Enhancing Private Provider Immunization Recall

描述(由申请人提供)：这项拟议项目的目标是评估使用与休斯顿-哈里斯县免疫登记处的电子连接(也称为电子接口)的提供者的成本效益。这项建议的具体目的包括：(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：通过界面手动数据输入和自动数据输入，以及(2)确定和比较通过两种方法输入HHCIR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，并且手动将患者免疫信息输入HHCIR；(2)双重数据输入，使用计算机的做法，互联网接入，患者数据管理系统，并且没有与登记处的应用程序接口，并且手动将患者免疫信息输入HHCIR；(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，自动将患者免疫信息输入HHCIR。我们将比较组3中的数据录入成本与组1和组2(分别和合并)。费用数据将通过访谈和供应商和工作人员使用HHCIR完成的时间记录来收集。我们将比较组3与组1和组2(单独和合并)输入的免疫信息的完整性。在登记处手动输入数据的10种做法中，通过将图表中录入的镜头与登记处1年内报告的镜头进行比较，对登记处输入信息的完整性进行评估。在使用该接口的10项实践中，我们将从实践工作人员那里获得关于登记处工作情况的信息。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营提供者更容易获得免疫登记处的目标。这反过来将有助于提高儿童免疫覆盖率。改进个人提供者通过登记处和接口报告免疫数据的方法，最终加强地方、县和州各级的公共卫生决策，以保护儿童的健康。这些目标和行动与疾控中心和国家卫生研究院(NIH)的使命相辅相成，即通过科学(治愈、治疗和预防疾病)改善健康。

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).