HL7 Immunization User Group Monthly Meeting May 14, 2020 2:00 PM - - PowerPoint PPT Presentation

HL7 Immunization User Group

Monthly Meeting May 14, 2020 2:00 PM ET

Agenda

• Welcome - Which perspective do you primarily identify yourself with?
• Updates
• SISC
• FHIR
• COVID-19
• IIS Responses
• EHR Responses
• IZ Gateway
• AIRA Technical Responses

SISC Update

Heather Patrick

FHIR Update

Nathan Bunker

FHIR Update

• Virtual FHIR Meetings
• HL7 FHIR Connectathon: Happening now!
• June 15-18, 2020 HL7 FHIR Dev-Days
• Immunization DS Connectathon: Looking to schedule in June
• FHIR R5 Preview #2, v4.4.40 is released

COVID-19 - IIS Responses

Kim Salisbury-Keith

COVID-19 - EHR Responses

Danny Wise

Provider Response Tools

http://www.allscripts.com/covid19/

• Intake Screening / Questionnaires
• Travel history
• Symptoms / fever
• Telehealth
• Integration with Patient Portal (FollowMyHealth)
• Virtual Triage
• Guidance for billing / claims
• Updated CDS Recommendations
• Care Coordination (Care Director)

Public Health Integration

• Electronic Case Reporting
• “eCR Now” (https://ecr.aimsplatform.org/ecr-now-fhir-app)
• Electronic Lab Reporting
• intended for private labs and hospitals
• what about virus / antibody testing by ambulatory / pop-up clinics?
• Immunization Readiness
• Other Areas of Need?
• Provider Awareness / Interest

COVID-19 – IZ Gateway

Kevin Snow

COVID-19 – AIRA Responses

Nathan Bunker

Preparing for COVID-19

• IIS need to ensure they are ready
• PBS Frontline Coronavirus Pandemic,

April 21, 2020

• Lesson Learned: Preparation is key to

an effective response

• https://www.pbs.org/wgbh/frontline/film/coronavirus-pandemic/
• Preparing for COVID-19 Vaccine One Sheet
• Interim suggestions for IIS to prepare now
• https://repository.immregistries.org/resource/preparing-for-a-covid-

19-vaccine-one-sheet/

1) Onboard Immunizing Partners

• Swiftly onboard any providers waiting in a testing queue.
• Identify and contact potential immunizing providers to

initiate onboarding now.

• Automate and streamline onboarding functions.
• Review and implement AIRA’s Onboarding Consensus-Based

Recommendations.

• https://repository.immregistries.org/resource/onboarding-consensus-based-

recommendations/

• Allow for online registration and electronic signatures; auto-

generate provider site IDs or PINs.

2) Align With Standards

• Verify that all messaging practices are standards-based
• HL7 Messaging
• SOAP/Web Services and the CDC WSDL
• Clinical Decision Support (CDS)
• Use the Aggregate Analysis Reporting Tool (AART) to assess

your IIS alignment with standards

3) Eliminate Data Exchange Limitations

• Familiarize yourself with local laws or policies impacting IIS:
• Consent (opt-in vs. opt-out)
• Vaccine reporting mandates
• Data sharing (across borders and with federal agencies)
• Provider types permitted to administer vaccines
• Explore jurisdictional emergency orders to relax laws and/or

policies, as needed.

• Ensure that interjurisdictional data exchange is possible:
• Advocate for signing of the Memorandum of Understanding for IIS

Interjurisdictional Exchange.

• Connect with the Immunization (IZ) Gateway to support IIS to IIS exchange

4) Expand Consumer Access

• If IIS web access is available to consumers, test and validate

process for authentication

• Expand query/response capabilities with EHRs to enable

consumers to access immunization records in EHR portals

• If records are only available through Help Desks or provider
• ffices, develop a strategy for adequate staffing to

manage increased volume of record requests

Technical Assistance

• Increased level of requests
• More systems working to meet standards
• Receiving more questions from IIS and EHRs
• Increased number of ideas for new solutions
• Creating SISC Small Groups to help channel interest
• Reach out to AIRA team for technical assistance:
• info@immregistries.org
• We are here to help

SISC Small Groups

Month Topic Champion Interest Level May Messaging priority groups Jason Suchon (Metastar, WI) 6 organizations May Messaging serology/immunity results related to COVID-19 Brandy Altstadter (STC) 6 organizations Need more IIS June Immunization Decision Support July or Aug ? Error Messages 4 organizations July or Aug ? Query Improvements 4 organizations Other topics?

Interested?

• Send an email to Kim Rutland (krutland@immregistries.org)

about your interest. Please include:

• Which group you are interested in
• Any additional expertise you bring
• Groups will finalize group membership and develop plans for

next steps/actions

• All of the small group artifacts will come back to SISC for

discussion and potential adoption

Next Meeting

June 11, 2020 2:00 pm ET / 11:00 am PT

More Information

• Web Links
• Subscribe to immunization group

http://www.hl7.org/participate/UserGroups.cfm?UserGroup=Immunization

• Public User Group Wiki

http://www.hl7.org/special/committees/iug/index.cfm

• Private User Group Wiki

http://iugwiki.hl7.org/

• HL7 Press Release

http://www.hl7.org/documentcenter/public_temp_F760602A-1C23-BA17- 0C0D326E635471F9/pressreleases/HL7_PRESS_20140402.pdf

• AIRA Press Release

http://www.immregistries.org/events/2014/04/10/hl7-immunization-user-group

Contact Information

If you have any questions or comments:

• Kim Salisbury-Keith Kim.SalisburyKeith@health.ri.gov
• Nathan Bunker nbunker@immregistries.org
• Kevin Snow ksnow@envisiontechnology.com
• Danny Wise Danny.Wise@allscripts.com

Thank you!