Overcoming Barriers to Immunization A Workshop Summary (1994) / Chapter Skim
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4 ACCOUNTABILITY AND RESPONSIBILITY FOR PROVIDING IMMUNIZATIONS
4 ACCOUNTABILITY AND RESPONSIBILITY FOR PROVIDING IMMUNIZATIONS
Pages 34-38
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From page 34... ...
Public health agencies must be at the forefront of efforts to establish accountability for universal immunization and to work with providers in the public and private sectors to ensure the systematic delivery of services and assessment of performance. The lack of populationbased data on children's immunization needs and the heterogeneous environment in which immunizations and other health care services are delivered in the United States will make it difficult to formalize these arrangements.
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From page 35... ...
Optimally, every child would have a medical home with a specific primary care provider, and providers would have responsibility for an identifiable set of children. David Salisbury, director of the immunization program in the United Kingdom, explained that these complementary steps are essential to the success of that program.
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From page 36... ...
A review of California's Medicaid managed care program found that reimbursement rates were inadequate to allow providers to deliver good care or to remain financially viable and that there was insufficient oversight of the program by the state. The Florida Medicaid program has received permission to exclude immunizations from its Early and Periodic Screening, Diagnostic, and Testing (EPSDT)
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From page 37... ...
When primary care services are limited, linking immunization services in the public sector with other public services may be helpful. When the need for immunization services is urgent, states should consider locating immunization services with WIC and other public assistance programs or offering immunizations at other nontraditional locations.
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From page 38... ...
· Health services performance measures. Purchasers of capitated health care services (e.g., employers, state Medicaid programs, or, perhaps with health care reform, health alliances or similar groups)
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