1. Recap of Stakeholder MeetingsRecap of Stakeholder Meetings Anna C. Dragsbaek, JD Texas Immunization Summit 2008

2. 75 80 85 Texas Immunization Rates 4:3:1:3:3:1 "If you've done it, it ain't braggin'." 60 65 70 2002 2003 2004 2005 2006 2007 2010 3. Immunization Information Systems Vaccine Financing and Reimbursement Educating Public About Vaccine Safety 4. 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) 5. Create Data Linkages Connect to electronic data sources currently in the providers 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. 6. 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 7. Provide additional data elements: Tuberculosis test results Newborn screening Lead screening Lead screening Asthma screening Hepatitis B immune globulin doses BMI screening Vision screening 8. 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 9. 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. 10. The Jenny McCarthy Effect 11. That dog dont hunt 12. Lack of availability of low-cost adult vaccines Inability to track exemptions Border issuesBorder issues Access Access Access Cross-Border immunizations 13. 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 14. O.W.Brown, M.D.,FAAP Texas Pediatric Society Diagnostic Clinic of Longview Mary Derden, RN, BSN Kelsey-Seybold Clinic Deborah Durham St. Davids 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