KEYWORD1:
AFIX Assessment, Feedback, Provider Attitudes

BACKGROUND:
The AFIX Program in North Carolina has been in implementation for approximately two years. Feedback sessions, the F in AFIX, help practices to recognize their strengths as well as their weaknesses, however there's also an opportunity to aggregate information from feedback sessions to develop interventions which help the provider community at large. North Carolina has decided to take the feedback sessions a step further and record the provider comments in order to analyze the reasons for the strengths and weaknesses.

OBJECTIVE:
Determine different reasons for low immunization coverage rates, such as missed visit opportunities, reminder/recall, etc.

METHOD:
Information is collected from the feedback sessions in a Microsoft Access database. AFIX Coordinators record information on simultaneous vaccinations, sick visit immunizations, absence/presence of a recall/reminder system, and missing immunizations. This information combined with results from CASA analysis, showing 4:3:1, Medicaid 4:3:1, late UTD, and DTaP drop out rate and other variables, were analyzed to determine the presence of a correlation between provider attitudes and assessment results.

RESULT:
Results Pending

CONCLUSION:
It is necessary to have a contextual basis for the various problems associated with low coverage rates and/or attitudes which relate to high coverage rates, in order to successfully implement and recommend procedures that will increase the rates.
LEARNINGOBJECTIVES:
Give examples of how to maximize the information available from an AFIX session, that will lead to suggestions for interventions, and insight into reasons why practices may have low coverage rates.