met at the University of Illinois in Chicago to explore the implications of the IOM findings and recommendations for the states of Illinois and Michigan. The one-day workshop was the first in a series of four meetings organized by IOM with support from the Centers for Disease Control and Prevention to foster informed discussions about future financing strategies for the public health infrastructure that supports immunization efforts.

This report of the Chicago workshop summarizes the findings of the IOM study and reviews the challenges that remain in establishing a reliable financial base for the U.S. immunization system. The report high-lights strategies presented by workshop speakers and discussants for achieving immunization goals, including increases in state and federal public health budgets, the addition of quality improvement measures in health plans, performance-based contracting, public policy actions, and the creation of public-private partnerships.

The Chicago workshop participants emphasized the need for collaborative efforts that would encourage private health plans and providers to assume responsibility for achieving high coverage rates among children and adults within the communities that they serve. Collaborative strategies are needed to engage the health care, business, and government sectors in identifying opportunities to achieve public health immunization goals. New approaches that use information resources efficiently and reduce reliance upon public resources will be required to meet persistent and routine needs.