60+ jurisdictions – including states, large cities and U.S. territories- received funding from the CDC to develop and maintain an Immunization Information System (IIS) that consolidates immunization information into one reliable source for providers and families. The challenge facing CDC is that each jurisdiction has unique laws and workflows impacting the manner in which immunization data is reported and tracked. In addition, the awardees vary in their ability to implement tracking systems, resulting from a number of factors.
The National Center for Immunization and Respiratory Diseases (NCIRD) requested an analysis of the effectiveness of the current approach to funding IIS activities and the possible ways to increase the sustainability of the national IIS system maintenance and enhancement.
Karna conducted surveys, facilitated discussions and interviewed stakeholders to evaluate awardees’ maturity in accepting, transmitting, and analyzing immunization data. We developed profiles of the current state and created a consolidated view of the awardee cohort. Karna collaborated with the American Immunization Registry Association (AIRA) and Public Health Informatics Institute (PHII) as well as the awardees and government stakeholders.
In the second phase of the project, we worked with CDC to develop a future state funding model, future state tools and a roadmap for creating those tools. This included development of a Shared Services Catalog and approaches to actualizing Service Centers. We reviewed private and governmental sectors to discover and evaluate models for creating a sustainable environment which could manage, support, and deploy shared software services across the awardee community. Karna also performed an alternate IIS funding implementation assessment to develop new approaches to funding the IIS’s. The objective was to create sustainable funding and infrastructure to assure the future of state-based immunization services.
The final work product was an implementation roadmap, which is a step-by-step how-to for achieving a future state of higher performing, inter-active and sustainably funded IIS’s.