Improvements in Immunization Compliance Using a Computerized Tracking System for Inner City Clinics

Abstract

Vaccination compliance rates were calculated for 1995 to 2001 for enrolled patients, based on the Centers for Disease Control and Prevention guidelines and age-appropriate vaccine schedules. The results reported here indicate computerized tracking with the Doctor's Pediatric Immunization Program (Dr. PIP) maintained vaccine compliance rates (>90%) in healthy and immunocompromised children at 2 months and 12 months of age. Instituting the computerized system has yielded nearly optimal results in both indigenous inner-city clinics. Despite the efficient progress made by automated tracking, the results for specific vaccine strategies (Varicella) and target groups (human immunodeficiency virus, high-risk indigent populations) may require ongoing and intensive educational efforts to achieve optimization levels. Clin Pediatr. 2003;42:603-611

Get full access to this article

View all access options for this article.

References

Risi GF , Tomascak V. Prevention of infection in the immunocompromised host. Am J Infect Control. 1998; 26 (6):594-606.

Rodewald LE , Santoli JM The challenge of vaccinating vulnerable children. J Pediatr. 2001;139(5):613-615.

Rodewald L. , Maes E. , Stevenson J. , Lyons B. , Stokley S. , Szilagyi P. Immunization performance measurement in a changing immunization environment . Pediatrics. 1999;103:889-897.

Sullivan PS , Hanson DL , Mark S. , Jones JL , Ward JW Effect of influenza vaccination on disease progression among HIV-infected persons. AIDS. 2000;14(17):2781-2785.

Frenkel LM , Nielsen K. , Garakian A. , Cherry JD

A search for persistent measles, mumps, and rubella vaccine virus in children with human immunodeficiency virus type 1 infection. Arch Pediatr Adolescent

Med. 1994; 148 (1):57-60.

McFarland E. Immunizations for the immunocompromised child . Pediatr Ann. 1999;28(8):487-496.

Rudy BJ , Rutstein RM , Pinto-Martin J. Responses to measles immunization in children infected with human immunodeficiency virus. J Pediatr. 1994; 25(1):72-74.

Rodewald L. , Szilagyi P. , Humiston S. , Barth R. , Kraus R. , Raubertas R. A randomized study of tracking with out-reach and provider prompting to improve immunization coverage and primary care. Pediatrics . 1999;103:31-38.

The Women and Children's Health Research Foundation, Children's Hospital of Buffalo/KALEIDA Health. Dr. PIP's Kids: A Holistic Intervention Strategy for School Readiness. Buffalo, NY 2000.

10.

The Women and Children's Health Research Foundation, Children's Hospital of Buffalo/KALEIDA Health. Dr. PIP technical proposal. Buffalo, NY 1998.

11.

Hodge Pediatrics, Children's Hospital of Buffalo. Statistics and Demographics for Budgets 2000.

12.

Clinical Services : Pact Program Overview, Children's Hospital of Buffalo. Available at www.chob.edu/clinicalServices/pact.html. Accessed January 16, 2001.

13.

The Women and Children's Health Research Foundation, Children's Hospital of Buffalo/KALEIDA Health , Dr. PIP—The Doctor's Pediatric Immunization Program User Manual. Buffalo, NY 1999.

14.

Office of Communication—Media Relations. Centers for Disease Control. National Immunization Goals Met With Record High Levels. February 1997. Available at www.cdc.gov/od/oc/media/pressrel/vaccin2.htm. Accessed February 5, 2002.

15.

National Center for Health Statistics, Centers for Disease Control. Immunization. Available at www.cdc.gov/nchs/fastats/immunize.htm. Accessed February 7, 2002.

16.

Centers for Disease Control and Prevention. Progress in development of immunization registries—United States, 1999. MMWR 2000;49:274-278.

17.

Stokley S. , Maes E. , Rodewald L. The impact of record scattering on the measurement of immunization coverage . Pediatrics. 2001;107:91-96.

18.

Stille CJ , Christison-Lagay J. Determining immunization rates for inner-city infants: Statewide registry data vs. medical record review. Am J Public Health. 2000;90(10):1613-1615.