​Background

Effective January 1, 2023, AB 1797 amended Health and Safety Code (HSC) section 120440 requiring all California healthcare providers, including SNFs and ICFs, to enter all vaccine administration information into a California immunization registry.

Facilities located in Alpine, Amador, Calaveras, Mariposa, Merced, San Joaquin, Stanislaus, or Tuolumne counties will need to report all vaccine administration information into Healthy Futures/RIDE. All other providers must report every vaccine administration into the immunization registry CAIR.

Benefits to participating in an immunization registry include: saving time, improving patient care​ and assisting facilities to run vaccine data reports to access data required for annual CMS reporting.

Support with Enrollment and Beginning Record Entry

If a facility administers vaccines but is not entering records into a California immunization registry, please follow the steps below: 

• Facilities in Alpine, Amador, Calaveras, Mariposa, Merced, San Joaquin, Stanislaus, or Tuolumne counties should contact the Healthy Futures/RIDE Help Desk at (209) 468-2292 or support@myhealthyfutures.org.
• Facilities in all other counties should visit the CAIR website or contact the CAIR Help Desk at CAIRHelpdesk@cdph.ca.gov or 800-578-7889.
  

If an outside organization administers vaccines at a facility, this organization is also required to report all doses into a California immunization registry.

Data Quality   

If a facility is already submitting vaccine administration information to a California immunization registry:

• Run reports on administered doses to ensure information is being entered accurately. You may compare this report against doses in a vaccine administration log or an EHR report.
• If a facility exchanges data (DX) from electronic health records, CAIR strongly encourages the facility to set up at least one staff with a Data Exchange Quality Assurance (DX QA) user role in CAIR. This role has access to the “Check Status”​ page for monitoring data submissions and data quality. For more information, visit the Data Exchange Monitoring Resources section on the CAIR2 User Guides. 
  

Consumer Direct Access – Help Increase Record Completeness

The Digital Vaccine Record (DVR) can now help patients and staff obtain their own summary report of all their vaccines recorded in the immunization registry. Additionally, facilities are highly encouraged to submit all historical immunization records to improve completeness of records:

• To submit historical vaccinations through data exchange (DX), please work with an EHR vendor support and a CAIR Data Exchange Specialist (CAIRDataExchange@cdph.ca.gov) to discuss submission options.
• To manually enter historical vaccines, consult the CAIR2 Guide to Adding Historical Immunizations (PDF) or the Adding Historical Immunizations video.
  

 Additional Contact Information

• Facilities in Alpine, Amador, Calaveras, Mariposa, Merced, San Joaquin, Stanislaus, or Tuolumne counties should visit myhealthyfutures.org and contact the Healthy Futures/RIDE Help Desk at (209) 468-2292 or support@myhealthyfutures.org.
• Facilities in all other counties should refer to the How to Enroll in CAIR2 page for guidance on the CAIR2 setup that works best for them and contact their Local CAIR Representative with any questions.
• Watch the recording or view the slides from the latest CDPH Afternoon TEAch webinar (April 2023). 

For additional information, see the California Department of Public Health’​s AB 1797 Immunization Registry FAQs.

If you have any questions about this AFL, please contact the CAIR Help Desk via email at CAIRHelpdesk@cdph.ca.gov or phone at 800-578-7889. or your Local CAIR Representative.

Sincerely,

Original signed by Cassie Dunham

Cassie Dunham
Deputy Director