Setting the Course A Strategic Vision for Immunization Finance: Part 1: Summary of the Chicago Workshop (2002) / Chapter Skim
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The l990s also saw the addition of new, more expensive vaccines to the recommended schedule of immunizations. Health care reforms resulted in an increasing reliance on health care providers in the private sector for the delivery of immunization services, accompanied by funda5
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This role requires multi-sector collaboration so that public agencies can assess coverage rates within small-area samples and respond to specific health care needs when the private sector is not able or willing to absorb the costs involved in sustaining high immunization coverage rates among hard-to-reach populations. THE IOM STUDY In 1998, Congress asked IOM to conduct a study of the Section 317 program and of broader questions regarding appropriate levels of effort to achieve national immunization goals.
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The report also recommends strategic investments in immunization efforts and closer collaboration between public and private health care systems to coordinate immunization roles and responsibilities in the wake of health care reforms. In opening remarks at the Chicago workshop, David Smith highlighted the key findings and recommendations from the IOM study.2 The study committee identified six fundamental roles for the nation's immunization system: 1.
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Finally, the private sector, through health plans and individual health care providers, has the capacity to do more to ensure the delivery of appropriate immunization services to its members and patients, but such efforts do not replace the need for a more diverse public health infrastructure capable of assuring that the immunization needs of the whole population are addressed.
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Finally, the IOM report recommended that federal and state agencies should develop a set of consistent and comparable measures for use in monitoring the immunization status of children and adults enrolled in private and public health plans as well as populations in defined geographic areas. For example, it would be valuable to harmonize the immunization measures of the Health Plan Employer Data and Information Set (HEDIS)
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