Evaluation of Immunization Data Completeness Within a Large Community Health Care System Exchanging Data With a State Immunization Information System
Evaluation of Immunization Data Completeness Within a Large Community Health Care System Exchanging Data With a State Immunization Information System
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DOI：
10.1097/phh.0000000000000045
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发表时间：
2015-05-01
影响因子：
3.3
通讯作者：
Petitti, Diana
中科院分区：
文献类型：
--
作者：
Hendrickson, Bryan K.;Panchanathan, Sarada S.;Petitti, Diana
内容：大多数州都使用信息系统来维护免疫接种数据的登记，以监测人口水平的依从性并用于临床实践和研究。这类系统与电子健康记录系统之间的直接数据交换为改进现有信息的完整性和质量提供了机会。目的：我们的目标是描述和比较亚利桑那州免疫系统的完整性，在亚利桑那州的一个大型社区卫生服务提供者的电子健康记录与亚利桑那州系统交换电子数据，个人免疫记录，努力促进讨论的完整性国营免疫登记和数据交换与这些登记。设计：从这些来源的免疫接种史收集和审查顺序。对每例患者接种疫苗的唯一日期进行计数，并根据不同来源的比较进行标记。结果：我们通过结合所有3个来源的信息并将每个来源与完整集进行比较来量化完整性。我们确定州登记处完成了71.8%，医院电子健康记录完成了81.9%，个人记录完成了87.8%。在2017年的独特疫苗接种管理中，65%存在于所有3个来源中，24.6%存在于3个来源中的2个来源中，10.4%仅存在于1个来源中。只有11%的患者在3个来源中的记录完全一致。结论：这项研究强调了与数据完整性、交流和向国家登记处报告免疫信息有关的问题，并表明免疫登记处和其他来源的完整性存在一定程度的不足。这项研究表明，有必要加强与免疫信息的电子数据源之间的联系，并描述了潜在的改进，这种努力可以提供完整性，使供应商更好地依靠国家免疫登记，并提高免疫信息系统的研究利用。
Context: Information systems are used by most states to maintain registries of immunization data both for monitoring population-level adherence and for use in clinical practice and research. Direct data exchange between such systems and electronic health record systems presents an opportunity to improve the completeness and quality of information available. Objective: Our goals were to describe and compare the completeness of the Arizona State Immunization System, the electronic health record at a large community health provider in Arizona exchanging electronic data with the Arizona system, and personal immunization records in an effort to contribute to the discussion on the completeness of state-run immunization registries and data exchange with these registries. Design: Immunization histories from these sources were collected and reviewed sequentially. Unique dates of vaccination administrations were counted for each patient and tagged on the basis of comparisons across sources. Results: We quantified completeness by combining information from all 3 sources and comparing each source with the complete set. We determined that the state registry was 71.8% complete, the hospital electronic health record was 81.9% complete, and personal records were 87.8% complete. Of the 2017 unique vaccination administrations, 65% were present in all 3 sources, 24.6% in 2 of the 3 sources, and 10.4% in only 1 source. Only 11% of patients had records in complete agreement across the 3 sources. Conclusion: This study highlights issues related to data completeness, exchange, and reporting of immunization information to state registries and suggests that there is some degree of deficiency in completeness of immunization registries and other sources. This study indicates that there is a need to strengthen links between electronic data sources with immunization information and describes potential improvements in completeness that such efforts could provide, enabling providers to better rely on state immunization registries and to improve research utilization of immunization information systems.