title: Understanding the Financial Implications of Immunization Reminder/Recall in a Multipractice Pediatric Group.
abstract: Immunization reminder/recall is widely recommended as an effective strategy for increasing vaccination rates. We examined the revenue generated from well-child visits scheduled as a result of reminder/recall activities implemented in a multipractice pediatric organization.
  
  
  
  Patients aged 19 to 35 months who were due or overdue for vaccines were identified from participating practices and assigned to either standard or enhanced reminder/recall activities. Participants who received standard reminder/recall were observed for the 6-week study period, and the number of appointments in which vaccines were administered was tracked. Participants who received enhanced reminder/recall were contacted up to 3 times and received a letter followed by up to 2 phone calls. Financial information associated with appointments scheduled during the study period was obtained, and revenue was calculated for each dose of vaccine administered. Reminder/recall costs were calculated and overall revenue generated was calculated.
  
  
  
  We identified 3916 children who were potentially due or overdue for immunizations. After review and manual uploading of missing historical vaccines, a total of 1892 participants received the reminder/recall initiative; 942 received standard reminder/recall, and 950 received enhanced reminder/recall. One hundred eighty-two (19%) standard and 277 (29%) enhanced reminder/recall participants scheduled an appointment by the end of the study period (P < .001). After subtracting the cost of reminder/recall activities, an additional $20,066 and $20,235 were generated by standard and enhanced reminder/recall, respectively.
  
  
  
  We show that conducting reminder/recall is at a minimum financially neutral, and might increase revenue generated by vaccine administration.
authors.affiliation: Immunization Project, Texas Children's Hospital, Houston, Tex. Electronic address: lcsahni@texaschildrens.org.
authors.forename: Leila C
authors.initials: LC
authors.lastname: Sahni
authors.affiliation: Ambulatory Services, Texas Children's Hospital, Houston, Tex.
authors.forename: Monica R
authors.initials: MR
authors.lastname: Banes
authors.affiliation: Immunization Project, Texas Children's Hospital, Houston, Tex; Department of Pediatrics, Baylor College of Medicine, Houston, Tex.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Boom
mesh_terms: D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D007114:Immunization / Q000191:economics*; D017589:Immunization Programs / Q000191:economics* / Q000379:methods; D007115:Immunization Schedule; D007223:Infant; D008297:Male; D010372:Pediatrics / Q000191:economics*; D017010:Reminder Systems / Q000191:economics*; D013781:Texas; D014611:Vaccination
keywords: reminder/recall; revenue; vaccines