Build accurate vaccine histories with the athenahealth network

A patient is having her arm examined by a nurse, showcasing how ChartSync organizes vaccine records effectively.
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athenahealth
October 09, 2025
5 min read

How ChartSync streamlines vaccine reconciliation in patients' charts

For primary care, pediatric, and gerontology practices, complete vaccine data is essential for patient care and meeting MIPS and value-based care program reporting requirements. ChartSync, a feature of athenaOne®, uses AI to automate vaccine reconciliation, helping to transform scattered records into cleaner, more accurate vaccine histories while speeding workflows and supporting immunization-related quality measures.

From a toddler’s first shots to a senior wellness visit, accurate vaccine histories improve outcomes, reduce disparities, and support both clinical and financial performance under MIPS and other value-based care programs.

Why vaccine reconciliation has been harder than it should be

Compiling a complete vaccine record can be frustrating and time-consuming. Clinicians often spend minutes before each visit:

  • Searching state immunization registries one by one
  • Manually entering vaccine details into the EHR
  • Resolving duplicate or conflicting records

Even then, records may be incomplete. Boosters in the ED, flu shots at workplaces, or vaccines at retail pharmacies, mobile units, or community programs can slip through the cracks.

Patients who move frequently, work multiple jobs, or rely on safety-net care are most affected, worsening disparities tied to social drivers of health (SDOH).

ChartSync automates reconciliation from 55+ connected registries — helping to ensure that vaccine data is clean, deduplicated, and ready in your workflow, saving time and reducing gaps in preventive care.

Designed for clinicians, powered by AI

Built with clinician input, ChartSync fits how teams work. Vaccine reconciliation with flexible clinician controls lets practices focus on care, not admin tasks. 

With ChartSync, your team can: 

  • Prep faster: Surfacing only the most relevant vaccine data
  • Make informed decisions: View complete vaccine histories across care settings
  • Stay in control: Auto-reconcile or review records first 

The result: streamlined workflows, accurate records, stronger MIPS and value-based care program performance, and equitable, timely preventive care.

Automating the vaccine reconciliation process with AI

Manual reconciliation is slow, error-prone, and distracts from care. ChartSync replaces it with an automated process, using AI to match, validate, and deduplicate records.

The table displays the differences between two data types, highlighting differences in patient vaccine histories curated by ChartSync in athenaOne®

ChartSync reduces errors, ensures complete histories, and supports MIPS, value-based reporting, and equitable preventive care. 

How ChartSync works for smarter, more connected care 

Included in athenaOne at no extra cost, ChartSync automatically pulls in vaccine data without any need for extra logins, downloads, or manual effort. Vaccine reconciliation is fully automated—post-GA data shows 99.6% of all registry vaccines are auto-reconciled, with only a small percentage excluded due to invalid vaccine codes or non-vaccine entries. 

  • Seamless data exchange: Integration with 54 registries nationwide (registry-to-chart data flow; practice-to-registry data optional)
  • Automatic download & prep: Vaccine data is ready at patient check-in or the night before
  • De-duplication and quality checks: Valid vaccine entries are auto-reconciled using established clinical data standards with no AI-based uncertainty flagging
  • Clear visual cues: Blue dot indicates auto-reconciled registry data; blue ring designates practice-entered vaccine information

All valid vaccines from external registries are incorporated automatically, minimizing manual interventions. The only time clinical users may interact is to update practice-entered vaccine records with more complete registry information (e.g., adding a Lot number), which occurs very rarely (<0.002% post-GA).1

Automation saves time, reduces errors, and ensures patients with fragmented care don’t fall through the cracks. 

The interoperability benefits you’ll notice immediately

ChartSync empowers your team with faster, smarter vaccine reconciliation and seamless data exchange.

  • Save time: Automates workflows, eliminating ~7 clicks per vaccine and freeing hours each week2
  • Reduce errors: AI validates registry data and removes duplicates for cleaner records
  • Improve continuity: Complete histories follow patients across care settings, supporting coordinated care
  • Support quality measures: Structured, accurate data strengthens immunization metrics and value-based reimbursement

With ChartSync, every patient benefits from complete, up-to-date vaccine records, helping practices deliver timely, equitable preventive care while boosting performance under MIPS and other value-based care programs.

When your vaccine data is complete and organized, Improvement Activities for MIPS become less about hunting for missing information and more about delivering quality patient care.

Boost MIPS quality measures with smarter vaccine reconciliation

CMS counts vaccines for MIPS quality scores and value-based reimbursement. Gaps lead to underreporting and missed incentives. For practices looking to excel at Improvement Activities for MIPS, complete immunization data is critical, especially for measures like childhood immunization status and adult flu vaccination rates.

ChartSync, powered by AI and built into athenaOne, ingests histories from 55+ registries, deduplicates records, and links entries to their source. This automated approach supports key Improvement Activities for MIPS by ensuring practices have the complete data needed for accurate reporting. The result:

  • Confirm childhood vaccine series without chart hunting
  • Capture adult immunizations from any setting
  • Meet reporting deadlines with validated, structured data
  • Support equitable care: Complete histories across multiple settings

Automating reconciliation closes data gaps, supports accurate MIPS reporting, maximizes incentives, and frees clinicians to focus on care. When your vaccine data is complete and organized, Improvement Activities for MIPS become less about hunting for missing information and more about delivering quality patient care.

ChartSync vaccine reconciliation: frequently asked questions

1. What is ChartSync vaccine reconciliation?

ChartSync’s vaccine auto reconciliation seamlessly updates patient charts with accurate, complete immunization data from registries, minimizing manual work and ensuring up-to-date records.

2. How does ChartSync improve vaccine data accuracy?

ChartSync auto-reconciles only valid entries, removes duplicates, and links to the source for trusted, precise information.

3. How many registries does ChartSync connect to?

ChartSync integrates with over 55 state and regional immunization registries, supporting bi-directional data flow for MIPS and public health reporting.

4. How does ChartSync save time?

By eliminating manual entry and duplicate reviews, it saves about seven clicks per vaccine during each patient visit. 

5. Can clinicians control which data is added?

Yes, reconciliation can be configured for automatic updates or manual review, empowering clinicians with control. 

6. Is ChartSync included in athenaOne?

Yes, ChartSync is included with athenaOne at no additional cost. 

7. Does ChartSync handle other types of data?

Beyond vaccines, ChartSync manages medication fills, allergies, and lab results, with plans to include imaging, documents, and problem lists. 

8. Does it meet interoperability standards?

Yes, ChartSync meets FHIR-7 interoperability standards laid out within the TEFCA framework.  

9. How does it help with quality reporting?

By providing structured, accurate data, ChartSync enhances public health and MIPS reporting, supporting value-based care goals.

10. How does ChartSync display exchanged data?

It presents a standardized, deduplicated, and unified view while preserving original data sources for clarity and trust.

Reconcile vaccination history and more with athenaOne ChartSync

Vaccine reconciliation doesn't have to be tedious. With ChartSync, clinicians can:

  • Work efficiently: Less manual entry, fewer duplicates
  • Make confident decisions: Complete histories support timely care
  • Support quality measures: Structured, validated data improves MIPS and other value-based metrics
  • Deliver equitable preventive care: Complete records across care settings

ChartSync strengthens care and administrative workflows, saving time, reducing errors, and keeping teams focused on patients.

Request a Demo to see how ChartSync turns messy data into actionable insights in minutes, not hours.
 

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