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首页> 美国卫生研究院文献>Online Journal of Public Health Informatics >A Demand for Data to Improve Outcomes Creates the Why to Move to Third Generation Immunization Information Systems
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A Demand for Data to Improve Outcomes Creates the Why to Move to Third Generation Immunization Information Systems

机译：对数据以改善结果的需求创造了为何转向第三代免疫信息系统的原因

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Investments over the past two decades to collect and store immunization events established a national population health data asset. The ability to track vaccine usage and storage has increased accountability, lowered wastage, protected valuable resources, and provided the correct vaccines at the right time. Sixty-four immunization registries support the current immunization ecosystem, yet all investments to date have been through state and federal funding. Much of the technology supporting these registries is becoming harder to support, limiting the utilization of the data. For the most part all current systems have legacy 2nd-generation technology and architectures as their foundation Current technology investments in these national assets tend to be for systems that within the next five years will not be cost effectively sustainable with only federal, state and local funding. Yet quality data is being reported by immunization providers across the health care network that is increasing exponentially through electronic data exchanges integrated within Electronic Health Records (EHR) and Pharmacy Management Systems(PMS)This increase in high-quality patient immunization records createsopportunity to build immunization intelligence from the data. However,2nd-generation Immunization Information Systems (IIS) limit the effectiveand timely use of this information. Considering the increasing value of thedata to public and private sectors working to close immunization care gapsin populations, supporting technology must ensure easy accessThis is the first of two papers that highlights the power of thesenational registries and the data they contain to provide opportunityintelligence to the immunization ecosystem user community. Paper oneillustrates the "why" for change and the need for a truly communitycollaborative path forward to move from 2nd- to 3rd-generation systemsthrough partners that leverages cost sharing and common goalsThe end goal is to establish new supporting technology assets thataccelerate the use of data to impact vaccine preventable disease (VPD)outcomes which create a new model for public-private investments to sustainthe IIS national infrastructure. The second a working paper with assumptionsto be tested ("Model for Sustaining and Investing in ImmunizationInformation Systems"), shares cost and investment strategies to completethe migration and create sustainable immunization systems for thefuture
机译：在过去的二十年中，用于收集和存储免疫事件的投资建立了全国人口健康数据资产。跟踪疫苗使用和存储的能力提高了责任感，减少了浪费，保护了宝贵的资源，并在正确的时间提供了正确的疫苗。 64个免疫注册中心支持当前的免疫生态系统，但迄今为止，所有投资都是通过州和联邦资金进行的。支持这些注册表的许多技术变得越来越难以支持，从而限制了数据的利用率。当前大多数系统都以传统的第二代技术和体系结构为基础，这些国家资产上的当前技术投资往往是那些在未来五年内仅靠联邦，州和地方资金就无法经济有效地可持续发展的系统。 。免疫提供商正在报告整个医疗网络中的质量数据，这些数据通过集成在电子病历（EHR）和药房管理系统中的电子数据交换呈指数增长（PMS）高质量患者免疫记录的增加创造了有机会从数据中建立免疫情报。然而，第二代免疫信息系统（IIS）限制有效并及时使用此信息。考虑到提供给致力于缩小免疫保健差距的公共部门和私营部门的数据在人群中，支持技术必须确保容易获得这是两篇论文的第一篇，重点介绍了这些国家注册管理机构及其包含的数据以提供机会免疫生态系统用户社区的情报。论文一说明了变革的“原因”以及对真正社区的需求从第二代系统过渡到第三代系统的合作之路通过利用成本分摊和共同目标的合作伙伴最终目标是建立新的支持技术资产，加速使用数据来影响疫苗可预防疾病（VPD）成果为公私投资维持可持续发展创造了新模式IIS国家基础架构。第二份有假设的工作文件进行测试（“维持和投资免疫模型信息系统”），共享成本和投资策略以完成迁移并为未来

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