An Innovative Approach for Improving Childhood Immunization Rates in Crook, Deschutes, and Jefferson Counties

Summary

Impact Statement: 
Three counties in central Oregon, Crook, Deschutes, and Jefferson, were faced with rates of only 60%–70% of 2-year-old children having received all recommended vaccinations. The counties used QI methods; elected to implement an evidence-based process, AFIX (Assessment, Feedback, Incentives, Exchange); and successfully increased rates after 12 months, then increased them again at 24 months.
Summary: 

Oregon Health Authority data demonstrated that a significant proportion of children in some central Oregon communities did not receive all recommended vaccines by age 2, leaving the child and the community at increased risk for disease outbreaks. To protect children and decrease the risk of disease outbreak in the region, the central Oregon Regional Immunization Rate Improvement Project (IRIP) was launched in April 2016. The project's goal was to increase immunization rates of Crook, Deschutes, and Jefferson County 2-year-olds by implementing the Centers for Disease Control and Prevention’s AFIX program in coordinated care organization (CCO)-participating clinics over a 3-year period.

Organization that conducted the QI initiative: 
Deschutes County Health Services (DCHS)
Citation: 

Johnson, J. Public Health Quality Improvement Exchange. An Innovative Approach for Improving Childhood Immunization Rates in Crook, Deschutes, and Jefferson Counties . Fri, 08/10/2018 - 15:13. Available at https://www.phqix.org/content/innovative-approach-improving-childhood-immunization-rates-crook-deschutes-and-jefferson. Accessed August 17, 2019.

Submission Status: 
In Progress
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Link to the resource where this submission is also published: 
This exact submission is not published, although the work has been presented at conferences and workshops. AFIX is on the CDC website: https://www.cdc.gov/vaccines/programs/afix/index.html.