Context: Immunizations are the most effective way to reduce incidence of vaccine-preventable diseases. Immunization information systems (IISs) are confidential, population-based, computerized databases that record all vaccination doses administered by participating providers to people residing within a given geopolitical area. They facilitate consolidation of vaccination histories for use by health care providers in determining appropriate client vaccinations. Immunization information systems also provide aggregate data on immunizations for use in monitoring coverage and program operations and to guide public health action. Evidence Acquisition: Methods for conducting systematic reviews for the Guide to Community Preventive Services were used to assess the effectiveness of IISs. Reviewed evidence examined changes in vaccination rates in client populations or described expanded IIS capabilities related to improving vaccinations. The literature search identified 108 published articles and 132 conference

https://www.ars.toscana.it/files/aree_intervento/malattie_infettive/notifica_obbligatoria/news/jphpm-rev-2014_immunization_info_system.pdf

Immunization information systems to increase vaccination rates: a community guide systematic review.

https://espace.library.uq.edu.au/view/UQ:408524/UQ408524_OA.pdf

Follow-up in newborn hearing screening – A systematic review

9:00 a.m. – 9:15 a.m. Opening Remarks and Welcome • R. Rodney Howell, M.D. Committee Chair 9:15 a.m. – 10:30 a.m. American College of Medical Genetics (ACMG) report to HRSA-Update • Peter C. van Dyck, M.D., M.P.H. Associate Administrator Maternal and Child Health Bureau Committee Discussion • R. Rodney Howell, M.D. Committee Chair 10:30 a.m. – 10:45 a.m. Break 10:45 a.m. – 12 p.m. Committee Discussion of ACMG report, Continued • R. Rodney Howell, M.D. Committee Chair

Advisory committee on heritable disorders and genetic diseases in newborns and children.

Universal hearing screening has dramatically improved outcomes for babies born with detectable hearing abnormalities; yet there are some infants who develop significant hearing problems after passing a neonatal screen. There is much conjecture as to the number and the characteristics of infants with post-natal hearing losses; yet evidence suggests that many children may be affected, and that a large proportion have no discoverable cause. Currently, screening programmes use lists of risk factors to enrol babies into surveillance programmes. This practice is problematic because audiological follow-ups are expensive and under-utilised, and parental disclosure is often inaccurate. The large databases from universal neonatal programmes could inform the development of effective, evidence-based practice and policy for the detection and intervention of children who develop post-natal hearing losses.

Post-natal hearing loss in universal neonatal hearing screening communities: current limitations and future directions.

Newborn Screening System Performance Evaluation Assessment Scheme (PEAS).

The Health Resources and Services Administration and All Kids Count (a national technical assistance center fostering development of integrated child health information systems) have been working together to foster development of integrated child health information systems Activities have included: identification of key elements for successful integration of systems; development of principles and core functions for the systems; a survey of state and local integration efforts; and a conference to develop a common vision for child health information systems to meet medical care and public health needs We provide 1 state (Utah) as an example that is well on the way to development of integrated child health information systems

https://ajph.aphapublications.org/doi/pdfplus/10.2105/AJPH.2004.051466

Integrating Child Health Information Systems

Longitudinal research suggests that efforts at the national, state, and local levels are leading to improved follow-up and data reporting. Data now support the assumption that the number of deaf or hard-of-hearing infants identified through newborn hearing screening increases with a reduction in the number of infants lost to follow-up. Documenting the receipt of services has made a noticeable impact on reducing lost to follow-up rates and early identification of infants with hearing loss; however, continued improvement and monitoring of services are still needed.

/pdf/improved-newborn-hearing-screening-follow-up-results-in-more-4ns428zrjo.pdf

Improved Newborn Hearing Screening Follow-up Results in More Infants Identified

Infants undergo a series of preventive and therapeutic health interventions and activities. Typically, each activity includes collection and submission of data to a dedicated information system. Subsequently, health care providers, families, and health programs must query each information system to determine the child's status in a given area. Efforts are underway to integrate information in these separate information systems. This requires specifying the core functions that integrated information systems must perform.

Principles and core functions of integrated child health information systems.

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Integrating Child Health Information Systems

Improved Newborn Hearing Screening Follow-up Results in More Infants Identified

Principles and core functions of integrated child health information systems.