Resource Repository

Final IIS Validation measures and tests related to Data at Rest (DAR) developed by the Measurement for Assessment and Certification Workgroup (MACAW) and approved by the AIRA Board as part of the IIS Measurement and Improvement Initiative. Participate and P...

The Aggregate Analysis Reporting Tool (AART) is updated on a regular basis to enhance and improve the end user experience while using AART. Often times these enhancements impact Measurement & Improvement (M&I) Initiative reports, features, and user navigation....

This resource includes the takeaway notes and link to the recording from the February 2026 IIS Data Analyst Collaborative (IDAC).  The topics discussed were calculating flu coverage rates, determining non-reporting providers, and establishing baseline rates f...

During this Discovery Session, Alaska and New York City shared how they used IIS-supported outreach to evaluate vaccination outcomes and strengthen reminder/recall strategies. The session provided practical, data-informed insights for public health programs lo...

This resource includes the takeaway notes and recording from the November 2025 IIS Data Analyst Collaborative (IDAC). The topic discussed was FluMist experiences and areas for improvement.

During this Discovery Session, Wisconsin and Louisiana explored how data and research can help improve vaccine coverage from childhood through adulthood. The presenters shared insights on identifying barriers, leveraging data systems, and advancing access to v...

During this Discovery Session, Arizona and Texas shared how they’ve leveraged the Data at Rest (DAR) Measurement & Improvement content area to enhance IIS data quality. Arizona showcased reporting and visualization tools that improve completeness, validity, ...

Signed MOUs for data exchange to support visibility into potential and existing interjurisdictional exchanges

This session highlighted the role of accurate patient matching in IIS data quality and shared key takeaways from AIRA’s second pilot, including enhancements to the tool, lessons learned, and how the findings can inform IIS programs moving forward. Whether...

AIM and AIRA co-hosted the FluMist Home Presentation for AIM and AIRA Members on Tuesday, August 12, 2025. The recording has been posted to the member-only area of the AIM website. The recording is not to be shared outside of immunization program and IIS staff...

This Discovery Session took a deeper look at AIRA’s Emerging Standards initiative and how we’re approaching modernization, including our framework for adopting FHIR for specific projects shaping the future of immunization interoperability. The session s...

This document outlines the community-driven measures and tests for Data at Rest (DAR) measurement in Assessment, the second stage of the M&I Initiative.

Final IIS Assessment measures and tests related to incoming/ongoing data quality developed by the Measurement for Assessment and Certification Workgroup (MACAW) and approved by the AIRA Board as part of the IIS Measurement and Improvement Initiative

In this session, we explored practical ways to engage with AIRA and deepen your involvement in the IIS community—whether you're new or looking to reconnect. The discussion highlighted a range of opportunities, including open initiatives available to all stak...

This session showcased key highlights from the AIRA 2025 National Meeting including recaps of the following highly rated breakout sessions: • Closing the Gap: A Data-Driven Approach to Address Health Gaps in NC from Jenny Myers, MPH, North Carolina Departme...

During this session, the Michigan Department of Health & Human Services (MDHHS) shared insights into their use of digital trust technology for issuing digital birth credentials. The presentation covered the benefits of digitally verifiable vital records, inclu...

These are the takeaways and recording from the February 2025 IIS Data Analyst Collaborative (IDAC). The topic discussed was determining the non-VFC provider population.

During the session, Josh Quint discussed how California is leveraging immunization data to estimate influenza vaccine effectiveness. The California Department of Public Health (CDPH) has been using mandatory reporting for influenza testing and vaccinations to ...

During this engaging Discovery Session, presenters explored the impact of artificial intelligence (AI) on immunization information systems (IIS). Attendees learned about the fundamentals of AI, its applications in public health, and the opportunities and chall...

During this Discovery Session, presenters discussed the the 2024 Immunization Information Systems Annual Report (IISAR). This annual assessment captures key insights from all 64 immunization program awardees, covering the 50 states, five major cities, D.C., an...

