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AIRA Town Hall Meeting on IIS Voluntary Certification

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting about the Proposed Voluntary Certification process

AIRA Town Hall: Basic and Complete Validation for Data Quality Incoming/Ongoing (DQI)

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce the proposed Basic and Complete Validation for Data Quality Incoming/Ongoing (DQI)

AIRA Town Hall: CMS Promoting Interoperability Proposed Rules

Webinar | AIRA held a community wide town hall meeting to discuss on the draft comments on the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) rule

AIRA Town Hall: CMS Quality Payment Plan and Promoting Interoperability Proposed Rule

Webinar | AIRA held a community wide town hall meeting to discuss the draft comments on the Centers for Medicare & Medicaid Services (CMS) Quality Payment Plan (QPP) and Promoting Interoperability proposed rule

AIRA Town Hall: Introducing Validation, and Measures for Transport

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce Validation and measures for Transport

AIRA Town Hall: ONC and CMS Proposed Rules

Webinar | AIRA held a community wide town hall meeting to discuss the draft comments on proposed rules from the Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services (HHS) and the Centers for Medica...

AIRA Town Hall: ONC TEFCA Draft 2

AIRA Town Hall: ONC TEFCA Draft 2

Issued on May 23, 2019 by AIRA

Mary Beth Kurilo, Policy and Planning Director at AIRA, led a discussion on ONC's Trusted Exchange Framework and Common Agreement (TEFCA) Draft 2 and AIRA's draft comments.

AIRA Town Hall: ONC Trusted Exchange Framework

Mary Beth Kurilo, Policy and Planning Director at AIRA, led a discussion on ONC's draft Trusted Exchange Framework and Common Agreement (TEFCA), and draft AIRA comments.

AIRA Town Hall: PHIG Modernization Funding

AIRA Town Hall: PHIG Modernization Funding

Issued on August 21, 2024 by AIRA

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During this session, presenters discussed the additional funding for IIS data modernization, which supplements the Public Health Infrastructure Grant (PHIG). Jurisdictions also shared their plans for allocating these funds

AIRA Town Hall: Proposed Additional Submission Measures for Assessment

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce the proposed additional Submission measures for Assessment

AIRA Town Hall: Proposed Clinical Decision Support Measures for Assessment

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce the proposed Clinical Decision Support (CDS) Measures for Assessment

AIRA Town Hall: Proposed Measures for Incoming/Ongoing Data, CDS Assessment Thresholds, and CDS Validation

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce the proposed measures for Incoming/Ongoing Data, CDS Assessment Thresholds, and CDS Validation

AIRA Town Hall: Proposed Submission & Acknowledgment Validation Update

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...

AIRA Town Hall: Proposed Submission and Query Measures for Validation

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce the proposed Submission and Query Measures for Validation

AIRA Update

AIRA Update

Issued on September 20, 2018 by AIRA

National Meeting Presentation | AIRA Update

AIRA Webinar: The Immunization Integration Program: Tackling Immunization Interoperability Challenges

In this webinar the Immunization Integration Program (IIP) highlights current and future efforts, and program strategies to improve immunization interoperability by walking through the process of how immunization interoperability challenges are identified, sel...

All We Need to Know We Learned in Kindergarten

National Meeting Presentation | All We Need to Know We Learned in Kindergarten

Alternative Race/Ethnicity Categorization of COVID-19 Vaccine Recipients

Alternative Race/Ethnicity Categorization of COVID-19 Vaccine Recipients

Issued on May 3, 2023 by California Department of Public Health

National Meeting Presentation | Alternative Race/Ethnicity Categorization of COVID-19 Vaccine Recipients (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without the...

An Agile Approach to Providing Product Solutions In A Post COVID-19 World

National Meeting Presentation | An Agile Approach to Providing Product Solutions In A Post COVID-19 World (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2021 National Meeting and are incomplete without th...

An Intro to Vaccine Credentialing: Noam Arzt, Excerpt from 9.27.2021 AIRA Discovery Session

An excerpt from the 9.27.2021 AIRA Discovery Session: Vaccine Credentialing.

