Saving Vaccine and Costs With Immunization Registries Maricopa County Department of Public Health, Office of Community Health Nursing
Maricopa County 9000 square miles 3 million residents 700,000 children birth to 19 years 100,000 clients immunized yearly 7 immunization sites for all ages 5 immunization sites for WIC children
Arizona State Immunization Information System (ASIIS) State Wide Immunization Registry Established in 1996 Providers are required to report by state statute (as of 1-1-1998) Currently 1.9 million clients with 14 million immunizations
ASIIS Funding in Jeopardy for the 2003-2004 State Budget Problem ASIIS Funding in Jeopardy for the 2003-2004 State Budget
Methods A registry search was done any time a child’s immunization status was in question Information retrieved from the registry was tracked at 3 of the 7 immunization sites 3 sites have ASIIS look-up capability on site 4 sites must “call in” for record searches The cost of each vaccine found was documented
Results April through September $8.00 per immunization $48,959.74 was saved in vaccine costs 3725 immunizations were not administered $8.00 per immunization $29,800 savings to the county
Conclusion ASIIS was funded through the 2003-2004 budget Use of a registry has numerous benefits Reduction of duplication of vaccines administered Saving vaccine costs and administration costs Saving lost work time for parents and lost school time for children
Future Plans All future Maricopa County Immunization sites must have ASIIS capabilities.
Current Immunization Delivery System 5 fixed clinic sites with ASIIS capability Implementation of the following policies All children presenting without a personal immunization record will be researched All children presenting with a not up-to-date record will be researched
Special Thanks!!! Maricopa County Community Health Nursing Deb Luaghlin, R.N. Faith Herbert Arizona Immunization Program Office Andie Denious, R.N., M.S.