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Setting the Course A Strategic Vision for Immunization Finance: Part 1: Summary of the Chicago Workshop (2002) / Chapter Skim
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Strategies for Achieving Immunization Goals
Pages 25-29

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From page 25...
... However, participants also described efforts to address some of these problems and highlighted four strategic approaches: · quality improvement measures within health plans, · performance-based contracting for Medicaid managed care services, · public policy actions, and · public-private partnerships. QUALITY IMPROVEMENT MEASURES IN HEALTH PLANS Better information systems and practice tools help physicians ensure that patients receive appropriate preventive services, including immunizations.
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From page 26...
... Health plans may not receive enough information from individual providers, or may not have suitable information systems, to be able to monitor whether children are receiving immunizations at appropriate times. Similarly, state health departments may lack the infrastructure to seek reimbursements from health plans for immunization services to enrollees or to monitor health plan performance in order to apply sanctions or rewards.
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From page 27...
... PUBLIC POLICY ACTIONS In addition to financial support and regulatory roles, public policy actions can stimulate immunization performance through the creation of universal "checkpoints." It is widely recognized, for example, that school entry requirements have ensured that nearly all children are completely immunized by the time they reach age 5 or 6. The addition of MMR and hepatitis B vaccination to school requirements for adolescents in some states appears to be the principal factor driving up coverage rates for those vaccines.
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From page 28...
... Business leaders, for example, can learn how their health insurance benefits packages affect the costs of immunization for their employees. And philanthropic groups can identify opportunities to support community education or quality improvement programs by health care providers' professional organizations.
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From page 29...
... STRATEGIES FOR ACHIEVING IMMUNIZATION GOALS 29 nization expertise and other resources to the communities in which they operate. Professional schools and professional societies can also help reach out to new partners in immunization, such as pharmacists and medical specialists.
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Key Terms

  • health plans
  • quality improvement
  • health plan
  • improve immunization
  • health departments

  • policy actions
  • immunization coverage
  • improvement measures
  • performance criteria
  • low immunization

  • improvement payments
  • participating physician
  • local health
  • tools help
  • improve influenza

  • improvement program
  • patients receive
  • major health
  • community organizations
  • public sector

  • achieving modest
  • modest improvements
  • key measure
  • reimburse health
  • federal contract

  • practice tools
  • suitable information
  • vaccine available
  • team based
  • immunization registry


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