Immunization Registries: The Cornerstone of Childhood Immunization in the 21st Century

Linkins, Robert W.; Feikema, Suzanne M

doi:10.3928/0090-4481-19980601-09

Cited by 48 publications

(25 citation statements)

References 6 publications

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“…1 Health care providers can use immunization registries to consolidate scattered records, 2 provide an immunization needs assessment for each patient, provide current immunization recommendations, promote automated recall of underimmunized children, document immunizations for schools, preschools, and camps, help manage vaccine inventories, and provide practice-based immunization coverage assessments. 3 Despite the proliferation of immunization registries, little research has evaluated the experiences of using an immunization registry as perceived by clinic and office staff. Bordley et al 4 identified challenges to registry implementation in private practice through focus groups with pediatricians, family physicians, and office managers.…”

mentioning

confidence: 99%

Qualitative Study of Clinic Staff Members' Experiences Using an Immunization Registry

Wells

Holmes²,

Kohler³

et al. 2000

Arch Pediatr Adolesc Med

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mentioning

confidence: 99%

Qualitative Study of Clinic Staff Members' Experiences Using an Immunization Registry

Wells

Holmes²,

Kohler³

et al. 2000

Arch Pediatr Adolesc Med

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“…These systems are useful in programmatic and clinical assessments, including coverage estimates [6]. A 2004 survey of IIS activity among 56 Centers for Disease Control and Prevention (CDC) grantees indicated that approximately 48% of U.S. children aged <6 years participated (i.e., had ≥ 2 vaccinations recorded) in IIS and that approximately 76% and 39% of public and private provider vaccination sites, respectively, had submitted data to an immunization information system during the last 6 months [5].…”

Section: Introductionmentioning

confidence: 99%

Influenza vaccination coverage: findings from immunization information systems

et al. 2007

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BackgroundBeginning with the 2004–05 influenza season, the Advisory Committee on Immunization Practices (ACIP) strengthened their existing encouragement that children aged 6–23 months receive influenza vaccination by creating a formal recommendation.MethodsWell-functioning sentinel project immunization information systems (IIS) in Arizona (AIIS) and Michigan (MIIS) were used to calculate vaccination coverage among children aged 6–23 months during the 2004–05 influenza season. We calculated 2 measures of vaccination coverage: a) receipt of 1 or more doses of influenza vaccine September 2004-March 2005 and b) receipt of 2 or more doses (ie, fully vaccinated). We compared the dose administration distribution among children needing 1 and 2 doses and by provider type. Coverage by age and timeliness of vaccine doses entered into the IIS were also analyzed.ResultsInfluenza vaccination coverage levels among children were 30% and 27% in AIIS and MIIS, respectively, for receipt of 1 or more doses; 13% and 11% of children, respectively, were fully vaccinated. Peaks in dose administration among children needing 1 and 2 doses were similar. There were differences in vaccine administration between public and private providers. Coverage was higher among younger children and over 75% of all influenza vaccine doses were entered into the IIS within 30 days after receipt of vaccine.ConclusionThough almost 1/3 of children received 1 or more doses of vaccine in 2 IIS sentinel projects during the first season of the new recommendation, emphasis needs to be placed on increasing the proportion of children fully vaccinated. IIS data can be used for timely monitoring of vaccination coverage assessments.

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“…In 1996, the CDC's National Immunization Program allocated $42.5 million to the 65 state, city, and territory granting agencies. In 1997 the National Immunization Program/CDC allocated $35 million for immunization registry development (44).…”

Section: Initial Financial Support and Long-term Sustainabilitymentioning

confidence: 99%

“…It determines immunizations needed by individual children and can respond to provider inquiries for information in a time frame that is useful for service delivery. Moreover, a fully functional registry produces population immunization reports by a number of important parameters such as assigned provider, health plan, geographic area, child age, and other factors (17,44). The provision of immunization reports to clinics has proven to be a powerful incentive to improve the quality of immunization practices and has resulted in higher immunization rates over time.…”

Section: Introductionmentioning

confidence: 99%

IMMUNIZATION REGISTRIES IN THE UNITED STATES: Implications for the Practice of Public Health in a Changing Health Care System

Wood

Saarlas

Inkelas

et al. 1999

Annu. Rev. Public Health

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Although immunization rates among children are rising across the country, rates in inner-city areas have remained at ∼50%-60%, ≤30% lower than corresponding suburban or state immunization levels. The failure to raise immunization levels in poor, underserved populations is caused in part by the lack of timely and accurate child-specific immunization information for providers and parents. Immunization registries are a new tool in health care that can be used to address these and other barriers to effective immunization delivery. Moreover, immunization registries have the potential to help health care officials track and improve delivery for a broad range of important child health services. An immunization registry is a computerized database of information on children (usually 231 0163-7525/99/0510-0231$08.00 Annu. Rev. Public Health 1999.20:231-255 232 WOOD ET AL preschool-age children) in a defined population (e.g. those enrolled in a health maintenance organization or living in a specific geographic area), which is used to record and track all immunizations received by each child. The registry receives the information primarily from public and private providers that administer immunizations, as well as from parents, schools, and other agencies. A fully functioning immunization registry can be used to identify individual children in need of immunizations and to report on immunization rates by population characteristics such as child age, assigned provider, or geographic area (e.g. neighborhood, city). Today, >250 local public health departments have immunization registries that are in various stages of planning or development. Only a small number of these registries meet the minimum functional criteria of maintaining records on 95% of all eligible 2-year-old children in the target population and providing an electronic immunization record that is accessible to providers. Nascent immunization registries represent innovative technologic solutions to the challenge of monitoring health problems and health care access on a population basis. This is a fundamental activity of public health agencies, but one that is increasingly shared by large health maintenance organizations. The study of the development of immunization registries across the United States provides an important case study for how public health agencies will use the rapidly developing health information infrastructure to perform health assessment and health assurance activities in a managed care environment.

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Immunization Registries: The Cornerstone of Childhood Immunization in the 21st Century

Cited by 48 publications

References 6 publications

Qualitative Study of Clinic Staff Members' Experiences Using an Immunization Registry

Qualitative Study of Clinic Staff Members' Experiences Using an Immunization Registry

Influenza vaccination coverage: findings from immunization information systems

IMMUNIZATION REGISTRIES IN THE UNITED STATES: Implications for the Practice of Public Health in a Changing Health Care System

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