• Beginning in FY19, NMDOH is using the New Mexico Statewide Immunization Information System and New Mexico Vital Records data to track vaccine coverage for children aged 19-35 months old. As of July 2, 2018, vaccine coverage for children aged 19-35 months old in New Mexico was 61.8%. 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.
• The Healthy People 2020 objective is 80%, and is a realistic target for New Mexico as well. 
• In FY17, NMDOH focused on the roll-out of its new, state-of-the-art immunization registry that has improved ordering, reporting, data quality and data exchange using HL7 messaging. In FY18, ongoing efforts to improve registry data continued. The current 2019 goal is to reduce the number of duplicate records for clients in the registry to improve data quality. The NMDOH Immunization Program continues revenue collection for vaccines administered to privately-insured clients, which ensures the continued supply of vaccines for this group.
• In FY19-Q1, regulations for the registry were promulgated; they will go into effect October 16, 2018. The regulations work to enforce statutory reporting requirements which should also contribute to the overall data quality and completeness of patient immunization records.
• In FY19-Q2, NMDOH will continue its vaccine revenue collection to support future vaccine purchases, and expand upon the capacity of its immunization registry (NMSIIS) to support enhanced tracking of program objectives.

• Public and private Vaccines for Children 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
• New Mexico Medical Society
   

• A strongly recommended evidence-based strategy is reminder-recall notices to families where a child is due or late for a vaccine.  
• Another recommended evidence-based practice is provider assessment and feedback. Ongoing provider AFIX (Assessment, Feedback, Incentives, and Exchange) visits focus on quality improvement measures that help practices improve immunization coverage of their childhood and adolescent populations. 
• Having providers routinely measure their clinics’ pediatric immunization coverage levels and share the results with their staff increases their awareness of their practice’s effectiveness in bringing all their clients up-to-date for immunizations.
• Finally, having a practice immunization champion that focuses on quality improvement, reducing barriers to immunization, and improving coverage levels is a key evidence-based strategy.
   

• Effective reminder-recall notices and provider feedback are dependent upon 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 Vaccines for Children providers are entering immunizations. The Immunization Program sends out monthly reminder/recall notices statewide for preschoolers not up-to-date on their pneumococcal vaccine series. 
• NMSIIS now has functionality that allows providers to easily generate coverage reports for their own practices. Providers are trained in how to produce these reports as part of the AFIX visit. 
• The NMDOH Immunization Program supports the recognition of immunization champions through its support of the New Mexico Immunization Coalition annual ‘Immunization Champion’ award, and through incentives for staff who participate in AFIX reviews.
   

Milestones: 
Q1: Reduce the number of duplicate records that exist for the 0-3-year-old age group in the NMSIIS registry to improve data quality. Completed - Eighty-five percent of the duplicate records have been resolved.
Q2: Send out 7,500 reminder/recall notices to families with children who are due or overdue for a PCV-13 pneumococcal immunization. 
Q3: Train 30 VFC providers as of end of 3rd Quarter on how to run coverage reports and not-up-to-date lists for their clients as part of AFIX visits.
Q4: Recognize 20 VFC Providers for Childhood Coverage Achievement Awards.