KEYWORDS:
GPRA
Medicaid
Data use
Monitoring progress
BACKGROUND:
Oregon Medicaid(OMAP)has been one of ALERT’s primary funders. The GPRA Project was one of Oregon's first opportunities to demonstrate the use of ALERT data to track and improve immunization rates.
OBJECTIVE(S):
Raise OMAP immunization rates by 4 percentage points by the third year of re-measure for the GPRA Project. Identify opportunities to improve immunization practices for OMAP children, and influence immunization policy and practice in Oregon.
METHOD(S):
1)Assess immunization coverage rates using registry data
2)Use basic NIS compatible measure: 4:3:1 at 19-35 mos
3)Identify barriers (such as late starts)
4)Measure interventions to raise rates(such as recalls)
5)Demonstrate AFIX opportunities and capabilities
RESULT(S):
1)OMAP provided ALERT with electronic lists of children covered by Medicaid. No chart pulls. 2)The baseline GPRA rate was 63%, first year re-measure was 67%, and the second year was 70%. 3)ALERT data revealed a higher rate of late starts for Medicaid children. 4)Preliminary analysis shows the percent improvement for the OMAP Recall Group was 37% following two postcard mailings compared to 24% improvement for the comparison group with no postcards. 5)Using data from ALERT, AFIX staff demontrated the impact of missed opportunities and late starts to quality improvement managers from OMAP and health plans.
CONCLUSIONS(S):
The GPRA Project provided a great opportunity to use registry data to identify factors that contribute to lower rates in Oregon. OMAP is conducting a study to determine why 20% of children are starting their shots >3 months of age.
LEARNING OBJECTIVES:
Participants will understand how registry data are used to support the GPRA Immunization Goals, create an immunization quality improvement process status for the target population, and improve both the volume and quality of data submitted to the registry.
Back to Grow: Partnerships and Collaborations — Part I
Back to Contributed Papers
Back to The 2002 Immunization Registry Conference of CDC