KEYWORDS:
provider quality assurance, AFIX, VFC
BACKGROUND:
The CDC's AFIX methodology describes the transfer of immunization registry data as an option for data collection during the vaccination coverage assessment process.
OBJECTIVE:
Describe the current status of immunization registry data use in provider level coverage assessments in the AFIX process.
METHOD:
56 of 64 CDC immunization grantees responded to provider quality assurance-related questions in their self-reported immunization registry progress reports for CY2002. Descriptive statistics were calculated using Microsoft Excel.
RESULT:
39% of the responding grantees use their immunization registries to monitor the administration of VFC vaccine to ensure that it is only given to VFC-eligible patients and 66% could identify VFC-eligible children in the registry. 55% (31) of the grantees use the registry to conduct provider-level coverage assessments as part of the AFIX process. When asked how the registry is used to conduct provider-level assessment as a part of the AFIX process, 52% said that they start with a registry-based review and supplement with review of charts, 23% only use registry for the assessment, and 29% said that they start with a chart review and supplement by review of registry records. Of the grantees that use registries as their primary data source for AFIX, 41% said that they use all the registry records for children who received their most recent shot from a provider when calculating coverage for that provider's clinic and 23% said that they use the records of children who received one or more shots from that provider clinic. 71% of grantees who use registries in AFIX procedures said that they export data to CASA to generate the provider-level AFIX reports while 23% generate reports directly by registry software.
CONCLUSION:
The majority of grantees are using registries as part of their AFIX process and most are using registry data as their primary data source. Many registries are identifying VFC-eligible children in their databases and some are tracking VFC vaccine administration.
LEARNING OBJECTIVES:
Identify how immunization registries nationwide are using their data to assess provider quality assurance.
Handout (.ppt format, 200.0 kb)
Back to Registries As Tools for Provider Quality Assurance and Clinic Assessment
Back to The 2003 Immunization Registry Conference (October 27-29, 2003)