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Setting the Course A Strategic Vision for Immunization: Part 2: Summary of the Austin Workshop (2002) / Chapter Skim
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Background
Pages 6-11

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From page 6...
... Since 1963, the federal government has provided states with immunization assistance, primarily for vaccine purchase, through a CDCadministered program known as the Section 317 program. After the measles epidemic, the federal government substantially increased Section 317 program grant funds to states for immunization program infrastructure.
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From page 7...
... Health care reforms resulted in an increasing reliance on health care providers in the private sector for the delivery of immunization services to disadvantaged populations, accompanied by fundamental changes as a result of the growth of managed care in the larger health care delivery system. In the wake of these changes, the roles of state and local health departments became more ambiguous and more complex.
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From page 8...
... 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. The IOM study committee identified six fundamental roles for the nation's immunization system (see also Figure 1~: · Control and prevent infectious disease; · Assure the purchase of recommended vaccines for the total population of U.S.
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From page 9...
... With only a 1-year grant period, many state immunization programs could not invest in multiyear programs to support long-term strategic planning or data collection efforts. The committee also concluded that immunization policy should be national in scope but flexible enough to accommodate important political, socioeconomic, and structural differences among states and communities.
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From page 10...
... Finally, the IOM committee observed that 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 health plan members and providers' patients. Yet such efforts do not replace the need for a public health infrastructure capable of ensuring that the immunization needs of the whole population are addressed.
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From page 11...
... CDC has, for example, revised the Section 317 program grant guidance and program operations manual to give states greater flexibility to tailor programs to local needs within the immunization system framework outlined by the IOM study. CDC is also placing greater emphasis on opportunities to use Section 317 program funds to purchase vaccines for high-risk adolescents and adults.
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Key Terms

  • immunization program
  • national immunization
  • program infrastructure
  • coverage rates
  • immunization programs

  • iom study
  • state immunization
  • coverage levels
  • immunization services
  • health plans

  • immunization goals
  • care services
  • health plan
  • care reforms
  • iom report

  • care delivery
  • measles epidemic
  • program grant
  • six fundamental
  • private health

  • grant period
  • fundamental roles
  • funding levels
  • appropriate immunization
  • past achievements

  • relevant information
  • comparable measures
  • increasing reliance
  • strategic investments
  • immunization roles


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