title: Direct and Electronic Health Record Access to the Clinical Decision Support for Immunizations in the Minnesota Immunization Information System.
abstract: Immunization information systems (IIS) are population-based and confidential computerized systems maintained by public health agencies containing individual data on immunizations from participating health care providers. IIS hold comprehensive vaccination histories given across providers and over time. An important aspect to IIS is the clinical decision support for immunizations (CDSi), consisting of vaccine forecasting algorithms to determine needed immunizations. The study objective was to analyze the CDSi presentation by IIS in Minnesota (Minnesota Immunization Information Connection [MIIC]) through direct access by IIS interface and by access through electronic health records (EHRs) to outline similarities and differences. The immunization data presented were similar across the three systems examined, but with varying ability to integrate data across MIIC and EHR, which impacts immunization data reconciliation. Study findings will lead to better understanding of immunization data display, clinical decision support, and user functionalities with the ultimate goal of promoting IIS CDSi to improve vaccination rates.
authors.affiliation: Public Health Informatics Program, University of Minnesota, Minneapolis, MN, USA.; Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Sripriya
authors.initials: S
authors.lastname: Rajamani
authors.affiliation: Minnesota Department of Health, St. Paul, MN, USA.
authors.forename: Aaron
authors.initials: A
authors.lastname: Bieringer
authors.affiliation: Public Health Informatics Program, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Wallerius
authors.affiliation: Olmsted County Public Health, Rochester, MN, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Jensen
authors.affiliation: Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA.; Allina Health, Minneapolis, MN, USA.
authors.forename: Tamara
authors.initials: T
authors.lastname: Winden
authors.affiliation: Minnesota Department of Health, St. Paul, MN, USA.
authors.forename: Miriam Halstead
authors.initials: MH
authors.lastname: Muscoplat
keywords: Minnesota; biomedical informatics; clinical decision support; electronic health record; immunization; immunization information system