Enhancing Private Provider Immunization Recall

加强私人提供者的免疫接种召回

• 批准号: 7119413
• 负责人: Kevin J. Dombkowski
• 金额: $ 30万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2008-09-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7119413
• 关键词: active immunization; child health care personnel; clinical research; computer assisted patient care; cooperative study; health care service evaluation; health services research tag; human subject; medical records; patient care management; pediatrics; physicians; preschool child (1-5)

DESCRIPTION (provided by applicant): The objective of this proposed project is to evaluate the cost benefit to providers of using electronic connections (also known as electronic interfaces) to the Houston-Harris County Immunization Registry. The specific aims of this proposal include (1) determining and comparing the cost to providers of entering immunization information into the HHCIR by two methods: manual data entry and automatic data entry through an interface, and (2) determining and comparing the completeness of information entered into HHCIR by two methods: manual data entry and automatic data entry through an interface. Three types of practices will be used to determine the costs associated with using HHCIR: (1) manual data entry, practices with computers and internet access, and that manually enter patient immunization information into HHCIR, (2) dual data entry, practices with computers, internet access, patient data management systems, and no application interfaces with the Registry, and that manually enter patient immunization information into HHCIR, and (3) automated data entry, practices with computers, internet access, patient data management systems, and application interfaces with the Registry, and that automatically enter patient immunization information into HHCIR. We will compare costs of data entry in group 3 against group 1 and group 2 (separately and combined). Cost data will be collected through interviews and time logs completed by providers and staff using HHCIR. We will compare the completeness of entered immunization information for group 3 against group 1 and group 2 (separately and combined). Completeness of information entered in the registry will be assessed by comparing shots entered in the charts with shots reported in the registry for a period of 1 year in 10 practices that manually enter data in the registry. In 10 practices with the interface, we will obtain information from practice staff about the working of the registry. By evaluating the costs and completeness of immunization records using an immunization registry, we aim to achieve the goal of making immunization registries more available to private providers. This, in turn, will help increase childhood immunization coverage levels. Improving methods of reporting immunization data by individual providers through the Registry and interfaces ultimately enhances public health decision making at the local, county and state levels to protect the health of children. These goals and actions compliment the mission of the CDC and National Institutes of Health (NIH) is to improve health through science (curing, treating and preventing disease).

描述（由申请人提供）：本拟议项目的目的是评估使用休斯顿-哈里斯县免疫登记处电子连接（也称为电子接口）的提供商的成本效益。该提案的具体目标包括 (1) 确定和比较提供者通过两种方法将免疫信息输入 HHCIR 的成本：手动数据输入和通过界面自动数据输入，以及 (2) 确定和比较通过两种方法输入 HHCIR 的信息的完整性：手动数据输入和通过界面自动数据输入。将使用三种类型的做法来确定与使用 HHCIR 相关的成本：(1) 手动数据输入，使用计算机和互联网接入的做法，以及将患者免疫信息手动输入 HHCIR，(2) 双重数据输入，使用计算机、互联网接入、患者数据管理系统的做法，并且没有与登记处的应用程序接口，以及将患者免疫信息手动输入 HHCIR，以及 (3) 自动数据输入，使用计算机的做法， 互联网接入、患者数据管理系统以及与登记处的应用程序接口，并自动将患者免疫信息输入 HHCIR。我们将比较第 3 组与第 1 组和第 2 组（单独和组合）的数据输入成本。成本数据将通过提供商和工作人员使用 HHCIR 完成的访谈和时间日志来收集。 我们将比较第 3 组与第 1 组和第 2 组（单独和组合）输入的免疫信息的完整性。将通过将图表中输入的击球数与注册表中报告的击球数进行比较来评估注册表中输入信息的完整性，该击球数为 1 年期间手动在注册表中输入数据的 10 次实践。在具有该界面的 10 个实践中，我们将从实践工作人员处获取有关注册表工作的信息。通过使用免疫登记处评估免疫记录的成本和完整性，我们的目标是实现让私人提供者更容易获得免疫登记处的目标。反过来，这将有助于提高儿童免疫覆盖率。改进个体提供者通过登记处和界面报告免疫数据的方法，最终增强地方、县和州各级的公共卫生决策，以保护儿童的健康。这些目标和行动补充了 CDC 和美国国立卫生研究院 (NIH) 的使命，即通过科学（治愈、治疗和预防疾病）改善健康。