These are the takeaways and recording from the November 2024 IIS Data Analyst Collaborative (IDAC). The topic discussed was real versus artificial coverage rates.

During this Discovery Session, presenters discussed the next steps for Patient Matching – HL7 as part of AIRA’s Measurement and Improvement (M&I) Initiative. The draft Measures and Tests for Patient Matching – HL7 document was reviewed with the IIS commu...

During the session, presenters discussed immunization data exchange after 20 million immunization messages were exchanged. The US Department of Veterans Affairs (VA) has been exchanging, tracking, and analyzing immunization messages to understand the reasons b...

Maximizing IIS Security Strategies: This webinar focused on strategies for effectively responding to partner organization security incidents to protect IIS data, as well as strategies for leveraging third-party security audits

During the session, presenters discussed the Digitization and Standardization project and shared how digitized local IGs in IGAMT (NIST’s Implementation Guide Authoring and Management Tool) can be used to create a cost-free, jurisdiction-specific test tool. ...

During this session, presenters from the Society for Post-Acute and Long-term Care Medicine Inc. (AMDA) and AIRA discuss Moving Needles, a CDC-funded initiative to increase the connectivity between Post-Acute and Long-Term Care (PALTC) EHRs and IIS

During this session, presenters navigate emerging standards as they support public health data modernization initiatives and provide structured data specifications to meet the needs of public health programs and their partners

During this session, you'll hear about AIRA 2024 National Meeting Highlights. Presentation includes: • AIRA 2024 National Meeting Highlights from Courtnay Londo, AIRA • Assessment of Parental Vaccination Acceptance as a Predictor of Childhood Vaccination...

Takeaways from the IIS Data Analyst Collaborative (IDAC) in April 2024

Takeaways from the IIS Data Analyst Collaborative (IDAC) in February 2024

During this session, you'll hear about HIEs and How They Can Help IIS. Presentations include: • The Value of HIEs in Working with IIS from Kate Ricker, Civitas Networks for Health • Lessons Learned from IIS Jurisdictions Participating in the IDEAS Projec...

During this session, you'll hear about Immunization Information Systems Annual Report (IISAR). Presentations include: • Immunization Information Systems Annual Report (IISAR) from Terence Ng and Lauren Shaw, Centers for Disease Control and Prevention (CDC)

This template is intended for use by immunization information systems (IIS) to develop a short list of errors, and ways to avoid them, that may occur when users enter data into their organization’s electronic health record/health information technology (EHR/...

This guide lists training resources that promote best practices for data validation in the EHR prior to submission to the IIS

During this session, you'll hear about who PHII is, what they do, the support they provide to the IIS community, and how you can take your team to the next level using PHII’s resources. Presentation includes: • Public Health Informatics Institute (PHII) O...

This Standards & Interoperability Steering Committee (SISC) document contains recommendations for eligibility and funding codes for COVID-19 Bridge Access Program Vaccine, as approved by SISC on August 2, 2023.

During this session, you'll hear about how jurisdictions are improving IIS data quality. Presentations include: • Patient Matching and Data at Rest (DAR) Refresher from Eric Larson and Assiatou Diallo, American Immunization Registry Association (AIRA) • ...

The IIS Orientation to Provider Onboarding: Resources Checklist serves as a starting point for staff who are new to an IIS onboarding role and/or are new to interoperability as it relates to immunization messaging

During this Discovery Session, CDC will provide an overview of the immunization surveillance landscape and its support of CDC’s data modernization efforts. Attendees will learn about the IZ Gateway’s IIS-to-CDC use case, and the progress made by participat...

In this AIRA Discovery Session you will: Learn about the Association of Immunization Managers (AIM) postcard reminder/recall program. Hear from the Nevada State Immunization Program about their efforts to increase vaccination rates among racial/ethnic minori...

AIRA Discovery Session reviewing the 2022 Immunization Information Systems Annual Report (IISAR). The IISAR is available on the awardee SharePoint site. For more information about the IISAR, please contact Terence Ng or Lauren Shaw

This Technical Assistance (TA) Service catalog documents the available services and resource offerings available to the IIS community by AIRA. These resources can be used to plan and implement internal improvements and to help prioritize enhancements. This ca...

