Ten Steps to a Successful Statewide Immunization Registry

Abstract

Lessons learned play a valuable role in understanding the dynamics of building immunization registries. These extend beyond technical issues. Arizona has identified 10 steps in the natural evolution of a system that are leading to a successful state immunization registry development project. Identifying the technical solutions for implementing a registry is somewhat straightforward. Providing a cost-constrained, user-efficient, timely, and implementable solution is somewhat harder. Eliminating barriers and convincing providers to participate to create a “win-win” environment for all involved is harder still. Maintaining user enthusiasm and energy is the challenge. The Arizona immunization project has identified and is following 10 steps that are key to meeting these challenges and achieving the required success. The steps are as follows: (1) establish a coalition of statewide private and public partners; (2) develop a technical plan; (3) review the plan with the community of providers and associated immunization organizations; (4) secure adequate funding; (5) create an integrated development team that includes technical, immunization-specialist, and user-support members; (6) market, educate, and sell the solution to providers, schools, nurse associations, managed care organizations, and parents on the system; (7) develop and test components of the system in a pilot mode, building and expanding upon success and not being afraid of failure; (8) maintain project visibility; (9) provide ongoing and timely user support and interaction, listening to providers; and (10) change with the times, adapt the program as the need arises.