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Reducing Administrative Burden: Maryland's Health Information Exchange Improves Data and Reduces Administrative Fatigue in the School Setting
Maintaining up-to-date vaccinations is crucial to school readiness requirements. However, ensuring that students are fully vaccinated can be a strain on school staff before the school year even starts. Without updated vaccinations, students risk missing out on vital activities, and may even start the school year late, potentially lagging academically behind their peers.
Maryland’s HIE, Chesapeake Regional Information Systems for Our Patients (CRISP), reduces ambiguity and manual data processing by facilitating data flows from the Maryland Department of Health to schools to decrease the burden on parents and schools, saving schools precious time and staffing costs while enabling students to meet state vaccination requirements. The HIE can automatically validate the status of student immunization records allowing school system teams to easily identify children needing immunizations and proactively outreach to those families.
Using HIEs, state immunization registries and school systems can connect to register validation of students’ vaccination records in bulk. For example, the Baltimore City Public School (BCPS) system uploads an updated student roster to a secure site daily. The HIE receives a daily upload from the State Immunization registry and processes the data by noon to include all vaccinations received from the previous day. Once the updated student roster is received, a streamlined process produces two separate files on new vaccinations from the previous day for existing students, and another detailing vaccination history. The completed process delivers incoming vaccination data to the BCPS systems, which automatically map the data to BCPS student software system each night, ready for the staff’s outreach the next day. Through this collaboration and focus on data quality, CRISP was able to accurately identify students with vaccination needs 95% of the time, providing confidence in the matching efforts.
HIEs like CRISP create an efficient and improved system for schools that is unmatched by manual entries and traditional record retrieval. CRISP has also collaborated with the state immunization system to implement a use case that refines and corrects immunization data by addressing less obvious data matches, such as twins and students with multiple addresses.
Like Connie, CRISP’s solutions are designed to directly address challenges like these to eliminate administrative fatigue while improving data, enabling informed care decisions and improving patient, and student, outcomes. The collaboration between CRISP and BCPS has already shown incredible value, showcasing the value of HIEs in a statewide setting.
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