Outlines the terms between AIRA and an IIS that participates in the community address cleansing service. This agreement must be reviewed, signed and returned to AIRA for an IIS to enroll in the program. (Please note: the attached agreement is the version that ...

The Smarty FAQ provides guidance on some of the basics of Smarty and available resources to help implement Smarty.

Describes the process of summarizing acknowledgement messages (ACKs) in aggregate reports produced by IIS, EHRs and third-parties. ACKs are most helpful when they are summarized, reviewed and acted upon. The information contained within acknowledgment reports ...

SMART Health Cards are a simple and secure way for people to maintain, own, and share their health information as they see fit. AIRA developed a one-page resource on SMART Health Cards that defines what they are (and are not), how they can empower individuals ...

Vaccination events that occur as part of clinical trial can be reported to IIS under pre-defined circumstances. This guidance document provides an HL7 method to indicate the vaccination event was part of a clinical trial. It also provides additional considerat...

This session is an introduction to AIRA’s Interoperability Course. This course was designed in response to community needs to support staff working on IIS interoperability topics. In this Discovery Session you will learn about the course format, hear from pa...

Vaccine credentials are a hot topic across the IIS community right now. On this AIRA Discovery Session, several experts will share some of the latest efforts being implemented and under development within the US, and key aspects to consider as IIS contemplate ...

A Discovery Session webinar co-hosted by AIRA and the American Health Care Association (AHCA) to discuss efforts to support skilled nursing facilities with IIS enrollment and access. This webinar covers an overview of AHCA outreach and technical assistance eff...

AIRA sent out an Information Request to the membership to gather the collective expertise of the IIS community regarding onboarding long-term care facilities

This Discovery Session is an opportunity to learn more about electronic health records (EHRs) from the experts. On this Discovery Session, AIRA is partnering with the HIMSS EHR Association to hear more about the EHR perspective and how IIS can best collaborate...

AIRA Letter and Comments on CMS Proposed Rules

A Discovery Session webinar focused on the Immunization Integration Program (IIP) Acknowledgements Workgroup's experience and ongoing efforts being done to improve data quality. This session highlights an exciting partnership between the IIP, Epic, Vanderbilt ...

A Discovery Session webinar focused on the technical aspects of vaccine credentialing solutions

AIRA sent out an Information Request to the membership to gather the collective expertise of the IIS community regarding IIS to Medicaid data exchange

A Discovery Session webinar focused on the programmatic aspects of vaccine credentialing solutions

AIRA Letter and Comments on ONC's United States Core Data for Interoperability, Version 2

AIRA sent out an Information Request to the membership to gather the collective expertise of the IIS community regarding consumer access and vaccine credential strategies.

AIRA sent out an Information Request from the Vermont Department of Health to the membership to gather the collective expertise of the IIS community regarding data requests.

AIRA sent out an Information Request from the Minnesota Department of Health to the membership to gather the collective expertise of the IIS community regarding IIS and undocumented immigrants

A Discovery Session webinar focused on COVID-19 hot topics. A combination of updates about IIS-specific COVID-19 hot topics (e.g., data quality for race and ethnicity) and time for questions and community discussion.

An Environmental Scan on Progress, Challenges, and Opportunities: Expanding Immunization Information Systems for Adults in the United States

These talking points are provided as background for IIS in discussing data quality with their state/jurisdiction leadership, their data exchange partners, and their CDC partners

AIRA sent out an Information Request to the membership to gather the collective expertise of the IIS community regarding capturing race and ethnicity data

The purpose of this preliminary guidance developed by an SISC small workgroup is to assist IIS, EHR vendors, and other stakeholders in preparing for the technical requirements of creating HL7 messages containing population group and tier allocation during the ...

Discovery Session to hear from AIRA members and partners about the initial “lessons learned” from the first weeks of the COVID-19 vaccine response

AIRA sent out an Information Request from the New Mexico Department of Health to the membership to gather the collective expertise of the IIS community regarding information dashboards for COVID-19 vaccine information.