An Introduction to AART: AART 101

An Introduction to AART: AART 101

Issued on March 21, 2025 by AIRA

An overview of the Aggregate Analysis Reporting Tool (AART), AIRA developed application, that facilitates independent testing of IIS functionality and performance as part of the Measurement and Improvement (M&I) Initiative. This video provides guidance and res...

An Observational Study: The Value of IIS in Improving Rates and Quality of Care in Retail Pharmacies

An Observational Study: The Value of IIS in Improving Rates and Quality of Care in Retail Pharmacies

Issued on April 21, 2015 by Scientific Technologies Corporation, Bartell Drugs

National Meeting Presentation | An Observational Study: The Value of IIS in Improving Rates and Quality of Care in Retail Pharmacies

An Opportunity for Sharing: the Massachusetts Immunization Information System (MIIS)

An Opportunity for Sharing: the Massachusetts Immunization Information System (MIIS)

Issued on April 21, 2015 by MA, Strategic Solutions Group

National Meeting Presentation | An Opportunity for Sharing: the Massachusetts Immunization Information System (MIIS)

An Update on Two-Dimensional (2D) Vaccine Barcoding

An Update on Two-Dimensional (2D) Vaccine Barcoding

Issued on April 25, 2017 by CDC, Deloitte Consulting, Sutter Health

National Meeting Presentation | An Update on Two-Dimensional (2D) Vaccine Barcoding

An Update on Two-Dimensional (2D) Vaccine Barcoding

National Meeting Presentation | An Update on Two-Dimensional (2D) Vaccine Barcoding

Analytic Guide for Assessing Vaccination Coverage Using an IIS

This guide describes practical considerations and key decision points in designing a population-based assessment using an IIS

Analyzing Pharmacies Impact on Adult Influenza Vaccinations Reported to an IIS

National Meeting Presentation | Analyzing Pharmacies Impact on Adult Influenza Vaccinations Reported to an IIS

Antenatal COVID-19 Vaccination Uptake in Washington State

Antenatal COVID-19 Vaccination Uptake in Washington State

Issued on May 3, 2023 by Washington State Department of Health

National Meeting Presentation | Antenatal COVID-19 Vaccination Uptake in Washington State (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without the accompanying o...

Application Lifecycle Management

Application Lifecycle Management

Issued on September 11, 2018 by TX

National Meeting Presentation | Application Lifecycle Management

Applications for an Immunization Registry Reminder/Recall Tool

National Meeting Presentation | Applications for an Immunization Registry Reminder/Recall Tool

Applications Used to Administer PODs and Reporting POD Vaccine Data

Applications Used to Administer PODs and Reporting POD Vaccine Data

Issued on August 18, 2020 by AIRA

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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...

Applied Analytics – Improving Data Exchange and Data Quality

Applied Analytics – Improving Data Exchange and Data Quality

Issued on May 3, 2024 by Envision Technology Partners, Inc.

National Meeting Presentation | Applied Analytics – Improving Data Exchange and Data Quality (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplete without the accompany...

Applied Use of Bidirectional Exchange in Walmart Pharmacies

Applied Use of Bidirectional Exchange in Walmart Pharmacies

Issued on April 21, 2015 by Scientific Technologies Corporation, Wal-Mart Stores, Inc.

National Meeting Presentation | Applied Use of Bidirectional Exchange in Walmart Pharmacies

Applied Use of Bidirectional Exchanges: A Case Study of Rockwood Clinic

Applied Use of Bidirectional Exchanges: A Case Study of Rockwood Clinic

Issued on October 9, 2013 by Scientific Technologies Corporation, Rockwood Health System

National Meeting Presentation | Applied Use of Bidirectional Exchanges: A Case Study of Rockwood Clinic

Applying IIS Best Practices: Past, Present, & Future

Applying IIS Best Practices: Past, Present, & Future

Issued on May 2, 2023 by Minnesota Department of Health, Nevada State Immunization Program

National Meeting Presentation | Applying IIS Best Practices: Past, Present, & Future (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without the accompanying oral c...

