New Jersey Immunization Information System NJIIS

1
New Jersey Immunization Information System
(NJIIS)

• Public Sector Deployment to Private Providers

2
NJ Snapshot

• 21 Counties, 566 Municipalities
• 116 Health Departments
• Population 7,987,933
• Birth Cohort 114,335
• Under 5 population 571,984
• 5 and under in NJIIS 106,674 (18.6)

3
1. LINCS 2. Getting Started 3. Motivation 4.
Support 5.Results/Success 6. Strategies 7.
Benefits 8. Disadvantages 9. Future
4
1. The LINCS Strategy

• 24 County and Local Health Departments selected
  to recruit providers in their communities.
• LINCS sites selected by Local Health Officer
  Associations and the NJDHSS.
• Immunization Registry was first step in a more
  comprehensive electronic public health initiative.

5
NJDHSS
24 LINCS Sites
200 Sites
Family Practices
Pediatric Groups
Hospitals
Clinics
Maternal Child Consortia
92 Additional LCDs
VNAs
FQHCs
6
2. Getting Started - State Action

• NJIIS Installed at each LINCS site
• Training, PC, and Connection to the NJIIS
• 3000 for Internet and meeting expenses
• NJDHSS offered guidance and support, limited
  direct involvement
• No mandated, prescribed method

7
Getting Started - Local Action

• Develop local NJIIS coalition Health
  Departments, Local politicians, Providers,
  Hospitals, Maternal Child Consortia
• Submit a provider recruitment plan
• Enroll eight providers
• Reminder/recall program for children not tagged
  to a primary provider, assist these children in
  finding a medical home

8
3. Motivation

• Monthly meetings
• discuss issues
• comparison charts
• site allocation
• Regular input/feedback
• State Representative available
• Part of a bigger picture

9
4. Support

• Standard Presentations
• Standard handouts
• E-Mail, Web-site
• Training Centers
• Toll-free Help Desk
• Field technicians
• EBC data

10
5. Results - 1st Year

• 89/200 45 of goal
• 20 Health Departments
• 4 FQHCs
• 8 Clinics
• 21 Hospitals
• 29 Private Practices
• 7 VNA

11
NJIIS Deployment Map

• 8-10 sites - Yellow
• 5-6 sites - Green
• 3-4 sites - Red
• 2 sites - Blue
• 1 site - White

12
Success Factors

• Strong, positive, early commitment
• High level commitment, respected Health
  Department and officials
• Large population
• Accepted financial responsibility, made financial
  commitment
• Worked with various partners, coalition

13
6. Strategies

• Kick off meeting/dinner, offer CEUs
• Timely follow-up
• On site demos for staff not at dinner
• Point person at Health Department
• Mayors Health Task Force
• Active Established Coalition
• Assumptive approach

14
Less effective Strategies

• Surveys (burdensome to sites)
• Letters (must have follow-up)
• Focusing soly on other health departments
• No meetings, no big event
• No point person, everyone is in charge

15
Who came to the table

• State Health Department
• Maternal Child Health Consortium
• Child Welfare Groups, local coalitions
• Current NJIIS sites
• Other local health departments
• Private Industry

16
7. Benefits of LINCS Strategy

• Created extensive statewide awareness of the
  Immunization Registry, more feet on the street
• Cost effective strategy
• Developed a foundation for long-term success of
  the NJIIS
• Prepared the Local Health Department for changing
  role of public health

17
8. Disadvantages of LINCS Plan

• Moderate success with private practices
• Proved to exceed the in house capabilities of
  some LHDs
• Home Rule, limited control and enforcement
• Mixed messages, hard to control
• Lost some providers

18
9. What next? Future LHD role

• Expand initial base, revisit when billing
  interface is available
• Linking EBC children to Medical Home
• Entering records for providers not yet connected
• Garnering political support, expanding
  immunization coalition
• Partnering with School Nurses

19
New Jersey Immunization Information System
(NJIIS)

• www.njiis.net