Logo: NC Department of Health and Human Services
Logo: Immunize North Carolina
Header: NC Immunization Branch

Link: Home Page
Link: Immunization Information in Spanish
Link: About the Immunization Branch
Link: Adult Immunization Information
Link: Kid's Club
Link: NC immunization links
Link: North Carolina Immunization Registry
Link: NC Immunization News and Events
Link: North Carolina Immunization Branch Newsletter
LInk: Immunization Information for Parents
Link: Providers' Page
Link: Immunization Information for Child Care, Schools and College Entrance
Link: Site Map
Link: Contact the Immunization Branch
Link: Email the Immunization Branch
Link: Disclaimer

By two years of age, over 20 percent of children in the U.S. have seen more than one medical provider. Accurately assessing immunization needs is difficult when records are scattered and the available immunization history is incomplete. In addition to missing opportunities for immunization, one in five U.S. children receives at least one unnecessary dose of vaccine by two years of age, wasting a startling $26.5 million in vaccine costs each year. Registries can save money by ensuring that children get only the vaccines they need, and at the same time, they can improve office efficiency by reducing the time needed to review medical records for assessment and documentation of immunization status.


Logo: NC Division of Public Health

Link: N.C. Women's and Children's Health Web Site

 
What is an immunization registry?

An immunization registry is a confidential, population-based, computerized information system and clinical tool that attempts to collect vaccination information about individuals, particularly children, within a geographical area.

When clinical staff use an immunization registry, it automatically recommends which vaccines a child needs on any given day. The registry’s recommendations are based on the child’s past immunization history and the current Advisory Committee on Immunization Practices (ACIP) childhood immunization schedule. The use of an immunization registry will eliminate confusion regarding the schedule and minimize incomplete immunization records.

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What is the purpose of the NCIR?

The purpose of the NCIR is to:

  • Give health care providers, schools, parents and child care facilities timely access to complete and accurate clinical immunization records
  • Assist health care providers in evaluating the immunization status of their patients thereby identifying children who are past due or missing immunizations
  • Assist health care providers in managing their vaccine inventory
  • Help communities assess their immunization coverage and identify pockets of need
  • Fulfill federal and state immunization reporting needs

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What are the benefits of using the NCIR?

The following are benefits of using the NCIR:

  • Real-time access to clinical immunization information
  • Computer-generated recall/reminder notices for patient immunizations
  • Computer-generated official certificate of immunizations
  • Patient demographics, including that from Vital Records and Medicaid
  • Easy documentation of required immunization data (vaccine type, immunization date, manufacturer, lot #, site, route, VIS publication date, VIS date given, VFC eligibility)

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What are the minimum technical requirements to access the NCIR?

Hardware requirements:

  • 100 Mhz Pentium processor (500 Mhz or higher recommended)
  • 32 MB of RAM (64 MB or higher recommended)
  • 500 MB of free disk space
  • Screen display set at a minimum of 800x600 resolution and 256 colors
  • Mouse
  • Printer connection
  • Reliable Internet access, preferably with a dedicated connection. A modem connection will also work, but will perform more slowly.

Software requirements:

  • Internet browser software, recommended: Microsoft Internet Explorer, version 5.0 or higher
  • Windows 95, 98, ME, NT, or XP
  • Adobe Acrobat Reader 4.01 or higher (available free of charge for downloading via web)

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Is the NCIR HIPPA compliant?

The NCIR has been deemed to be exempt from the HIPAA Privacy Rule. Covered entities are permitted under HIPAA to report information to Public Health Authorities and HIPAA does not supersede state law in this respect.

North Carolina requires the sharing of immunization information with the NC Department of Health and Human Services, local health departments, physicians, schools K-12, colleges and universities, licensed and registered child care facilities, Head Start, Health Maintenance Organizations, and other state and local health departments outside of North Carolina.

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What are the incentives for private practices to use the NCIR?

The following are incentives for private practices to use the NCIR:

  • Improved quality of patient care
  • Elimination of Vaccine Administration Logs (VALs) as method of vaccine accountability for state-supplied vaccine
  • Reduction of staff time to make clinical decisions and create clinical documentation
  • Reduction in staff time to obtain records from other organizations and respond to records requests
  • Efficient and easy inventory management
  • On-line ordering of state-supplied vaccines

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Last Updated: February 7, 2007

The purpose of this web site is both educational and informative.
Personal medical advice should be sought from your local health department or physician.

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