Monday, 28 October 2002 - 1:00 PM
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This presentation is part of A9: Connect: Partnerships

Revisted: Collaboration Between New York City Department of Health and Managed Care Organizations for Data Exchange and Recall to Target Medicaid Children

Maiko Minami1, Amy E. Metroka, Deborah Walker2, Joyce Weinstein3, and Alison E. Chi4. (1) Citywide Immunization Registry, New York City Department of Health, 2 Lafayette Street 19th Floor, New York, NY, USA, (2) Citywide Immunization Registry, New York City Dept of Health, 2 Lafayette Street, 19th floor, New York, NY, USA, (3) Division of Health Care Access, New York City Department of Health, 161 William Street, 5th Floor, New York, NY, (4) Citywide Immunization Registry, Medical & Health Research Assn, 2 Lafayette Street, 19th Floor, New York, NY, USA


KEYWORDS:
Registry uses, Data sharing, Managed Care, Partnerships

BACKGROUND:
The New York Citywide Immunization Registry (CIR) has immunization records for over 1.5 million children, but not all immunization records are complete. By sharing data with Managed Care Organizations (MCOs), the CIR gains more complete records and is a valuable resource for MCOs. Such collaborations follow the Centers for Medicare and Medicaid Services funding initiative to promote use of registries as a tool to increase immunization coverage for Medicaid children.

OBJECTIVE(S):
To describe how collaborative efforts between registries and MCOs work to involve Primary Care Physicians (PCPs) and target Medicaid children to improve coverage levels.

METHOD(S):
Each year, the CIR collaborates with MCOs through data exchanges to supplement immunizations for MCO quality assurance measures, and to support MCO efforts to improve coverage levels. Last year, we began a project targeting NYC’s Medicaid Managed Care children to improve immunization rates through provider outreach and recall. During this second year, we requested immunizations from providers and higher-level administrative contacts. We are collaborating with 18 MCOs, 2032 providers, and 436 higher-level administrative contacts.

RESULT(S):
Of the 21,668 children targeted in this year’s cohort, 19,318 (89.2%) were found in the CIR. Of the records found, 17,096 (88.5%) of the records contained at least one immunization. A total of 33,037 immunization reports were sent to providers and administrative contacts. Analysis is being done to determine whether sending reports to both administrative contacts and providers increased response rates.

CONCLUSIONS(S):
Increased communication/collaboration between registries and MCOs is effective in improving outreach to under-immunized Medicaid children.

LEARNING OBJECTIVES:
To better understand the effectiveness of data sharing collaborations to improve immunization rates and methodologies used in data exchange and recall of under-immunized children.

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