10. Expand to a Lifespan Registry
• Adults should have the right to use ImmTrac to
protect their immunization records if desired.
• Data should stay in the system so that it is• Data should stay in the system so that it is
accessible after age 18.
Affects:
Military
College Students
Health Care Professionals
Adults in Institutional Settings (nursing home, prison, long
term care facility)
11. Create Data Linkages
• Connect to electronic data sources currently in
the provider’s office, preferably using HL7.
• Connect to local registries and other public• Connect to local registries and other public
health systems (eg TWICES).
• Share data with schools and allow nurses greater
powers to enter data and collect consent.
12. Enable intra-state and inter-state data
sharing
Create financial incentives for full
participation in ImmTrac.participation in ImmTrac.
Ease the burden of data entry by
providing staff support
Provide data in a timely manner
Improve data quality
Provide more support and customer
service
13. Provide additional data elements:
• Tuberculosis test results
• Newborn screening
• Lead screening• Lead screening
• Asthma screening
• Hepatitis B immune globulin doses
• BMI screening
• Vision screening
14.
15. Shared concerns that vaccine financing
and reimbursements will lead to:
• Decrease in access to immunizations
• Increase in use of safety net providers• Increase in use of safety net providers
• Lowered quality and continuity of care
16. Require insurance companies to cover the
full cost of immunizations
Maximize reimbursement through Medicaid
and VFC at the highest level possibleand VFC at the highest level possible
Make Texas a “Universal Purchase” state
Create and promote vaccine purchasing
pools
Increase collaboration among private
physicians and public/private community
health clinics.
20. Lack of availability of low-cost adult
vaccines
Inability to track exemptions
Border issuesBorder issues
• Access Access Access
• Cross-Border immunizations
21. 1. Immunization Information Systems
• The Future of Immunization Information
Systems
• Update on ImmTrac
• Lifespan Registries• Lifespan Registries
• Cost/benefit of reminder & recall systems
2. Vaccine Financing & Reimbursement
• National Perspective & Scope of Problem
• Texas Perspective
• Practice Habits to ensure financial stability
3. Talking to parents about vaccine safety
4. Advocacy Training
22. O.W.Brown, M.D.,FAAP
Texas Pediatric Society
Diagnostic Clinic of Longview
Mary Derden, RN, BSN
Kelsey-Seybold Clinic
Deborah Durham
St. David’s Community Health Foundation
Anna C. Dragsbaek, J.D.
Houston Area Immunization Partnership
Carrie Kroll
Texas Pediatric Society
Charles T. Leach, M.D.
UTHSCTexas Pediatric Society UTHSC
San Antonio
Jason Sabo
Frontera 501
Laura Sally, MPH
Texas Pediatric Society
Gordon E. Schutze, M.D.
Texas Children's Hospital
Baylor College of Medicine
Jack Sims
Texas Department of State Health Services
Jason V. Terk, M.D.
Cook Children's Physician Network
Adolfo Valadez, M.D., MPH
Texas Department of State Health Services