to protect the health and environment of all kansans by promoting responsible choices. kswebiz: hl7...
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To protect the health and environment of all Kansans by promoting responsible choices.
KSWebIZ: HL7 Users Group Meeting
January 26, 2011
To protect the health and environment of all Kansans by promoting responsible choices.
AgendaAgenda►Current StatusCurrent Status►CVX UpdatesCVX Updates
Intro of UF vs. NOSIntro of UF vs. NOS Retirement of CVX 15Retirement of CVX 15 Meningococcal vaccinesMeningococcal vaccines
►Data QualityData Quality Duplicate PatientsDuplicate Patients
►Upcoming reportsUpcoming reports
To protect the health and environment of all Kansans by promoting responsible choices.
To protect the health and environment of all Kansans by promoting responsible choices.
Private Provider live on KSWebIZ
LHD live through direct entry
LHD live through HL7 interface
KSWebIZ Providers as of December 31, 2010
Statistics:
• 264 total providers live:
•159 Private providers (5 interface, 23 non-VFC)
•105 Local Health Departments (53 Direct entry, 52 interface)
To protect the health and environment of all Kansans by promoting responsible choices.
KSWebIZ Statistics as of KSWebIZ Statistics as of December 31, 2010December 31, 2010
►Number of Providers = 264Number of Providers = 264 Private =159 (5 interface, 23 Non VFC)Private =159 (5 interface, 23 Non VFC) Public =105 (53 direct entry, 52 interface)Public =105 (53 direct entry, 52 interface)
►Number of Patients = 1,792,399Number of Patients = 1,792,399►Number of Vaccinations = 14,778,855 Number of Vaccinations = 14,778,855
To protect the health and environment of all Kansans by promoting responsible choices.
Patients by Updating UserPatients by Updating User
To protect the health and environment of all Kansans by promoting responsible choices.
Vaccinations by Updating Vaccinations by Updating UserUser
To protect the health and environment of all Kansans by promoting responsible choices.
CVX UpdatesCVX Updates
►Keeping up to dateKeeping up to date►Unspecified Formulation vs. NOSUnspecified Formulation vs. NOS►Retirement of CVX 15Retirement of CVX 15►Meningococcal vaccinesMeningococcal vaccines
To protect the health and environment of all Kansans by promoting responsible choices.
To protect the health and environment of all Kansans by promoting responsible choices.
CVX NumbersCVX Numbers► Important to keep up to dateImportant to keep up to date►CPT to CVX guideCPT to CVX guide
► http://www2a.cdc.gov/nip/IIS/IISStandards/vaccines.asp?rpt=cpthttp://www2a.cdc.gov/nip/IIS/IISStandards/vaccines.asp?rpt=cpt
To protect the health and environment of all Kansans by promoting responsible choices.
CVX: Unspecified FormulationCVX: Unspecified Formulation►Term ‘Unspecified Formulation’ Term ‘Unspecified Formulation’
introduced to replaced ‘NOS’ aka Not introduced to replaced ‘NOS’ aka Not Otherwise SpecifiedOtherwise Specified
► ‘‘NOS’ has other meanings in HITNOS’ has other meanings in HIT Effort to harmonize medical terms for Effort to harmonize medical terms for
Health Information Exchange (HIE) purposesHealth Information Exchange (HIE) purposes
►CVX number remains the same, just the CVX number remains the same, just the description changes to ‘UF’description changes to ‘UF’ Note, ‘UF’ entries do not have a CPT codeNote, ‘UF’ entries do not have a CPT code
To protect the health and environment of all Kansans by promoting responsible choices.
CVX: Retirement of CVX 15CVX: Retirement of CVX 15►CVX 15 (Influenza) is being retiredCVX 15 (Influenza) is being retired
OverusedOverused
►CVX 140 (Influenza, seasonal, Pfree)CVX 140 (Influenza, seasonal, Pfree) CPT 90654 CPT 90654 CPT 90655 – 6-35 monthsCPT 90655 – 6-35 months CPT 90656 – greater than 36 monthsCPT 90656 – greater than 36 months
►CVX 141 (Influenza, seasonal)CVX 141 (Influenza, seasonal) CPT 90657 - 6-35 monthsCPT 90657 - 6-35 months CPT 90658 – greater than 36 monthsCPT 90658 – greater than 36 months
To protect the health and environment of all Kansans by promoting responsible choices.
