Overcoming Barriers to Immunization A Workshop Summary (1994) / Chapter Skim
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7 DEVELOPMENT OF BETTER INFORMATION AND MORE EFFECTIVE INFORMATION TOOLS
7 DEVELOPMENT OF BETTER INFORMATION AND MORE EFFECTIVE INFORMATION TOOLS
Pages 60-67
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From page 60... ...
In general many of the steps that the committee believes will increase timely immunization among preschool children require better information and information systems. Information needs begin with the very basic task of assessing immunization rates for children of all ages and for every recommended vaccine.
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From page 61... ...
National surveys, for example, can rarely provide state-level results. The population-based data, which are essential for public health assessments and public accountability for program performance, are often unavailable.
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From page 62... ...
Because the Vaccines for Children Program will provide states with enough federally purchased vaccine to immunize Medicaid-eligible and uninsured children, states want to know the size of that population and the immunization status of those children. In the past, states played a larger role in purchasing vaccines for these groups, but financial constraints gave states little incentive to make accurate estimates of any increase in demand.
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From page 63... ...
Jeffrey Goldhaggen described the Cleveland project, which aims to improve the delivery of primary care to children as well as increase immunization rates. It integrates an appointment reminder and health information component, which are accessed by Touch-Tone telephone, with a regional computerized medical record system, which accepts record updates submitted by fax.
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From page 64... ...
In 1990, the Northern California Kaiser Permanente HMO implemented an immunization tracking system. Steven Black explained that the central database can be accessed by the pediatric clinics, advice nurses, and emergency departments at the 29 centers throughout the Northern California region.
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From page 65... ...
Under any system, population-based, individual-level data, such as those available from immunization registries, will remain essential for public health purposes. The committee underscores the concern expressed at the workshop that public health data needs are not well understood and must receive adequate attention in health care reform plans.
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From page 66... ...
Individual providers and public health departments can make more use of available communication and information tools. Automated dialing technology, for example, is wellestablished and can be applied in many settings to improve patient outreach and follow-up.
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From page 67... ...
Federal leadership in Congress and the Public Health Service can encourage the further development of a national system of state-based registries. · Population-based data after health care reform.
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