Applying Joint Development Strategies to Meet Unique Community Needs — the Pacific Island Experience

National Meeting Presentation | Applying Joint Development Strategies to Meet Unique Community Needs — the Pacific Island Experience

Approaches to Capturing RSV Immunizations

Approaches to Capturing RSV Immunizations

Issued on April 29, 2025 by HLN Consulting, LLC, Rhode Island Department of Health

National Meeting Presentation | Approaches to Capturing RSV Immunizations (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the accompanying oral commentary a...

Approaches to Increasing Reporting of Adult Immunizations in the NDIIS

National Meeting Presentation | Approaches to Increasing Reporting of Adult Immunizations in the NDIIS

April 2013 Monthly Update

April 2013 Monthly Update

Issued on April 30, 2013 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2015 Monthly Update

April 2015 Monthly Update

Issued on April 30, 2015 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2016 Monthly Update

April 2016 Monthly Update

Issued on April 30, 2016 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2017 Monthly Update

April 2017 Monthly Update

Issued on April 30, 2017 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2018 Monthly Update

April 2018 Monthly Update

Issued on May 4, 2018 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2019 Monthly Update

April 2019 Monthly Update

Issued on May 3, 2019 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2020 Monthly Update

April 2020 Monthly Update

Issued on May 5, 2020 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2021 Monthly Update

April 2021 Monthly Update

Issued on May 5, 2021 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2022 Monthly Update

April 2022 Monthly Update

Issued on May 10, 2022 by AIRA

AIRA's monthly recap to inform the IIS community about the latest happenings and activities within AIRA

April 2024 IDAC Takeaways

April 2024 IDAC Takeaways

Issued on April 18, 2024 by AIRA

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

Are We There Yet? Assessing IIS Readiness for Research & Surveillance

National Meeting Presentation | Are We There Yet? Assessing IIS Readiness for Research & Surveillance

Arizona IIS Migrated to Cloud

Arizona IIS Migrated to Cloud

Issued on August 15, 2019 by AZ

National Meeting Presentation | Arizona IIS Migrated to Cloud

Ask EHR Experts About IIS & Electronic Health Records

Ask EHR Experts About IIS & Electronic Health Records

Issued on August 13, 2019 by Allscripts, Cerner

National Meeting Presentation | Ask EHR Experts About IIS & Electronic Health Records

Assessing Address Validity in the NDIIS Using Smarty

Assessing Address Validity in the NDIIS Using Smarty

Issued on May 3, 2024 by North Dakota Department of Health and Human Services

National Meeting Presentation | Assessing Address Validity in the NDIIS Using Smarty (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplete without the accompanying oral c...

Assessing Change with IIS

Assessing Change with IIS

Issued on September 9, 2018 by OR

National Meeting Presentation | Assessing Change with IIS

Assessing Data Quality Using Statistical Process Control Methods

Assessing Data Quality Using Statistical Process Control Methods

Issued on April 22, 2015 by University of Michigan

National Meeting Presentation | Assessing Data Quality Using Statistical Process Control Methods

Assessing Electronic Immunization Registries: The PAHO experience

National Meeting Presentation | Assessing Electronic Immunization Registries: The PAHO experience

Assessing electronic immunization registries: the Pan American Health Organization experience

A team from the Immunization Unit at the Pan American Health Organization (PAHO) reviewed existing methodologies to evaluate health information systems. Methodology was developed to assess electronic immunization registries (EIRs) in low- and middle-income cou...

Assessing HPV Vaccination Coverage in New York City with a Dasymetric Map

Assessing HPV Vaccination Coverage in New York City with a Dasymetric Map

Issued on May 2, 2023 by New York City Department of Health and Mental Hygiene

National Meeting Presentation | Assessing HPV Vaccination Coverage in New York City with a Dasymetric Map (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without th...

Assessing Maternal Immunization Rates by Using Responsible-Party Fields

National Meeting Presentation | Assessing Maternal Immunization Rates by Using Responsible-Party Fields

Assessing Ongoing Monthly Reminder/Recall - Who + Where + Why + Outcome

National Meeting Presentation | Assessing Ongoing Monthly Reminder/Recall - Who + Where + Why + Outcome

Assessing Polio Vaccination for Consideration of Wastewater Surveillance

Assessing Polio Vaccination for Consideration of Wastewater Surveillance

Issued on May 3, 2023 by Michigan Department of Health and Human Services

National Meeting Presentation | Assessing Polio Vaccination for Consideration of Wastewater Surveillance (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without the...

