205454 KIDS registry: End-users' experience with a public health information system

Monday, November 9, 2009

Longina Visconto, MPH , Division of Disease Control - Philadelphia Department of Public Health, Philadelphia, PA
Claire Newbern, PhD, MPH , Division of Disease Control - Philadelphia Department of Public Health, Philadelphia, PA
Lauren Hutchens, MPH , Division of Disease Control - Philadelphia Department of Public Health, Philadelphia, PA
Tanya Jones , Division of Disease Control - Philadelphia Department of Public Health, Philadelphia, PA
Jenny Harvey , Division of Disease Control - Philadelphia Department of Public Health, Philadelphia, PA
Kathleen Grant, BS , College of Graduate Studies, Thomas Jefferson University, Philadelphia, PA
Bhavani Sathya, MPH , Division of Disease Control - Philadelphia Department of Public Health, Philadelphia, PA
BACKGROUND: KIDS is a web-based registry containing immunization data on persons (0-18 years) in Philadelphia. Philadelphia healthcare providers are mandated to report immunizations to KIDS. In 2008, the first survey of the KIDS web-based interface was conducted to evaluate users' experience.

OBJECTIVE: To assess users' experience with the KIDS interface in order to expand registry utilization and enhance the functionality.

METHODS: The survey was available online and sent via e-mail, fax, and mail.

RESULTS: Of 145 responding sites, 79% reported currently using KIDS. The most common uses were to check immunization histories for new patients (66%) and print vaccination records (65%). Among KIDS users, the most commonly reported problems include difficulty logging into KIDS and concerns over data accuracy/completeness. Users overall satisfaction with KIDS was very high (97%). Most frequently reported reasons for not using KIDS (N=30) were: problems accessing KIDS (47%), practice has their own immunization tracking system (27%), and not having computers/internet (17%). Future improvements most requested by providers include the ability to: generate a list of patients with missing immunizations (83%), order Vaccines for Children (VFC) vaccines through KIDS (71%), calculate vaccine coverage rates for their practice (60%), and document vaccines for reports to managed care organizations (65%).

CONCLUSION: The majority of KIDS users are very satisfied with the current system, but would also welcome new or enhanced functionality. Survey results will help to effectively target efforts to broaden KIDS use among Philadelphia healthcare providers, and make appropriate modifications to our public health information system.

Learning Objectives:
1. Evaluate end-user experiencesí with a public health information system. 2. Assess the importance of immunization registry functions to end-users. 3. Identify ways for translating survey results into immunization registry improvement.

Keywords: Immunizations, Child/Adolescent

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working with the Philadelphia Immunization Program for the past 2 years. My responsibilities include maintaining the accuracy and completeness of immunization data reported to the KIDS registry by our providers, and promoting provider utilization of the registry.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.