Immunization Integration Program

Your Gateway to Immunization Interoperability

Select Block Reference (Programmatic)

IIP Testing and Recognition Initiative

The Centers for Disease Control and Prevention (CDC), American Immunization Registry Association (AIRA), Drummond Group and HIMSS have come together to develop the IIP Testing and Recognition initiative which gives EHR developers the opportunity to adopt, demonstrate and raise awareness of their software product’s inclusion of high-priority immunization capabilities. This was developed through a consensus process involving experts and leaders representing IIS, EHRs and other health IT, HIEs, clinicians, public health and other critical partners. Undergoing IIP Testing and Recognition is offered at no-cost to health IT market suppliers and testing is powered by the National Institute of Standards and Technology (NIST) in collaboration with Drummond Group as the authorized testing body.

ONC Approved Testing PartnerThe IIP Testing and Recognition initiative has been approved by the Office of the National Coordinator for Health Information Technology (ONC) as an alternative testing method for (f)(1) Transmission to immunization registries certification criteria within the ONC Health IT Certification Program. ONC acts as a strategic advisor to IIP testing.

Pipeline Approach

A pipeline approach has been developed to identify opportunities for strategic application of the IIP Collaborative’s recommended solutions to testing within the Testing and Recognition initiative. Updates to the Test Plan are made regularly and include efforts resulting from work by the IIP Collaborative.

IIP Pipeline approach graphic

As the IIP evolves, additional testing capabilities may be added, with the goal to continue to improve immunization interoperability and information sharing with IIS. New testing capabilities will be introduced as discovery and eventually become a part of the trial or required set of testing capabilities.

Product Testing Eligibility

Criteria have been developed to define appropriate candidates for IIP testing including:

  • Vendor product must be an electronic health record (EHR), as defined by HIMSS as: “an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one health care organization”
  • Health IT market suppliers must clearly declare the product and version/release to be tested and recognized and provide the anticipated deployment schedule
  • Health IT market suppliers must clearly declare if other products are being used to meet any of the capabilities tested through the process
  • Health IT market suppliers must be willing to participate in evaluation activities and re-testing as appropriate
  • A product does not need to be fully implemented in a production environment, but priority will be given to products and versions currently implemented in clinical locations providing immunizations

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Product tested: Office Practicum OP Version 20

Passed with notable exception: Test Plan 7.6 (August 2019)

Opt-outs: The vendor chose to opt out of the following capability: Provide Access to Patient Immunization Record

Market Supplier Statement: Capability listed as opt-out is specific to direct portal access; this will be available with the release of a new patient portal, iPortal. OP providers can print an immunization record for school, camp, college, specialist coordination and record transfers...

Product tested: The Physicians – Practitioners Office Assistant Immunization Capabilities Version 3.1
Passed with notable exception: Test Plan 5.6 (February 2018)

Opt-outs: The vendor chose to opt out of the following capabilities:

  • Receive Dose Not Indicated Alert for Single Vaccine Order
  • Notify of Vaccine Dose Ineligibility

Market Supplier Statement: Capabilities listed as opted-out are available when the app is configured as both Vaccine Ordering Tool & Vaccine Registry Reporting Tool.

Products tested: Cerner FirstNet (Immunizations) Version 2 and PowerChart Immunizations Version 10
Passed with notable exception: Test Plan 5.6 (December 2017)

Opt-outs: The vendor chose to opt out of the following capabilities:

  • Produce Immunization Forecast Report
  • Produce Population-Level Report

Market Supplier statement: Opt-outs are available when app is configured as a Vaccine Ordering Tool and Vaccine Registry Reporting Tool. App would query a user “subscribed to” database for clinical-based...

  • Product tested: Qvera Interface Engine Version 3.0.44 Build 8640
  • Passed without exception: Test Plan 5.6 (October 2017)
  • Opt-outs: None
  • Product tested: GlaceEMR Version 6.0
  • Passed without exception: Test Plan 5.5 (September 2017)
  • Opt-outs: None

Testing Components

IIP test plan materials and guidance include:

  • IIP Capabilities will help your customers deliver better care to their patients
  • IIP Test Plan  break down test cases and related IIP testing capabilities
  • The IIP Test Plan Overview describes test steps and the associated required, trial and discovery capabilities
  • EHR developers have the flexibility of selecting which capabilities to test to (90% are required ),   in addition to the required ONC (f)(1) requirements

Supporting materials and resources for user-centered design include:

  • User-Centered Design Primer offers guidance on how to conduct a user-centered design (UCD) process to improve usability outcomes related to the use of immunization program functionality in EHRs and other clinical software
  • User-Centered Model Documentation includes immunization-related content and user interface designs from business workflow requirements to enable the creation of functional prototypes using the UCD model documentation. It also includes discussion on the use of the UCD model to explore immunization-related forecasting and data quality
  • User-Centered Design Process a description of the use of the UCD model to explore immunization-related reconciliation and inventory management

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