Assessing Provider Use of IIS Information in Their EHR Systems

National Meeting Presentation | Assessing Provider Use of IIS Information in Their EHR Systems

Assessing the Immunization Information System and Electronic Health Record Interface Accuracy for COVID-19 Vaccinations

Immunizations in the United States are given in many different settings including pharmacies, doctors’ offices, and health departments. After a vaccine is administered, the information is uploaded to an Immunization Information System (IIS), usually run by t...

Assessing the Impact of COVID-19 on Immunizations in Michigan

Assessing the Impact of COVID-19 on Immunizations in Michigan

Issued on April 26, 2022 by University of Michigan

National Meeting Presentation | Assessing the Impact of COVID-19 on Immunizations in Michigan (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2022 National Meeting and are incomplete without the accompanyi...

Assessment and Interoperability Testing Update

Assessment and Interoperability Testing Update

Issued on April 5, 2016 by AIRA, CDC

National Meeting Presentation | Plenary: Assessment and Interoperability Testing Update

Assessment of Immunization Waivers for School-Required Vaccinations

Assessment of Immunization Waivers for School-Required Vaccinations

Issued on April 29, 2025 by Michigan Department of Health and Human Services

National Meeting Presentation | Assessment of Immunization Waivers for School-Required Vaccinations (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the acco...

Assessment of Local Health Department Use of IIS

Identifies and explores ways local public health departments across the United States use IIS

Assessment of Parental Vaccination Acceptance as a Predictor of Childhood Vaccination

Assessment of Parental Vaccination Acceptance as a Predictor of Childhood Vaccination

Issued on May 3, 2024 by North Dakota Department of Health

National Meeting Presentation | Assessment of Parental Vaccination Acceptance as a Predictor of Childhood Vaccination (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplet...

Assessment of the Washington State IIS School Module Rollout

National Meeting Presentation | Assessment of the Washington State IIS School Module Rollout

Assuring Correctness and Consistency in AFIX-IIS Coverage Implementation

National Meeting Presentation | Assuring Correctness and Consistency in AFIX-IIS Coverage Implementation

ASTHO IIS Interstate Data Exchange Meeting

National Meeting Presentation | ASTHO IIS Interstate Data Exchange Meeting

August 2013 Monthly Update

August 2013 Monthly Update

Issued on August 31, 2013 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2014 Monthly Update

August 2014 Monthly Update

Issued on August 31, 2014 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2015 Monthly Update

August 2015 Monthly Update

Issued on August 31, 2015 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2016 Monthly Update

August 2016 Monthly Update

Issued on August 31, 2016 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2017 Monthly Update

August 2017 Monthly Update

Issued on August 30, 2017 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2018 Monthly Update

August 2018 Monthly Update

Issued on September 7, 2018 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2019 Monthly Update

August 2019 Monthly Update

Issued on September 4, 2019 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2020 Monthly Update

August 2020 Monthly Update

Issued on September 4, 2020 by AIRA

AIRA’s monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2021 Monthly Update

August 2021 Monthly Update

Issued on September 9, 2021 by AIRA

AIRA's monthly recap to inform the IIS community about the latest happenings and activities within AIRA

August 2022 Monthly Update

August 2022 Monthly Update

Issued on September 8, 2022 by AIRA

AIRA's monthly recap to inform the IIS community about the latest happenings and activities within AIRA

Automating Electronic Health Record (EHR) Integration

Automating Electronic Health Record (EHR) Integration

Issued on September 20, 2012 by Atlantic Management Center, Inc.

National Meeting Presentation | Automating Electronic Health Record (EHR) Integration

Availability of IIS Data for Health Plans Reporting an Adult Immunization Quality Measure

Availability of IIS Data for Health Plans Reporting an Adult Immunization Quality Measure

Issued on September 9, 2018 by National Committee for Quality Assurance

National Meeting Presentation | Availability of IIS Data for Health Plans Reporting an Adult Immunization Quality Measure

A survey report on awardee experiences using IIS for immunization coverage assessments

Back to School: Driving Advancements in School-Based IIS Access

Back to School: Driving Advancements in School-Based IIS Access

Issued on May 1, 2025 by Docket Health, Inc., Maine Center for Disease Control and Prevention

National Meeting Presentation | Back to School: Driving Advancements in School-Based IIS Access (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the accompan...

