Optimizing Application And Support Of Immunization Information Systems (OASIS)

Study Overview
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Brief Summary
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The overall purpose of this study is to evaluate the use of features of the New York State Immunization Information System (NYSIIS) by various types of primary care practices and determine how best to promote the use of IIS features and functionality. The primary goal is to promote the use of NYSIIS for immunization quality improvement (QI) in the practice setting. Customized training sessions will be conducted by study staff to educate practices on NYSIIS' enhanced features.

Official Title
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Optimizing the Practical Application of Immunization Information System Use in Primary Care Practices

Conditions
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Increase in Use of Immunization Registry, Increase in HPV Vaccination Rate

Intervention / Treatment
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* Other: Reminder Recall Report
* Other: Audit-Feedback/Immunization Forecasting Reports


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: NYSIIS administrator at a participating practice Exclusion Criteria: Practices already utilizing/running reports used in the intervention
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Reminder Recall Reports<br>Training in how to use reminder-recall reports in the Immunization registry will be given to administrators who will then be asked to regularly run these reports for a period of one year. | Other: Reminder Recall Report<br>* Practices (administrators) that are randomized to this intervention will receive training in how to run reminder recall reports for patients due to receive any dose of HPV vaccine. After the training has been completed, administrators will be asked to continue running regularly scheduled reports over the course of one year. A tracking log will be sent regularly to the research team.<br>|
| Experimental: Audit-Feedback/Immunization Forecasting Reports<br>Training in how to use audit-feedback/immunization forecasting reports in the Immunization registry will be given to administrators who will then be asked to regularly run these reports for a period of one year. | Other: Audit-Feedback/Immunization Forecasting Reports<br>* Practices (administrators) that are randomized to this intervention will receive training in how to run audit-feedback/immunization forecasting reports for patients due to receive any dose of HPV vaccine and to determine the % of patients in their practice who have received at least one dose of HPV vaccine within the study period. After the training has been completed, administrators will be asked to continue running regularly scheduled reports over the course of one year. A tracking log will be sent regularly to the research team.<br>|
| No Intervention: Control<br>No intervention will be administered to this group. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NYSIIS report usage | Practice NYSIIS administrators will monitor the number of reports their practice generates throughout the 12 month post-training period. These measures for control and intervention practices will be compared in bivariate and multivariate analysis. | One Year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HPV Vaccination Rate | HPV Vaccination rates will be measured to determine the change in the practice's immunization levels (for the pre-determined immunization QI goal) over the 12-month period following their initial training. Statistical comparisons of control and intervention practice will be performed using bivariate analyses, while multivariate analyses will be used to account for the effects of practice characteristics. | One Year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Immunization Registry, Human Papillomavirus