Evolving Interoperability Across a State Public Health Immunization Registry and Electronic Health Records

Sripriya Rajamani, Naomi Jiter, Maureen Leeds, Miriam Muscoplat, Katie White, Aaron Bieringer, Genevieve B. Melton

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Scopus citations

Abstract

The critical need for system interoperability and robust information infrastructure in public health was highlighted during the COVID-19 pandemic. An assessment of the evolving interoperability between immunization information system (IIS) in a state-based public health agency and electronic health records (EHRs) including pandemic-driven evolution/use was conducted. The Minnesota Immunization Information Connection (MIIC), the IIS for Minnesota (US) supports interoperability with EHRs using HL7v2.5.1 standards-based queries. Structured interviews were conducted with 28 experts across 12 healthcare systems and public health clinics (n=286 sites) between April - July 2022. Though all reported use of MIIC, most (83%) had MIIC integration within their EHRs, and high EHR queries to MIIC (∼6 million/month), numerous organizational/technical barriers were identified including standard vaccine-naming need in EHRs, app access issues, limited resources and informatics-staff shortage in public health. Results underscore vital role of IIS, on-going interoperability evaluation to address issues and promote standards-based bi-directional EHR-IIS data exchanges.

Original languageEnglish (US)
Title of host publicationMEDINFO 2023 - The Future is Accessible
Subtitle of host publicationProceedings of the 19th World Congress on Medical and Health Informatics
EditorsJen Bichel-Findlay, Paula Otero, Philip Scott, Elaine Huesing
PublisherIOS Press BV
Pages23-27
Number of pages5
ISBN (Electronic)9781643684567
DOIs
StatePublished - Jan 25 2024
Event19th World Congress on Medical and Health Informatics, MedInfo 2023 - Sydney, Australia
Duration: Jul 8 2023Jul 12 2023

Publication series

NameStudies in Health Technology and Informatics
Volume310
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference19th World Congress on Medical and Health Informatics, MedInfo 2023
Country/TerritoryAustralia
CitySydney
Period7/8/237/12/23

Bibliographical note

Publisher Copyright:
© 2024 International Medical Informatics Association (IMIA) and IOS Press.

Keywords

  • Interoperability
  • electronic health records
  • immunization information systems
  • standards

PubMed: MeSH publication types

  • Journal Article

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