MICHIGAN S COUNTY IMMUNIZATION REPORT CARD

Transcription

1 MICHIGAN S COUNTY IMMUNIZATION REPORT CARD Cristi Carlton, MPH Vaccine-preventable Disease Epidemiologist MDCH, Division of Immunization NAICP Quarterly Meeting July 8, 2014

2 Background National Coverage Data National surveys are routinely conducted to assess vaccination coverage National Immunization Survey (NIS), National Health Interview Survey (NHIS), Behavioral Risk Factor Surveillance System (BRFSS) Michigan uses these data to measure progress and identify areas for improvement. NIS: NHIS: BRFSS:

3 Background MCIR Michigan Care Improvement Registry (MCIR) Implemented in 1998 for health care provider to track children s vaccinations Expanded to adults in 2006 Required reporting for childhood vaccinations, strongly encouraged reporting for adult vaccinations As of June 2014: Over 106 million immunization records 38.3 million adults 20 years of age and older Over 8.6 million basic demographic records 5.5 million adults 20 years of age and older Various reports created using MCIR data Profile reports, workbooks, flu vaccination summaries

4 Background - Michigan 9.8 million people Wayne county: 1.8 million Keweenaw county: 2, counties and the City of Detroit make up 45 Local Health Departments

5 Report Card Development MCIR data provides opportunity to compare county level data Summarize county data and existing reports in one place Internal MDCH group discussed which measures to include in the report card Development of a draft report card Presented the idea and received feedback from Michigan Advisory Committee on Immunizations (MACI) Immunization Action Plan Coordinators Michigan Association for Local Public Health (MALPH)

6 Quarterly County Report Cards Frequency First report card distributed February 14, 2014 Data through December 31, 2013 Second report card distributed April 16, 2014 Data through March 31, 2014 Distribution will continue quarterly SAS 9.3 code developed Macros utilized

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8 County Population Summary Census MCIR Difference (%) Total 281, ,438 43,285 (15%) Adults (20yrs+) 208, ,209 51,086 (24%) Children (0-19yrs) 73,428 81,229-7,801 (-10%) Age groups: public health code requires entry of all immunizations to children under 20 Provide census and MCIR population data to show how closely they align Encourages updating MOGE status Encourages entering adult immunization data

9 County Immunization Providers Count Active MCIR Immunization Providers 118 Reported in last 6 months 88 (74.5%) Active VFC Providers 7 Reported in the last 6 months 7 (100%) Influenza Sentinel Sites (Reg. Reporters) 2 Active Immunizing providers Excludes child cares and schools No read-only sites Flu Sentinel sites: providers enrolled in the Outpatient Influenza-like Illness Network (ILINet)

10 Adult Immunization Measures Census denominator Age ranges match national data for comparison % Diff: percent difference from the last report card HP 2020 goals for adults** 80% for year olds 90% for 65 and older

11 Michigan Report Card Data Report 1 Report 2 Dec. 31, 2013 March 31, through 35 months (MCIR) % % Change Birth Dose Hep B coverage coverage coverage Hep A DTaP PCV WIC coverage ( ) Medicaid coverage ( ) through 17 years (MCIR) coverage coverage Tdap MCV HPV (Females) HPV (Males) Adults (MCIR num./census denom.) 1+ Tdap (19-64yrs) PPSV (65+ yrs) Zoster (60+ yrs) School/CC Immunization Reports School Completion (Feb '14) Percent Waived (K+6+O)

12 Audience Local Health Departments Providers Accessible to the public Reference document with definitions and data sources will be available

13 Feedback Received Overall positive feedback Some concern over border counties Local Health Departments Utilized at provider meetings Interest in methods MDCH administration

14 Questions Cristi Carlton, MPH Vaccine-preventable disease Epidemiologist MDCH, Division of Immunization Phone: