Stories of Health IT Adoption in Public Health

Story Overview - New York City Department of Health and Mental Hygiene - Citywide Immunization Registry (CIR)

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The Citywide Immunization RegistryThe New York Citywide Immunization Registry (CIR) provides a central record-keeping system to track the immunization status of individual children and to monitor immunization levels in the population in a timely manner. The lack of such a system in the past created a barrier to immunization for the large numbers of children who received immunizations from different providers and did not have their own up-to-date record. Many physicians do not immunize without seeing the record; hence, opportunities to immunize are frequently lost because a child?s record is not available. The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has implemented a citywide, computerized immunization registry that: * enables health care providers to readily determine the immunization status of a child during a visit and make the most of opportunities to immunize * provides an official printout of an immunization record for parents/guardians to be used for day care, camp and school entry * identifies children who are overdue for scheduled vaccinations so they may be contacted by health care plans or providers and brought up-to-date * maintains the security and confidentiality of patient information

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  • Stakeholders: Clinical Settings (hospitals, ambulatory settings, community health centers, private practices, specialty clinics, nursing homes) , Consumers (patients, patient support organization) , Local Public Health Agencies , State Public Health Agencies , Schools of Public Health
  • Domain: Immunization , Maternal and Child Health (WIC, Newborn screening, Hearing, Birth Defects, other from CDC and HRSA lists) , Public Health Informatics
  • Business Processes (Public Health Functions and Essential Services): Assure , Connect , Exchange , Monitor
  • Information Management Functions: Analyze Data , Collect Data , Generate Reports (Reminders, Notifications, Alerts, Summaries) , Integrate Data , Manage Data (Store, Verify)
  • Information Technology Products: Information Systems , Public Health Information System , Registries

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