regional and statewide registries nearly 2 decades ago, and these registries have increased coverage rates and reduced duplicate immunizations. With increased adoption of commercial electronic medical records (EMR), some institutions have used unidirectional links to send immunization data to designated registries. However, access to these registries within a vendor EMR has not been previously reported.

Purpose: To develop a visually integrated interface between an EMR and a statewide immunization registry at a previously non-reporting hospital, and to assess subsequent changes in provider use and satisfaction.

Methods: A group of healthcare providers were surveyed before and after implementation of the new interface. The surveys addressed access of the California Immunization Registry (CAIR), and satisfaction with the availability of immunization information. Information Technology (IT) teams developed a "smart-link" within the electronic patient chart that provides a single-click interface for visual integration of data within the CAIR database.

Results: Use of the tool has increased in the months since its initiation, and over 20,000 new immunizations have been exported successfully to CAIR since the hospital began sharing data with the registry. Survey data suggest that providers find this tool improves workflow and overall satisfaction with availability of immunization data. (p=0.009).

Conclusions: Visual integration of external registries into a vendor EMR system is feasible and improves provider satisfaction and registry reporting.

No MeSH data available.