Discovery Session reviewing the 2020 IIS Annual Report (IISAR)

The IISAR is an annual survey that assesses immunization program performance in developing, maintaining, and enhancing Immunization Information Systems for a given calendar year. It is a reporting requirement for the 64 immunization programs that receive fundi...

The purpose of this preliminary guidance developed by an SISC small workgroup is to assist IIS, EHR vendors, and other stakeholders in preparing for the technical requirements of creating HL7 messages containing serologic results as proof of immunity during th...

Webinar covering current response planning information and presentations from jurisdictions

Webinar focused on COVID-19 Vaccine Readiness - An Overview of CDC’s COVID-19 Preparedness Report and AIRA’s Measurement and Improvement COVID-19 Standards Alignment Report

AIRA sent out an Information Request from the Colorado Department of Public Health & Environment to the membership to gather the collective expertise of the IIS community regarding handling exemptions.

Select AIRA 2020 National Meeting Presentations: Learn about IIS community success, data at rest pilots, and Measurement and Improvement (M&I) 2020 Validation recognition If you are interested in listening to a recording of this webinar, please email info@imm...

Select AIRA 2020 National Meeting Presentations: Learn about how electronic immunization registries are used all over the globe to track and improve immunization rates worldwide

Select AIRA 2020 National Meeting Presentations: Learn about IIS operations and security

Select AIRA 2020 National Meeting Presentations: Learn about on bolstering the IIS end user experience

Select AIRA 2020 National Meeting Presentations: Learn about using IIS data to improve immunization rates and public health

AIRA sent out an Information Request from the New York Department of Health and Mental Hygienge to the membership to gather the collective expertise of the IIS community regarding tools or applications IIS are using to administer PODs and streamline the report...

Select AIRA 2020 National Meeting Presentations: Learn about several data quality initiatives throughout the IIS community

Select AIRA 2020 National Meeting Presentations: Learn about how the IZ Gateway project is being used in pandemic response

An orientation session designed to help IIS get started with Smarty

Select AIRA 2020 National Meeting Presentations: CDC leadership shares their vision for advancing IIS together, with Q&A after the panel discussion

Data Use Agreement with APHL (Association of Public Health Laboratories) for participation in both IZ Gateway Connect and IZ Gateway Share (updated August 3, 2020)

A Discovery Session webinar focusing on how data analytics can help IIS prepare for the challenges ahead such as a COVID vaccine, expanded flu season and catchup of routine immunizations

Mini-series to promote and support the use of AART as a means for IIS to more quickly and efficiently align with national standards and priorities.

AIRA-AIM joint Education Steering Committee webinar regarding supporting high levels of immunization coverage during the COVID-19 pandemic

This document provides a fillable form for a Memorandum of Understanding (MOU) for secure, electronic exchange of immunization information among governmental entities that operate a population-based immunization information system (IIS)

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to discuss Acknowledgment (ACK) Processing Rules and Proposed 2021 Submission & Acknowledgment Validation including NDC Measures 15 an...

A Discovery Session webinar focusing on the Data at Rest (DAR) pilot project and the data quality tools available to IIS to monitor data quality by provider

As immunization programs and immunization information systems (IIS) prepare to support pandemic response vaccination efforts, there is a need for decision-makers to ensure IIS policies do not inhibit data exchange and reporting. This one-sheet resource highlig...

AIRA sent out an Information Request from the California Department of Public Health to the membership to gather the collective expertise of the IIS community regarding temporary names for newborns.

AIRA sent out an Information Request from the Tennessee Department of Health to the membership to gather the collective expertise of the IIS community regarding the validation and population of missing phone numbers in an IIS

Webinar focused on lessons learned from H1N1 and how they are informing the response to COVID-19

AIRA sent out an Information Request from the Utah Department of Health to the membership to gather the collective expertise of the IIS community regarding immunizations designated as shared decision on immunization forecast reports