Immunization Information System end-users' perceptions of benefits and barriers regarding electronic data submission

Background: Immunization Information Systems (IIS) are increasingly used to ensure timely and appropriate delivery of immunizations across diverse populations. A 2008 survey attempted for the first time to assess end-users' experiences with the Philadelphia's KIDS Registry, a web-based repository of childhood (0-18 years) immunizations reported by healthcare providers.

Objective: Survey goals included determining barriers to electronic data submission for manual (nonelectronic) reporters, and identifying areas for improving completeness and timeliness of electronic reporters' data submissions.

Methods: 323 pediatric immunization provider offices were asked to complete the survey, which was distributed via e-mail, fax, and mail.

Results: Of the 143 responding sites, 34% report vaccinations electronically. Larger practices were more likely to report electronically. Providers perceived that electronic reporting makes data more accurate and complete (76%), saves staff time (65%), and improves vaccination rates (39%). The most frequently cited reasons for not electronically reporting were: not knowing it was an option, too much work for staff, and lacking billing or electronic medical records software. Many manual reporters (69%) felt assistance was essential to move to electronic reporting, although a number were already planning changes that would ease the transition: acquiring internet connectivity (16%), or acquiring/changing billing software (23%).

Conclusions: Most providers still report immunizations manually, but many indicated a willingness to transition with assistance. Results provide new insights for helping providers convert to e-reporting within their technological capabilities. Improving electronic data sharing through KIDS facilitates age-appropriate immunization practices, bridging gaps in healthcare for Philadelphia's children.