The IOM workshop discussions are designed to achieve the following goals:

  • foster awareness of the conclusions and recommendations of Calling the Shots;

  • strengthen interactions among public- and private-sector health officials to build consensus about immunization infrastructure initiatives, measurement approaches, and financing plans; and

  • identify unresolved public health and health finance issues and concerns at the regional, state, and local levels that require further attention from public and private policy makers.

The first of the three regional workshops, held in June 2001 in Chicago, Illinois, examined statewide concerns in Illinois and Michigan and the challenges facing the cities of Chicago and Detroit in sustaining efforts to improve immunization rates (IOM, 2002a). A second workshop was held in October 2001 in Austin, Texas. Discussions at that meeting highlighted concerns of private providers throughout the state and opportunities for greater public–private collaboration in financing vaccine purchase and service delivery (IOM, 2002b).

This report summarizes the discussions of the third regional dissemination workshop, which examined immunization issues in California, with a special focus on Los Angeles and San Diego counties. The meeting, which was held in January 2002 at the University of California at Los Angeles (UCLA), was organized by IOM in collaboration with the School of Public Health at UCLA and the Los Angeles County Health Department. Participants included state and local health officials; health care providers; representatives of health plans and corporate health care purchasers; faculty from UCLA and the University of California at San Diego; community leaders; staff from CDC; consultants and other contributors to Calling the Shots; and members and staff of the IOM planning committee. (See Appendixes A, B, and C for the workshop agenda, a list of participants, and addresses of Internet websites that pertain to the IOM report and the workshop discussions.)

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