Minnesota Immunization Information Connection (MIIC)

Kristen Ehresmann, RN, MPH

Director, Infectious Disease Epidemiology, Prevention, and Control Division

Outline

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• MIIC Data

• MIIC Data Use

• Health Equity

• Maternal Vaccination

• Health Care Personnel Influenza Vaccination

• Child Care Reporting

• Outbreak Response

MIIC Data3

Immunization Data

0

10

20

30

40

50

60

70

80

90

2006 2008 2010 2012 2014 2016

Imm

un

izat

ion

s (M

illio

ns)

Year

Total Immunizations in MIIC

~80,000,000immunizations

20,000+added daily during flu

season

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Nation-Leading Client Participation

0%

25%

50%

75%

100%

Children Adolescents Adults

Percent of Residents with Immunizationsin an IIS

Minnesota

National Average

• 95% of Minnesotaadults haveimmunizations in MIIC

• National average is 39%

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MIIC Data Sources: Data Connections

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MIICVital

Records

Wisconsin

North Dakota

DHS

Refugee Health eShare

MIIC Data Sources: User Groups

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MIICPrimary care clinic

Specialty clinic

Hospital

Pharmacy

Community vaccinator Occupational

health

Local public health

Nursing home/long-term

care

School/school-based clinic

Urgent care clinic

Convenience/ retail clinic

College/ university

Home care/hospice

Child care

Text Version

2011 2012 2013 2014 2015 2016

0%

25%

50%

75%

100%

> 30 days

8 through 30 days

>1 through 7 days

1 day or less

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Data Submission Time Since Immunization

Premier Immunization Registry

• One of six IIS nationally recognized for high data quality and effective data use

• Others include MI, ND, NYC, OR, and WI

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MIIC Data Use10

Health Equity

• Matched birth certificate andMIIC data to assessimmunization rates byrace/ethnicity andmaternal/paternal birth country

• Use results to:

• Build provider/partnerrelationships

• Inform education and outreach

• Prepare for/respond to outbreaks

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0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

1+ MMR Vaccination Rates by 24 Months, by Birth Year

Somali MMR Non Somali MMR Somali VAR Non Somali VAR

Maternal Vaccination

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Tdap

Unadjusted

RR

95%CI

Flu

Unadjusted

RR

95%CI

Black vs White 0.9483* 0.9325, 0.9644 0.8319* 0.8128, 0.8515

Native American vs

White0.8034* 0.7682, 0.8403 0.8358* 0.7928, 0.8811

South Asian vs

White1.0483 1.0088, 1.0894 1.0239 0.9734, 1.0770

Asian vs White 1.0216 1.0013, 1.0423 1.0103 0.9845, 1.0368

Hispanic vs Non-

Hispanic0.9468* 0.9251, 0.9691 0.9794 0.9518, 1.0079

*Statistically significant at p<0.0001.

• Matched mother’s birth certificate and MIIC data to assess compliance with Tdap and influenza recs

• Little data available nationally

• Assessed vaccination rates by demographic factors and prenatal care quality

• Use results to inform outreach and future research

Health Care Personnel Influenza Vaccination

• FluSafe: HCP influenza vaccination program for hospitals and long-term cares

• Facilities use MIIC to accurately track rates and inform improvement efforts

• MDH publicly recognizes facilities with high rates

• Higher rates among participating facilities -especially long-term cares

Child Care Reporting

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• Minnesota requires child care centers to submit annual immunization report

• MIIC & Child Care Assistance Program helps centers complete report using MIIC data and tools

• Benefits to child cares

• Frees up staff time

• Reduces staff frustration

• Limits report errors

• Benefits to public health

• Improves MIIC information

• Helps equip centers to promote immunizations

Outbreak Response

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• MIIC is highly useful during VPDoutbreaks (e.g. 2017 measlesoutbreak)

• Used to:

• Verify immunization status ofcases and exposed individualsquickly

• Help providers determine whichpatients need vaccine

• Watch overall vaccination trends

• Order VFC vaccine0

1000

2000

3000

4000

5000

6000

7000

8000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

MM

R D

ose

sWeek

MMR Administered by Week 2017

Thank you!

Kristen Ehresmann

Kristen.Ehresmann@state.mn.us

June 2017 Protecting, maintaining and improving the health of all Minnesotans | www.health.state.mn.us 16

Text only version

14 MIIC Data sources user groups:

Primary care clinic

Specialty clinic

Hospital

Community vaccinator

Pharmacy

Occupational health

Local public health

Nursing home/long-term care

School/school-based clinic

Urgent care clinic

Convenience/retail clinic

College/university

Home care/hospice

Child care