Improving Immunization Rates in Your Practice

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Improving Immunization Rates in Your Practice

• Beth Quinn
• North Carolina Department of Health and Human
  Services
• Division of Public Health
• Immunization Branch
• 2005 State Conference, August 18, 2005

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Assessment of Immunizations

• Why is this important?
• Public Health Objective
• Private Entity Objective

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Focusing on Strategies to Improve Immunization
Coverage

• Concerns about US immunization levels
• Cost effectiveness of strategies
• Sustainability of health delivery system

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Current Methods of Immunization Assessment in NC
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Data Sources

• LHDs HSIS NCIR is the
• local health departments
• Health Services Information System
• North Carolina Immunization Registry
• lovingly known as... the Forty Screen
• soon to be obsolete!!!

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Data Sources

• AFIX is
• a strategy consisting of Assessment, Feedback,
  Incentives, and Exchange
• implemented in private provider offices
• NC began data collection in August 2000
• http//www.immunizenc.com/AFIX_NC.htm

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Data Sources

• NIS is
• the National Immunization Survey
• conducted by the Centers for Disease Control and
  Preventions National Immunization Program (NIP)
• http//www.cdc.gov/nip/data/default.htm

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Data Collection

• Medical record reviews using CASA
• (Clinic Assessment Software Application)
• data entry downloads from NCIR
• telephone interviews immunization record reviews

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What can be measured?

• Coverage rate

• Compliance rate

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Coverage rates

• Specific antigen coverage levels, (e.g. MMR)
• Full immunization coverage for all children in
  the providers office, the county, or the state
• all required age appropriate vaccinations
• all recommended vaccinations

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Compliance rates

• These reflect how well a county has complied with
  the Immunization Branchs request to have data
  placed into the electronic registry system (HSIS
  NCIR)
• These rates only refer to the population that was
  included in the assessed sample

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Measurement Variables

• Age ranges
• 19-35 months old
• NIS
• (assessed at age of interview)
• 24-35 months old
• LHDs
• AFIX
• (assessed at 24 months old)

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Measurement Variables (cont.)

• Antigens
• 4-3-1
• 4 DTaP, 3 IPV, 1 MMR
• 4-3-1-3-3
• 4 DTaP, 3 IPV, 1 MMR, 3 Hib, 3 HepB

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What can you do to Improve Immunization Rates?

• Contact
• North Carolina Immunization Branch Assessment
  Coordinator
• 919-707-5581