Setting the Course A Strategic Vision for Immunization: Part 4: Summary of the Washington, D.C., Workshop (2003) / Chapter Skim
Currently Skimming:
Private-Sector Roles in the National Immunization Partnership
Private-Sector Roles in the National Immunization Partnership
Pages 25-32
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 25... ...
These speakers included Samuel Katz, department of pediatrics, Duke University; David Tayloe, community pediatrician in private practice in Goldsboro, North Carolina; Carol Wilhoit, director of quality improvement for Blue Cross Blue Shield of Illinois; John Fontanesi, Community Health Pediatrics Department, University of California at San Diego; and Suzanne Mercure, National Business Coalition on Health. IMMUNIZATION AND PEDIATRIC PRACTICE Samuel Katz observed that although Congress has articulated a clear role for the federal government in facilitating the distribution of vaccines and sharing support for delivering immunization services to safety net populations, there is great ambiguity about the extent to which the federal government should finance state and local infrastructure programs and public- and private-sector collaboration efforts.
|
From page 26... ...
Today, Dr. Tayloe indicated, they are expected to provide vaccine information statements to each patient and to obtain parental signature prior to administering each vaccine.
|
From page 27... ...
Researchers in the San Diego study developed an observational checklist of patient encounters that describes operational conditions that affect the cost and likelihood of immunization. By studying the operational or environmental conditions that affect immunization practices, they sought to identify factors that could explain missed opportunities and to compare the impact of these factors with those of provider characteristics, attitudes, and beliefs.
|
From page 28... ...
described collaborative practices between health care plans and clinicians to improve childhood and adult immunization rates. As large private commercial products of BCBSIL, HMO Illinois and Blue Advantage HMO enroll more than 900,000 members and contract with approximately 90
|
From page 29... ...
A 1997 member survey indicated that the influenza immunization rates for high-risk members whose physician explained the importance of a flu shot was 79 percent, compared
|
From page 30... ...
The flowsheets also appear to increase influenza immunization rates within the diabetic population (32 percent of diabetics with flowsheets in the BCBSIL HEDIS Comprehensive Diabetes Care sample for 2000 who had a diabetes flowsheet in the medical record had received an influenza vaccination, compared to 17 percent who did not have a flowsheet)
|
From page 31... ...
to test different interventions, such as the use of payroll insert letters for all employees, telephone call reminders from a high-risk member health plan, the development of a common data set, and an employer tool kit. The employer tool kit consists of several items: an information sheet that presents a "business case" for adult influenza immunization, information about local flu shot clinics for employees, worksite clinic planning guides, ideas for working with health plans, and consumer information campaign materials.
|
From page 32... ...
fulianna Gonen, Ph.D., Director of the Center for Prevention and Health Services for the Washington Business Group on Health, provided an additional perspective about the role of the business sector in implementing efforts to help achieve national immunization goals. She noted that most large employers offer comprehensive health plans that include immunization benefits; some plans even include first-dollar coverage for some vaccines, which protects the employee from paying for immunization services through a deductible or co-payment.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.