title: Adherence to rotavirus vaccination quality measures in a commercially insured population.
abstract: BACKGROUND
  This retrospective study determined the level of compliance to rotavirus vaccination guidelines within a large, commercially insured US population, as well as compliance with PI, ACIP and HEDIS measures for rotavirus vaccination.
  
  
  METHODS
  Medical and pharmacy claims were obtained from the HealthCore Integrated Research Database. Enrolled children were stratified into PI, ACIP and HEDIS cohorts. The PI cohort was subdivided into RV5 and RV1 cohorts due to the differences in dosing schedules and patients with mixed dosing were excluded from the these two cohorts. Patients identified in the HEDIS cohort were linked to the administering physicians.
  
  
  RESULTS
  Of 162,614 patients in PI cohort, 27% did not receive rotavirus vaccinations, 24% (RV5) and 15% (RV1) had incomplete doses (p < 0.0001; RV1 vs. RV5). A total of 76% of patients completed RV5 series but not on schedule, 54% completed on schedule. A total of 85% of patients completed the RV1 series at any time, 69% completed on schedule. Among health plans, 53% of patients completed the series, 22% (RV5) and 15% (RV1) had incomplete doses (p < 0.0001). Of 2,086 physicians who treated ≥ 10 patients within the plan (regardless of vaccination status), 78% had > 50% of patients complete, 22% had > 90% of patients completed.
  
  
  CONCLUSIONS
  Despite both two effective rotavirus vaccines and national immunization recommendations, rotavirus vaccination remains underutilized for infants.
authors.affiliation: HealthCore, Inc.; Wilmington, DE USA.
authors.forename: Debra F
authors.initials: DF
authors.lastname: Eisenberg
authors.forename: T
authors.initials: T
authors.lastname: Gu
authors.forename: G
authors.initials: G
authors.lastname: Krishnarajah
mesh_terms: D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D012189:Retrospective Studies; D012400:Rotavirus Infections / Q000517:prevention & control*; D022243:Rotavirus Vaccines / Q000008:administration & dosage* / Q000276:immunology*; D016896:Treatment Outcome; D014481:United States; D014611:Vaccination / Q000379:methods* / Q000706:statistics & numerical data*; D016903:Drug Monitoring
chemical_list: D022243:Rotavirus Vaccines
keywords: Advisory Committee on Immunization Practices (ACIP); Healthcare Effectiveness Data and Information Set (HEDIS); prescribing information; rotavirus vaccination; vaccination rates