Meningococcal CVX numbersMeningococcal CVX numbers
►New numbers have been added recentlyNew numbers have been added recently►Product names add to the confusionProduct names add to the confusion
Description CVX CPT Product Name
MCV4O 136 90734 Menveo
MCV4P 114 90734 Menactra
MPSV4 32 90733 Menomune
C conjugate 103 n/a
Unspecified Formulation
108 n/a n/a
To protect the health and environment of all Kansans by promoting responsible choices.
Data QualityData Quality
► ImpactImpact►Duplicate PatientsDuplicate Patients
Upcoming reportsUpcoming reports
►Duplicate VaccinesDuplicate Vaccines
To protect the health and environment of all Kansans by promoting responsible choices.
To protect the health and environment of all Kansans by promoting responsible choices.
Data QualityData Quality
► Impact of poor data qualityImpact of poor data quality Costly to diagnose and assessCostly to diagnose and assess Costly to repairCostly to repair
►More KSWebIZ deduplication dazeMore KSWebIZ deduplication daze
Impacts quality of care & patient safetyImpacts quality of care & patient safety Erodes trust in system (KSWebIZ)Erodes trust in system (KSWebIZ)
To protect the health and environment of all Kansans by promoting responsible choices.
Duplicate PatientsDuplicate Patients►Matching criteria:Matching criteria:
First & last nameFirst & last name DoBDoB SSNSSN
► If more than one match has been found:If more than one match has been found: GenderGender Middle nameMiddle name Alias nameAlias name Mother’s maiden nameMother’s maiden name Mother’s nameMother’s name
To protect the health and environment of all Kansans by promoting responsible choices.
To protect the health and environment of all Kansans by promoting responsible choices.
Cultural Surnames*Cultural Surnames*►Naming conventions for non-western Naming conventions for non-western
namesnames►Chinese typically written family name firstChinese typically written family name first
Yao Ming => Last name ‘Yao’ Yao Ming => Last name ‘Yao’
►Multiple family names (e.g. Hispanic)Multiple family names (e.g. Hispanic) Ricardo Gonzalez + Carmen Ramirez = RosaRicardo Gonzalez + Carmen Ramirez = Rosa Rosa Gonzalez Ramirez = okRosa Gonzalez Ramirez = ok Rosa Gonzalez = okRosa Gonzalez = ok Rosa Ramirez = not okayRosa Ramirez = not okay
* Privacy and Security Solutions for Interoperable Health Information Exchange* Privacy and Security Solutions for Interoperable Health Information Exchange
To protect the health and environment of all Kansans by promoting responsible choices.
Bad SSNsBad SSNs► Impact of bad SSNsImpact of bad SSNs► Impact of not updating KSWebIZ with a Impact of not updating KSWebIZ with a
new SSNnew SSN Queries won’t find their matchQueries won’t find their match Remember to update KSWebIZ whenever Remember to update KSWebIZ whenever
any demographic information changesany demographic information changes
To protect the health and environment of all Kansans by promoting responsible choices.
Duplicate Patients: Illustrated Duplicate Patients: Illustrated
Vital RecordsBart SimpsonDoB: 3/6/2003SSN: 123-45-6789HepB: 3/3/2003
Duplicate Patients: Illustrated Duplicate Patients: Illustrated
CHD BBart SimpsonDoB: 3/6/2003SSN:
CHD ABart SimpsonDoB: 3/6/2003SSN: 234-56-7890
To protect the health and environment of all Kansans by promoting responsible choices.
Duplicate Patients: Now Duplicate Patients: Now What?What?
►Call the helpdeskCall the helpdesk►Data entry tipsData entry tips
Make sure SSN is the patient’sMake sure SSN is the patient’s Correctly spelled namesCorrectly spelled names
►Take into account special charactersTake into account special characters E.g. Hyphen, tilde, apostrophe, …E.g. Hyphen, tilde, apostrophe, …
To protect the health and environment of all Kansans by promoting responsible choices.
