Collaboration Project Between 3 Provider Sites and:

1. Szilagyi, P.G., Bordley, Clayton, Vann, J.C., Chelminski, Ann, Kraus, R.M., Macrgolis, P.A., & Rodewald, L.E. Effect of Patient Reminder/Recall Interventions on Immunization Rates. Journal of American Medical Associates, Vol. 284 No. 14, October 11, 2000.² National, state and local area vaccination coverage among children aged 19-35 months—United States, 2006. MMWR Morbidity Mortality Weekly Report 2007;56:880-5.

Provider Site Criteria Currently using CHILD Profile

Immunization Registry Does not have a current reminder/recall

process in place Is or willing to enter historical data into

the registry Is or willing to inactivate patients, in the

registry, that are no longer their patient

Data Sources CHILD Profile Immunization Data CDC’s CoCASA Program that allows a provider office

to assess their clinic immunization rate Tracking Sheet for clinic use

Use collected data to answer: Did the project increase the number of children 19-35

months old who are fully immunized? Did the project improve current data in the registry? Did the project improve use of the Immunization

Registry? Will the provider continue with reminder/recall

system? What frequency should reminder/recall occur?

Week 1

• Using CoCASA, run baseline immunization rate using CHILD Profile data• Project orientation and training• Print reminder-recall mailing labels from the Immunization Registry• Mail first set of postcards to the patient cohort

Week 1-4

• Update patient’s historical records in CHILD Profile• Enter patient’s immunization information in CHILD Profile at each visit • Inactivate patients in CHILD Profile that are no longer associated with your practice based on the directions indicated on the postcard • Update patient address information for returned postcards • Complete the supplied tracking form• Track patients that call in to make an appointment to get an immunization (with family practice provider only)

Week 5 • Complete 2nd CoCASA report for the patient cohort (using registry data)• Conduct check in meeting with the provider’s staff•Print 2nd set of CHILD Profile Reminder-Recall mailing labels for the patient cohort • Mail second set of postcards

Week 5-11

• Monitor activity the same as week 1-4

Week 12 • Complete final CoCASA reports for the patient cohort (using registry data)

Week 12 -15

• Collect tracking forms and conduct check-in meeting with the provider

865 in Cohort

843 in Cohort

843 in Cohort

942 in Cohort

843 in Cohort

388 in Cohort

362 in Cohort

353 in Cohort

353 in Cohort

9 weeks as of 12/31/2007–Preliminary Data

41 in Cohort

39 in Cohort41 in

Cohort

39 in Cohort

Check back with pilot sites to determine if they will continue to send reminders based on CHILD Profile Immunization Registry data

Share project with other LHJs – good basis for local health indicator work and performance measures

Continue to conduct project with other provider offices

Depends on resources – incorporate lessons learned to make the project manageable within available resources