Immunization Registries in the EMR Era

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.

Health Information Systems and Registers

“…The new principle of the formation of specialized registers will allow fast resolution of the tasks of the medical and social plans for healthcare. An example of a system that works in this direction is the monitoring of immunization through the US regional and state registries by unidirectional links of immunization data from the EMR to the relevant registries [23]. Simultaneously, on this basis, it will be possible to carry out multicentre studies on large regional and national data sets (according to the type of the international register of deep brain stimulation in Parkinson's disease [24]).…”

The Description of Diphtheria Immunization History to Diphtheria Patients in Surabaya at 2017

“…Pencatatan imunisasi berbasis elektronik mencegah pencatatan imunisasi yang hilang dan diterapkan di era Electronic Medical Record (EMR). Electronic Immunization Registry telah diterapkan di beberapa negara salah satunya di California (Stevens, Palma, Pandher, & Longhurst, 2013).…”

Standardization and simplification of vaccination records

“…Similarly, missing data could be detected easily. From EHR systems, immunization data could be reported to national immunization registries [91,92]. Reversely, a digital backup would be retrievable by the vaccine recipient.…”