MIIS Reports and More! What you can learn from the MIIS 10/17/2019 MIAP Conference 2019 1 1 Agenda Data Reporting Methods My Site Features HL7 & Quarterly Data Quality Emails MIIS Reports! 10/17/2019 MIAP Conference 2019 2 2 Data Reporting Methods 10/17/2019 MIAP Conference 2019 3 3 1
Provider Data Reporting Methods GUI/Roster Flat File 0.07% 17.00% Flat File GUI/Roster HL7 HL7 83.00% 10/17/2019 MIAP Conference 2019 4 4 MIIS Data by Reporting Method Roster 1% Flat File 35.5% Roster Flat File HL7 62% GUI HL7 GUI 1.5% 10/17/2019 MIAP Conference 2019 5 5 My Site Features 10/17/2019 MIAP Conference 2019 6 6 2
10/17/2019 MIAP Conference 2019 7 7 System Usage Dashboard Useful information about the practice including shot, patient and user information Data trends and totals PDF export available Provides data trends and totals 10/17/2019 MIAP Conference 2019 8 8 Data Quality Dashboard Breakdown of: Provides • Completeness feedback and • Timeliness an overall • Accuracy grade for Data Quality ! 10/17/2019 MIAP Conference 2019 9 9 3
HL7 Admin Console Provides Access to the “Raw” HL7 messages Helps Providers and DPH Users Monitor Data Message quality Missing data Message counts 10/17/2019 MIAP Conference 2019 10 10 10/17/2019 MIAP Conference 2019 11 11 HL7 Summary Email & Quarterly Data Quality 10/17/2019 MIAP Conference 2019 12 12 4
HL7 Summary Email SUCCESS: Displays the total number of HL7 messages successfully received. SUCCESS WITH WARNINGS: Displays the total number of HL7 messages successfully received but had warnings. A warning is a missing or invalid field value that is not essential for the message. Please have your technical contact review these messages, and make corrections. ERRORS: Displays the total number of HL7 messages that failed. Failed messages are not uploaded to the system. These messages require attention and resubmission. Please have your technical contact review these messages and resubmit. 10/17/2019 MIAP Conference 2019 13 13 HL7 Email Next Steps Take note of your success/error rate and message count If the error rate is greater than 5%, contact your IT/EHR vendor to report the failures If the message count is lower than expected, use the Trouble Shooting Missing Data Guide and report issues Gather additional information by logging into the MIIS and accessing the HL7 admin console 10/17/2019 MIAP Conference 2019 14 14 Quarterly Data Quality Email Overview Hello, This email is to provide the quarterly data quality metrics for immunizations that were submitted electronically to the MIIS by 14862. The MIIS updates immunization data sent electronically based on what is in the provider's state supplied inventory in order to improve the data quality in the MIIS. The table below is a summary of the updates made to the specified fields over the last quarter. Please take a moment to review the information and follow-up with your electronic medical record (EMR) vendor or IT department if the results are different than you would expect. Field Number of Administered Immunizations Updated Percent of Administered Immunizations Updated Lot Type 19 63.3% Lot Number 0 0% Vaccine 0 0% Manufacturer 15 50% Trade Name 24 80% NDC 24 80% 10/17/2019 MIAP Conference 2019 15 15 5
The table below is an overview of what data elements were included for the reported immunizations. Please take a moment to review the information. If the counts are different than what you would expect, please check with your electronic medical record (EMR) vendor or IT department. Description Value Number of administered immunizations given to patients >= 19 0 (0.0%) Number of historical immunizations given to patients >= 19 0 (0.0%) Number of administered immunizations given to patients < 19 29 (100.0%) Number of historical immunizations given to patients < 19 25 (100.0%) Total Immunizations 54 Unmapped NDC 29 (100.0%) Vaccine Code (CVX) does not match the CVX derived from NDC 0 (0.0%) Vaccine manufacturer (MVX) does not match the MVX derived from NDC 0 (0.0%) Total # of Administered Immunizations for each CVX code DTaP-HepB-IPV (110) 2 (6.9%) HepA-Peds 2 Dose (83) 7 (24.1%) HepB-Peds (08) 1 (3.4%) HPV9v (165) 5 (17.2%) IPV (10) 2 (6.9%) MCV4-D (Menactra) (114) 3 (10.3%) MenB-4C (Bexsero) (163) 4 (13.8%) MMR (03) 1 (3.4%) Td (09) 1 (3.4%) Tdap (115) 1 (3.4%) Varicella (21) 2 (6.9%) 10/17/2019 MIAP Conference 2019 16 16 MIIS Reports 10/17/2019 MIAP Conference 2019 17 17 What Reports? Practice Patients Coverage Population Vaccinated Reports Report Report Inventory Invalid Dose Reminder Decrementing Report Recall Tool 10/17/2019 MIAP Conference 2019 18 18 6
Coverage Reports Custom Coverage Report • Ages (any) Evaluates at either Age (any) or Date (any) Standard Childhood Coverage Report • Ages (24-35 months inclusive) Evaluates at age 24 months Standard Adolescent Coverage Report - NEW • Ages (13 years inclusive) Evaluates as of 13 years Adolescent 13-17-year-old Report • Ages (13-17 Years inclusive) Evaluates as of (date indicated) 10/17/2019 MIAP Conference 2019 19 19 10/17/2019 MIAP Conference 2019 20 20 10/17/2019 MIAP Conference 2019 21 21 7
Practice Population Report Allows providers to see a complete list of their patients in the MIIS Patient status can be managed in bulk from this report Managing patient status will help with all reports and deduplication queues! Available in PDF output 10/17/2019 MIAP Conference 2019 22 22 Practice Population Report 10/17/2019 MIAP Conference 2019 23 23 Patient’s Vaccinated Report Providers may see who and how many patients they vaccinated within a time frame Providers may run this report for one vaccine, several vaccines, or all vaccines Available in PDF Export 10/17/2019 MIAP Conference 2019 24 24 8
Patient’s Vaccinated Report 10/17/2019 MIAP Conference 2019 25 25 Invalid Dose Report Totals doses that are Available in invalid in the MIIS for PDF or Excel their patients outputs Great tool for identifying administration errors and ensuring patients are properly protected 10/17/2019 MIAP Conference 2019 26 26 10/17/2019 MIAP Conference 2019 27 27 9
Reminder Recall Allows providers to run reminder recalls for their patients directly from the MIIS Letters, Postcards and mailing labels are available to print Reminder recalls can be exported via PDF or Excel 10/17/2019 MIAP Conference 2019 28 28 Reminder Recall 10/17/2019 MIAP Conference 2019 29 29 Inventory Decrementing Tool Generates a list of vaccines that were not deducted from a provider’s inventory when saved to a patient’s record. Allows users to correct errors to the immunization record and correctly deduct vaccine doses from their inventory. Historical Private immunizations do not Immunizations decrement *unless* you manually add your private Do Not inventory to the MIIS Decrement! 10/17/2019 MIAP Conference 2019 30 30 10
Inventory Decrementing Tool 10/17/2019 MIAP Conference 2019 31 31 10/17/2019 MIAP Conference 2019 32 32 MIIS Help Desk P: 617-983-4335 F: 617-983-4301 W: www.contactmiis.info E: miishelpdesk@state.ma.us 10/17/2019 MIAP Conference 2019 33 33 11
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