Enhancing Private Provider Immunization Recall

描述（由申请人提供）：本拟议项目的目的是评估使用电子连接（也称为电子接口）到休斯顿哈里斯县免疫登记处的提供者的成本效益。本提案的具体目标包括：（1）确定和比较通过两种方法（手动数据输入和通过界面自动数据输入）将免疫接种信息输入HHCIR的提供者成本;（2）确定和比较通过两种方法（手动数据输入和通过界面自动数据输入）输入HHCIR的信息完整性。将使用三种类型的实践来确定与使用HHCIR相关的成本：（1）手动数据输入，使用计算机和互联网访问的做法，以及手动将患者免疫接种信息输入HHCIR，（2）双重数据输入，使用计算机、互联网访问、患者数据管理系统的做法，以及没有与登记处的应用程序接口，以及手动将患者免疫接种信息输入HHCIR，和（3）自动数据输入、计算机实践、互联网接入、患者数据管理系统和与登记处的应用接口，以及自动将患者免疫接种信息输入HHCIR。我们将比较第3组与第1组和第2组（单独和合并）的数据录入成本。成本数据将通过使用HHCIR的提供者和工作人员完成的访谈和时间日志收集。 我们将比较第3组与第1组和第2组（单独和合并）输入的免疫接种信息的完整性。将通过比较图表中输入的注射次数与登记研究中报告的注射次数，评估登记研究中输入的信息的完整性，为期1年，在登记研究中手动输入数据的10种做法。在10个具有接口的实践中，我们将从实践工作人员那里获得有关注册表工作的信息。通过使用免疫登记册评估免疫记录的成本和完整性，我们旨在实现使私人提供者更容易获得免疫登记册的目标。这反过来将有助于提高儿童免疫覆盖率。通过登记处和接口改进各个提供者报告免疫接种数据的方法，最终将加强地方、县和州一级的公共卫生决策，以保护儿童的健康。这些目标和行动与疾病预防控制中心和国立卫生研究院（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).