Back to the Future: How New IIS Transported Kentucky into 2016

National Meeting Presentation | Back to the Future: How New IIS Transported Kentucky into 2016

Benefits of Standard Upload Data Quality Report for Multiple Stakeholders

National Meeting Presentation | Benefits of Standard Upload Data Quality Report for Multiple Stakeholders

Best Practices for the Provider On-boarding Process

Best Practices for the Provider On-boarding Process

Issued on April 23, 2015 by Scientific Technologies Corporation, WA

National Meeting Presentation | Best Practices for the Provider On-boarding Process

Better Immunization Data Initiative

Better Immunization Data Initiative

Issued on September 20, 2018 by Bill & Melinda Gates Foundation

National Meeting Presentation | Better Immunization Data Initiative

Beyond Meaningful Use: Structured Data Capture and Other Coming Attractions

Webinar | This webinar on Meaningful Use was presented by Jim Daniel (ONC)

Bidirectional Onboarding: A Beginner's Guide to Success

Bidirectional Onboarding: A Beginner's Guide to Success

Issued on August 13, 2019 by Philadelphia

National Meeting Presentation | Bidirectional Onboarding: A Beginner's Guide to Success

Birth and Death Files from Vital Statistics

Birth and Death Files from Vital Statistics

Issued on January 23, 2019 by AIRA

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AIRA sent out an Information Request from Texas Department of State Health Services to the membership to gather the collective expertise of the IIS community regarding receiving birth and death files from Vital Statistics

Blast Off! Relaunching IIP EHR Immunization Capabilities Testing

Blast Off! Relaunching IIP EHR Immunization Capabilities Testing

Issued on May 3, 2023 by AIRA, CDC/NCIRD/ISD/IDAB

National Meeting Presentation | Blast Off! Relaunching IIP EHR Immunization Capabilities Testing (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without the accompa...

Bloomer Awards

Bloomer Awards

Issued on August 31, 2018 by DXC Technology

National Meeting Presentation | Bloomer Awards

Brazil's Nominal Information System: Innovating Vaccination Records, Integrating Databases and Providing Outputs for Analysis

National Meeting Presentation | Brazil's Nominal Information System: Innovating Vaccination Records, Integrating Databases and Providing Outputs for Analysis

Bridging the Gap: Supporting an RFP Package & Long-term Roadmap for Oregon

Bridging the Gap: Supporting an RFP Package & Long-term Roadmap for Oregon

Issued on April 30, 2025 by J Michael Consulting, Oregon Immunization Program

National Meeting Presentation | Bridging the Gap: Supporting an RFP Package & Long-term Roadmap for Oregon (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without t...

Build Up Your IIS Workforce!

Build Up Your IIS Workforce!

Issued on August 4, 2021 by PHII

National Meeting Presentation | Build Up Your IIS Workforce! (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2021 National Meeting and are incomplete without the accompanying oral commentary and discussion...

Building a Data Analyst Toolbox for Workforce Development

Building a Data Analyst Toolbox for Workforce Development

Issued on May 3, 2024 by Minnesota Department of Health

National Meeting Presentation | Building a Data Analyst Toolbox for Workforce Development (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplete without the accompanying o...

Building a Sustainable Path Together: Immunization Reporting through HIEs in Colorado

National Meeting Presentation | Building a Sustainable Path Together: Immunization Reporting through HIEs in Colorado

Building Automated Systems for Secure User Management on Microsoft Power Platform

Building Automated Systems for Secure User Management on Microsoft Power Platform

Issued on May 3, 2024 by Texas Department of State Health Services

National Meeting Presentation | Building Automated Systems for Secure User Management on Microsoft Power Platform (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplete wi...

Building Effective IIS-HIE Relationships: Results of a Nationwide Study

Building Effective IIS-HIE Relationships: Results of a Nationwide Study

Issued on October 8, 2013 by PHII, HLN Consulting, LLC

National Meeting Presentation | Building Effective IIS-HIE Relationships: Results of a Nationwide Study