History and FAQs
History of the Immunization Integration Program (IIP)
In 2013, following an extensive feasibility study conducted as part of its strategic planning process, CDC NCIRD launched a project to improve immunization management and information sharing across EHRs and IISs through a contract with Chickasaw Nation Industries. HIMSS joined the project in early 2017 to launch the independent, voluntary IIP Testing and Recognition Program, to support the integration of immunization-related capabilities within EHRs and other clinical software across the healthcare system to improve immunization management and information sharing. The IIP is part of a broader effort at CDC NCIRD to use information technology to improve vaccination coverage and reduce vaccine-preventable disease.
1. What is the Immunization Integration Program?
The IIP, implemented by HIMSS, the Drummond Group, and CHC under a contract with CDC NCIRD, brings together clinicians, EHR developers, IISs, public health and other key stakeholders to improve immunization interoperability, information sharing and management.
2. What are the goals and key components of the program?
The goal of the IIP is to assure that clinicians and IISs have timely access to complete and accurate immunization data to improve clinical decision-making and immunization management, increase vaccination coverage and reduce vaccine-preventable diseases.
The IIP achieves its goals in two primary ways:
- The which facilitates the adoption of consensus immunization-related capabilities within EHRs and other clinical software to improve clinical decision-making and information sharing with IISs.
- The which brings EHR developers, IISs, and clinicians together to develop and drive the adoption of solutions to improve interoperability, information sharing, and access to immunization information by clinicians and public health.
3. What are the benefits of the program for stakeholders?
- Enables clinicians to deliver better care to their patients
- Improves access to immunization information to support better clinical decision-making (right immunization, to the right patient, at the right time)
- Reduces burden associated with reporting to immunization registries - meeting requirements of the Vaccines for Children program; reporting on immunization-related performance measures for regulatory compliance and payment; providing immunization information to patients or their caregivers; and onboarding
- Helps their customers (clinicians) deliver better care to patients and reduce the burden associated with immunization management and reporting
- Reduces the burden associated with onboarding their customers (clinicians) with IISs
- Helps them meet ONC Health IT Certification requirements
- Enables IISs to achieve higher levels of reporting among clinicians
- Improves data quality (timeliness, completeness and accuracy) of immunization information received from clinicians
- Reduces the burden associated with onboarding (detailed descriptions currently underway)
- Provides information to public health agencies and leaders to inform strategies that increase vaccination coverage and decrease prevalence of vaccine-preventable disease
- Provides a vehicle for patient and vaccine provider education
4. What is the purpose of the Immunization Integration Program (IIP) Collaborative?
The IIP Collaborative plays a key role in the project’s efforts to improve information sharing and enable access to immunization information among clinicians through their EHRs, IISs and public health agencies.
The purpose of the IIP Collaborative is to bring together clinicians, EHR developers and IISs to identify challenges associated with EHR-IIS immunization information sharing and management and develop and drive the adoption of solutions to address those challenges.
5. What is the IIP Collaborative’s approach?
The IIP Collaborative carries out the following activities to achieve its goals:
- Strengthens relationships among clinicians, health IT developers and IISs
- Identifies and prioritizes issues associated with interoperability, information sharing and immunization management
- Develops consensus on recommended solutions to prioritized issues
- Communicates and raises awareness of solutions and their benefits
- Drives the adoption of recommended solutions
6. What are the purpose and goals of the IIP Testing and Recognition Program?
The program facilitates adoption of consensus immunization-related capabilities within EHRs that improve clinical decision-making, reduce burden and improve information sharing among vaccination providers and IISs by:
- Facilitating agreement on priority immunization-related software capabilities that improve clinical decision-making, reduce burden and improve information sharing among clinicians and IISs
- Operating a voluntary testing and recognition program that enables EHR and other software developers to both integrate and demonstrate their products’ inclusion of immunization software capabilities
7. What does IIP software recognition mean?
Products that have received IIP recognition have successfully tested against immunization-related software capabilities across eight clinical domains:
- Registering and identifying a patient (to assure the provider and the registry are communicating about the same patient)
- Managing external query, response and reconciliation (to enable bidirectional data sharing with immunization registries, providing more accurate data for managing patient care)
- Managing information for clinical decision-making (to enable the right immunization at the right time for the right patients)
- Managing inventory (to assist with managing private vaccine and government guarantee program stock)
- Administering and reporting immunizations (to assure accurate, non-obtrusive data entry, enabling patient management and reporting to immunization registries)
- Managing cohorts of patients (to encourage timely vaccinations and help manage any vaccine recalls)
- Managing adverse events (to identify safety issues, help prevent future adverse events, and support reporting)
- Providing patient access to immunization information (to help patients and their caregivers access their immunization histories)
8. How does IIP testing and recognition relate to the ONC Health IT Certification Program?
- The IIP has been approved by the ONC as an alternative testing method for the ONC Health IT Certification Program.
- Five of the core testing requirements under the IIP align with Certification Criteria within (f)(1) Transmission to Immunization Registries within the ONC Health IT Certification Program.
- IIP’s approval by ONC as an alternative testing method means that those software products that achieve IIP recognition can “get credit” for having successfully tested against the ONC Health IT Certification (f)(1) Certification Criteria. ONC-Approved Health IT Certification Bodies can now rely upon IIP Recognition for–and therefore will not need to also test for–compliance with (f)(1) Certification Criteria.