KSWebIZ Dup PatientsKSWebIZ Dup Patients
►Donna Conley (Data Quality Guru)Donna Conley (Data Quality Guru) Always cleaning up duplicatesAlways cleaning up duplicates
►However, potential duplicate still at However, potential duplicate still at CHDCHD
►KSWebIZ fix needs to happen at CHD KSWebIZ fix needs to happen at CHD tootoo
►Duplicate reportDuplicate report
To protect the health and environment of all Kansans by promoting responsible choices.
Example: Duplicate Patient Example: Duplicate Patient ReportReport
To protect the health and environment of all Kansans by promoting responsible choices.
Example: Closer LookExample: Closer Look
To protect the health and environment of all Kansans by promoting responsible choices.
Example: Duplicate Patient Example: Duplicate Patient ReportReport
To protect the health and environment of all Kansans by promoting responsible choices.
Steps: Dup Patient ReportSteps: Dup Patient Report
1.1. KSWebIZ: Generate CHD reportKSWebIZ: Generate CHD report
2.2. KSWebIZ: Email password protected KSWebIZ: Email password protected zip filezip file
3.3. LHD: Refer to instructions for fixingLHD: Refer to instructions for fixing
4.4. LHD: Call / email Donna for questionsLHD: Call / email Donna for questions
► Initially just Vital Record duplicatesInitially just Vital Record duplicates
To protect the health and environment of all Kansans by promoting responsible choices.
Duplicate VaccinesDuplicate Vaccines►Making sure your procedures are Making sure your procedures are
accurateaccurate E.g. Hibtiter vs. Hib PRP-T (aka ActHib)E.g. Hibtiter vs. Hib PRP-T (aka ActHib)
To protect the health and environment of all Kansans by promoting responsible choices.
Duplicate Vaccines: Duplicate Vaccines: IllustratedIllustrated
Provider AKSWebIZ
Bart Simpson, Historical Hibtiter (CVX=47), DoS=6/13/2005,
Duplicate Vaccines: Duplicate Vaccines: IllustratedIllustrated
LHD AKSWebIZ
Bart Simpson, Administered ActHib (CVX=48), Lot #=AA1234, DoS=6/13/2005
No duplicate created as the vaccine is from the same date and the same antigen family.
Duplicate Vaccines: Duplicate Vaccines: IllustratedIllustrated
LHD A KSWebIZBart Simpson, Administered ActHib (CVX=48), Lot #=AA1234, DoS=6/13/2005
Bart Simpson, Historical Hibtiter (CVX=47), Lot #=AA1234, DoS=6/13/2005,
Bart Simpson, Historical Hibtiter (CVX=47), Lot #=AA1234, DoS=6/13/2005,
Duplicate created because CVX 47 not equal to CVX 48.
To protect the health and environment of all Kansans by promoting responsible choices.
Duplicate Vaccines: Now Duplicate Vaccines: Now What?What?
► Immunization Hx Screen (SM-109)Immunization Hx Screen (SM-109)► If you are If you are notnot the administering LHD: the administering LHD:
Delete your history (ie. Accept the entry Delete your history (ie. Accept the entry from KSWebIZ)from KSWebIZ)
► If you If you areare the administering LHD: the administering LHD: Call KSWebIZ Helpdesk Call KSWebIZ Helpdesk
To protect the health and environment of all Kansans by promoting responsible choices.
Questions?Questions?
To protect the health and environment of all Kansans by promoting responsible choices.
Contact InformationContact Information
Mike McPhersonMike McPhersonKS IIS Interface CoordinatorKS IIS Interface Coordinator
Kansas Department of Health & EnvironmentKansas Department of Health & Environment
Donna ConleyDonna Conley
KSWebIZ Data Quality CoordinatorKSWebIZ Data Quality Coordinator
Kansas Department of Health & EnvironmentKansas Department of Health & Environment
785-296-2774785-296-2774
http://kdheks.gov/immunize/webiz.htmlhttp://kdheks.gov/immunize/webiz.html
To protect the health and environment of all Kansans by promoting responsible choices.