Voluntarily Reported Immunization Registry Data: Reliability and Feasibility to Predict Immunization Rates, San Diego, California, 2013

Objective: Our study compared the completeness of immunization records for six vaccines between a community pharmacy database, regional immunization information system (IIS), and a health system’s electronic health record (EHR). Methods: In a community pharmacy immunization program, two pharmacists and a community pharmacy resident performed a needs assessment for six vaccines (tetanus-diphtheria-acellular pertussis vaccine for adults or diphtheria-tetanus-acellular pertussis vaccine for child and adolescents, zoster vaccine live, 13-valent pneumococcal conjugate vaccine, 23-valent pneumococcal polysaccharide vaccine, hepatitis B vaccine series, and human papillomavirus vaccine) for over 2,400 patients between August 2016 and March 2017. This is a retrospective study to review immunization records for 243 patients. Inclusion criteria included patients from the community pharmacy immunization program who also had at least one medication prescribed by an academic health system provider. Immunization records for six vaccines were collected from the community pharmacy database, regional IIS, and EHR. Results: 186 of 243 (77%) patients had additional immunization records in the regional IIS or EHR that were not found in the community pharmacy database. For those 186 patients, 108 (58%) patients had additional immunization records for 2 or more unique vaccines. In total, 378 additional immunization records were identified for the six vaccines. For all six vaccines, the regional IIS and EHR possessed more complete immunization records compared to the community pharmacy database (p < 0.05 for HPV and p < 0.001 for the remaining 5 vaccines). Conclusion: Our study showed that immunization records were more complete in a regional IIS and health system EHR compared to a community pharmacy database. If all three sources were utilized by the pharmacist during the needs assessment, the community pharmacy team would have made fewer vaccine recommendations, which would have reduced the potential for duplicate or inappropriate vaccines.

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“…Kappa coefficients for all comparisons were either negative or less than 0.20 suggesting none or slight agreement. 16–17…”

Section: Resultsmentioning

confidence: 99%

Comparisons of immunization records between a community pharmacy, a regional registry, and a health system

Lam

Singh

Kuo

2019

Journal of the American Pharmacists Association

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“…In contrast, in San Diego, the internet-based IIS is used by public and private organizations and medical systems, which voluntarily report immunization data [30]. The study carried out to test the reliability of the San Diego IIS records, compared to the telephone survey records of 553 patients, identified vaccine coverage in the ISS far below the vaccine coverage of the telephone survey [30].…”

Section: Discussionmentioning

confidence: 99%

“…However, systems in many countries only capture vaccines provided by public services and recommended by the national vaccination schedule [ 5 ], as is the case of the Brazilian IIS [ 11 ], the American IIS (California) [ 30 ], and the Italian IIS [ 27 ]. The disadvantage of such systems is that they may not provide reliable estimates of vaccination coverage since data do not contain complete information about the population vaccinated [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Factors related to the adoption of the Brazilian National Immunization Program Information System

Oliveira

Guimarães

Perez

et al. 2020

BMC Health Serv Res

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Background: One way to optimize the adoption and use of technological innovations is to understand how those involved perceive, assess and decide to use them. This study aims to analyze the attributes that influence the adoption and use of the Brazilian National Immunization Program Information System (NIPIS) from the perspective of vaccination room workers. Methods: This is a mixed method research, and a quantitative cross-sectional analytical study, with concomitant triangulation of data, carried out in a region of Brazil by using the Diffusion of Innovation Theory. We used a questionnaire with 183 nursing professionals who work at vaccination rooms in 12 municipalities. To test the research model, partial least squares structural equation modeling (PLS-SEM) and SmartPLS 2.3.0 have been applied to estimate the model. The qualitative research had a descriptive-exploratory character, using interviews (n = 18) analyzed through thematic analysis. Results: The model proposed showed a mean correlation between the perceived attributes in the adoption and use of NIPIS. The results of the multiple regression indicated that the attributes "relative advantage" and "image" have a significant effect at 5% level (T > 1.97), positively influence the adoption and use of NIPIS; the attribute "voluntary use" negatively influences the adoption and use of the system; the attributes "experimentation", "compatibility", "profitability", and "ease of use" did not influence the adoption and use of NIPIS. Emphasis has been placed on aspects that weaken the adoption and use of NIPIS such as lack of good quality internet and resistance to use the technology by some professionals. Workers perceive the importance of NIPIS for the municipality and point out that technological innovation provides data at an individual level, inserted in real time, which makes it possible to assess vaccination coverage. Lack of an unstable internet compromises data release due to system slowness.

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“…Currently, data on sexual practices or sexual orientation are not linked with data on vaccination in immunization registries, making our work especially important for understanding MenACWY vaccination coverage among MSM. 38,39 Recent IMD outbreaks have primarily affected MSM in Chicago, New York, Toronto, and Miami; coordinated efforts to improve immunization surveillance among MSM will enable better tracking of MenACWY vaccine uptake to assess local immunization rates across the country. 8,39,40 In accordance with our theoretical framework, we identified several individual-level factors associated with reported receipt of the MenACWY vaccine.…”

Section: Discussionmentioning

confidence: 99%

Quadrivalent Meningococcal Vaccine Uptake Among Men Who Have Sex With Men During a Meningococcal Outbreak in Los Angeles County, California, 2016-2017

Holloway

Gildner

et al. 2018

Public Health Rep

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Voluntarily Reported Immunization Registry Data: Reliability and Feasibility to Predict Immunization Rates, San Diego, California, 2013

Abstract: Consistency in factors predicting immunization coverage levels in a telephone survey and IIS data confirmed the feasibility of using voluntarily reported IIS data to assess immunization rates in children aged 19-35 months.

Cited by 6 publications

References 18 publications

Comparisons of immunization records between a community pharmacy, a regional registry, and a health system

Comparisons of immunization records between a community pharmacy, a regional registry, and a health system

Factors related to the adoption of the Brazilian National Immunization Program Information System

Quadrivalent Meningococcal Vaccine Uptake Among Men Who Have Sex With Men During a Meningococcal Outbreak in Los Angeles County, California, 2016-2017

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