KEYWORDS:
Immunization registry
Medicaid MCOs
mass vaccination
vaccine compliance
BACKGROUND:
Since 1992, the DC Immunization Registry has been used to analyze immunization levels for the national and local surveys. In October 2001, an intensified partnership with the local Medicaid Program began; the Immunization Registry was expanded into a joint EPSDT-Immunization Tracking System. The system is used to measure the Medicaid GPRA Immunization rates; to conduct CASA-AFIX visits at provider offices; to provide summary and client-specific immunization data to Medicaid managed care organizations (MCOs) for reports and follow up activities. Since the partnership began, immunization rates of 2-year-old and school-age Medicaid clients have increased.
OBJECTIVE:
1. Establish a working partnership between DOH Immunization, Medical Assistance Administration (Medicaid), MCOs, and other key stakeholders.
2. Identify and track immunization compliance levels for Medicaid children at various ages.
3. Establish an on-going system to increase immunization rates by follow up with non-compliant clients.
METHOD:
Monthly and quarterly immunization compliance levels in each managed care organization are reported to the MCOs. The MCOs are provided with recall/reminder lists of clients, including school-age children, who are "non-compliant" with immunization requirements. Reminder/recall of non-compliant clients is conducted via telephone, mail, and home visits. Updated records for clients are delivered to the Immunization Program from the health care providers for data entry into the Registry.
RESULT:
gistry-based Medicaid immunization rates increased. A system was established to methodically track and follow up on immunizations into the future.
CONCLUSION:
Through partnerships with key stakeholders, Immunization registries can be an integral component of monitoring and ensuring immunization compliance in a Medicaid managed care population.
LEARNING OBJECTIVES:
To examine the role of a registry in a partnership to monitor immunization compliance in a common client population.
Back to Poster Presentations
Back to The 2003 Immunization Registry Conference (October 27-29, 2003)