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Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization Program Kansas Department of Health & Environment To protect the health and environment of all Kansans by promoting responsible choices.

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Page 1: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Bee Wise Immunize

Governor’s Child Health Advisory CommitteeImmunization Workgroup

Topeka, KSApril 29, 2011

Sue Bowden, RN, BSDirector, KDHE Immunization Program

Kansas Department of Health & Environment

To protect the health and environment of all Kansans by promoting responsible choices.

Page 2: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Prevention & Public Health Fund

Capacity Building Assistance to Strengthen Public Health

Immunization Infrastructure and Performance

To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

Page 3: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

“Transition” funding to help state immunization programs address

their specific needs as they make the needed changes to be more effective in the Affordable Care

Act (ACA) Environment.

Page 4: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Funding Opportunity Announcement Released on

March 30, 2011 Grant application due May 9, 2011 The FOA is organized in 2 Parts and 5 Program

Areas that states can select for development and action

Each Program Area is awarded separately and is competitive

Activities piloted with American Recovery and Reinvestment Act funding will be expanded to more states with this ACA funding

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 5: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Part IEnhancing Immunization

Information Systems Program Area 1

Enhance interoperability between electronic health records (EHRs) and immunization information system (IIS) and reception of Health Level 7 (HL7) standard messages into IISKansas is one of 33 states eligible to apply for this

funding.Estimate 20 awards will be givenAverage amount of award $900K

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 6: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

IIS Interoperability Goal:

Increase the number of private provider EHRs capable of interoperability with KSWebIZ from 2 to 10 and increase the number of provider sites electronically exchanging data with KSWebIZ from 3 to 33

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 7: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Interoperability Activity Implement a web-based provider database tracking tool

to maintain data on all private providers and contract with a vendor to customize and implement this tool

Survey providers who administer vaccines to childrenEMR usedNumber of patients and number of immunizations

given Purchase supporting software and infrastructure Develop HL7 2.5.1 messaging

Currently have HL7 2.3.1 operational

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 8: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Part IEnhancing Immunization

Information Systems Program Area 2

Develop a vaccine ordering module in an IIS that interfaces with CDC’s VTrckS vaccine ordering and management systemKansas is one of 6 CDC immunization grantees

using the WebIZ IIS who will benefit from a vaccine ordering module.

Estimate 22 awards will be givenAverage amount of award $536K

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 9: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Vx Ordering Outcomes Web based ordering for VFC providers

Expedited vaccine shipments

Contingency plans if system becomes unavailable Trained staff and providers in the use of the ordering

module Improved IIS performance by added database and/or

server capacity Technical and operational support for providers

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 10: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Part IIEnhancing Grantees’ Infrastructure

to Improve Operations Program Area 3

Develop a strategic plan to enhance the capacity for billing for immunization services in health department clinicsEstimate 16 awards will be givenAverage amount of award $500K

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 11: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

LHD Billing Outcomes Documentation of stakeholders’ strong and active

supportPayers Insurance CommissionLHDsState Medicaid

Assessment of existing billing capacity Documentation of discussions with 3rd party payers Description of barriers and strategies Final plan to increase billing capacity

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 12: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Part IIEnhancing Grantees’ Infrastructure

to Improve Operations Program Area 5

Plan and implement adult immunization programsEstimate 13 awards will be givenAverage amount of award $1M

LHDs have been given the opportunity to submit proposals for this program area that will be the basis of the Kansas application7 LHDs have indicated an intent to apply

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 13: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Adult Immunization Outcomes

New or enhanced LHD relationships with pharmacies resulting in documented increased vaccination of adults

New or enhanced LHD relationships with employers resulting in documented increased vaccination of their employees

Improved hospital discharge influenza and pneumococcal vaccination rates

New or enhanced LHD relationships with community health centers with expanded adult vaccination efforts

Improved health care worker influenza vaccination rates at facilities including hospitals and nursing homes

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 14: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Part IIEnhancing Grantees’ Infrastructure

to Improve Operations Program Area 6

Enhance the sustainability of school-located vaccinationEstimate 10 state awards will be givenAverage amount of award $1.2M

LHDs have been given the opportunity to submit proposals for this program area that will be the basis of the Kansas application14 LHDs have indicated an intent to apply

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 15: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

School Located Vaccination Outcomes

Description of SLV to include number of students enrolled and number or percentage vaccinated

Description of processes that were implemented to address sustainability via billing and improved efficiencies

Description of VFC eligibility and insurance status of all students vaccinated

Report of the number of insurance claims submitted, denied and reimbursed

Report on the total amount billed and reimbursed

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.

Page 16: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Letters of support from

CHAC Immunization Workgroup members for any or all of the

four program areas

will strengthen the application and increase our chances of funding.

To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

Page 17: Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS April 29, 2011 Sue Bowden, RN, BS Director, KDHE Immunization

Questions?

Bee Wise ImmunizeTo protect the health and environment of all Kansans by promoting responsible choices.