P002: Public Health Division
P002: Percent of preschoolers (19-35 months) fully immunized
Current Value
68.5%
Definition
Line
Bar
Story Behind the Curve
- The 4:3:1:3:3:1:4 (4 DTaP, 3 Polio, I MMR, 3 HepB, 3 HIB, 1 Varicella, and 4 Pneumococcal) series is the nationally-accepted 'gold standard' for childhood immunization coverage.
- Improvement in disease prevention has come from achieving herd immunity when enough children have been immunized that it is unlikely for rapid spread of disease is unlikely to occur. The program purchases vaccine for all children and works with nearly 400 Vaccines for Children (VFC) providers to make sure they meet program requirements.
- Vaccine coverage at two years of age is important because it is the baseline for lifelong prevention of infectious disease. This foundation prevents extremely serious diseases like polio, measles and pneumonia that used to kill and hospitalize thousands. There are no clear disparities in this measure.
- Improvement in disease prevention has come from achieving herd immunity which means enough children have been immunized that it is unlikely for rapid contagion to occur in the population. This is accomplished by steady and effective purchase, distribution and care of vaccines to make sure they are effective. The program works with nearly 400 Vaccines for Children providers to make sure they meet program requirements, including quality improvement measures to cover as many as possible.
- The program plans to audit at least 25% of providers each year to check their coverage rates, and help them to come up with quality improvement plans to reach more children. Work with day care facilities to enforce state vaccine requirements for attendance.
Partners
- Office of School and Adolescent Health
- Public and private VFC providers across the state
- Office of Superintendent of Insurance – on Vaccine Purchase Act
- University of New Mexico and the New Mexico Immunization Coalition
- Indian Health Service
What Works
- A strongly recommended evidence-based strategy is reminder-recall notices to families when a child is due or late for a vaccine.
- Ongoing provider AFIX (Assessment, Feedback, Incentives, and Exchange) visits that focus on quality improvement to help practices improve immunization coverage of their childhood and adolescent populations.
Strategy
- The Immunization Program will be enhancing the electronic immunization database (NMSIIS) to better support effective reminder and recall of clients needing immunizations. Effective reminder-recall notices and provider feedback depend on complete and accurate immunization records in NMSIIS. A primary Immunization Program goal is to improve registry data quality by continuing to increase electronic data exchange, train providers statewide, and assure that all VFC providers are entering immunizations.
- Ongoing provider AFIX visits focus on quality improvement measures that help practices improve immunization coverage of their childhood and adolescent populations.
- Educate providers to generate NMSIIS coverage reports so they can review their own practice’s coverage levels.
Action Plan
- Each quarter, Invoice at least 120 insurers & health plans listed by the Office of Superintendent of Insurance for their prorated share of vaccine costs.
- Q1: Completed
- Q2: Met
- Q3: Met
- Q4:
- By June 30, 2018 conduct 100 AFIX visits to inform VFC providers of immunization rates within their practices, and to create at least one quality improvement measure to increase immunization coverage in each practice.
- Q1: On track to complete - 38 AFIX visits to date
- Q2: Met - 102 AFIX visits so far.
- Q3: Met
- Q4
- Distribute three mass email newsletters promoting registry use and encouraging effective interventions for vaccine uptake to 1,000 Immunization Registry (NMSIIS) users starting December 1, 2017.
- Q1: Incomplete
- Q2: Met
- Q3: Met
- Q4:
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