Managed care organizations' performance in delivery of childhood immunizations (HEDIS, 1999-2002).
OBJECTIVE
To examine recent trends in childhood immunizations recommended by the Advisory Committee for Immunization Practices measured by the Health Plan Employer Data and Information Set (HEDIS) and to describe the factors associated with higher rates over time.


METHODS
The HEDIS performance measures from 1999 to 2002 and plan characteristics include approximately 400 enrollees per plan each year.


METHODS
Longitudinal regression analysis of commercial managed care organizations' HEDIS measures. The outcome measure was the proportion of children aged 24 to 35 months in the plan who received 4 doses of diphtheriatetanus-pertussis vaccine, 3 doses of polio vaccine, 1 dose of measles-mumps-rubella vaccine, 3 doses of Haemophilus influenzae type b vaccine, and 3 doses of hepatitis B vaccine.


RESULTS
The mean immunization rate for health insurance plans increased from 65.7% in 1999 to 67.9% to 2002. Plans that reported publicly had higher childhood immunization rates than plans that did not report publicly (P < .001). Plans with higher proportions of Hispanics or African Americans had lower childhood immunization rates (P < .001). Immunization rates varied significantly by type of visit; plans with higher proportions of children making visits to their primary care physician had higher rates of immunization (P < .001).


CONCLUSIONS
Managed care organizations' performance measured by childhood immunization rates varies by organizational and demographic factors. Our findings suggest that plans should ensure efficient and accurate data collection systems and should encourage their providers to assess for immunizations at sick-child and well-child care visits.
Bardenheier
Barbara
B
Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. bfb7@cdc.gov
Kong
Yuan
Y
Shefer
Abigail
A
Zhou
Fangjun
F
Shih
Sarah
S
D002675:Child, Preschool; D016208:Databases, Factual; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007223:Infant; D016014:Linear Models; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D011787:Quality of Health Care; D012044:Regression Analysis; D014481:United States