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Childhood Immunization Status

This HEDIS Measure

Assesses children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV); one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (HepB), one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (HepA); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday.

So What?

Childhood vaccines protect children from a number of serious and potentially life-threatening diseases such as diphtheria, measles, meningitis, polio, tetanus and whooping cough, at a time in their lives when they are most vulnerable to disease.1, 2 Approximately 300 children in the United States die each year from vaccine-preventable diseases.3 Immunizations are essential for disease prevention and are a critical aspect of preventive care for children. Vaccination coverage must be maintained in order to prevent a resurgence of vaccine-preventable diseases.4

References

  1. Mayo Clinic. 2014. “Infant and Toddler Health. Childhood Vaccines: Tough questions, straight answers. Do vaccines cause autism? Is it OK to skip certain vaccines? Get the facts on these and other common questions.” http://www.mayoclinic.com/health/vaccines/CC00014
  2. Institute of Medicine. January 2013. “The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies.” Report Brief. http://iom.edu/~/media/Files/Report%20Files/2013/Childhood-Immunization-Schedule/ChildhoodImmunizationScheduleandSafety_RB.pdf
  3. gov. 2013. “Immunization and Infectious Diseases.” http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=23
  4. Diekema, D.S. 2012. “Improving Childhood Vaccination Rates.” N Engl J Med 366:39;1–3. http://www.nejm.org/doi/full/10.1056/NEJMp1113008
tables
Influenza
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 64.8 61.0 45.7
2014 66.6 63.5 51.1
2013 65.3 61.3 50.0
2012 63.3 59.8 49.5
2011 61.1 57.3 44.8
2010 57.1 51.1 43.6
Childhood Immunization Combination 2 (DTAP, IPV, MMR, HIB, Hepatitis B and VZV)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 78.4 66.8 72.5
2014 80.1 68.5 73.8
2013 78.8 67.5 74.0
2012 79.7 68.1 75.7
2011 78.0 64.8 74.5
2010 78.5 48.5 74.1
2009 77.7 43.1 74.3
2008 81.2 30.6 73.7
2007 80.8 30.1 72.1
2006 79.8 24.5 73.4
2005 77.7 54.8 70.5
2004 72.5 63.1
2003 69.8 58.5
2002 62.5 53.2
2001 57.6 52.5
2000 53.5
1999 47.5
Childhood Immunization Combination 3 (DTAP, IPV, MMR, HIB, Hepatitis B, VZV and PCV)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 76.3 68.4 69.0
2014 78.0 69.0 70.4
2013 76.6 66.5 70.8
2012 76.8 65.8 72.1
2011 75.7 63.1 70.6
2010 75.1 46.1 69.9
2009 73.4 40.4 69.4
2008 76.6 28.5 67.6
2007 75.5 27.6 65.4
2006 65.7 22.4 60.9
tables
Diphtheria, Tetanus, Acellular Pertussis (DTAP/DT)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 85.9 77.5 76.3
2014 87.3 80.2 78.0
2013 86.7 80.3 79.0
2012 87.2 80.0 80.9
2011 86.5 76.8 79.8
2010 86.3 64.7 80.2
2009 85.4 59.9 79.6
2008 87.2 47.7 78.6
2007 86.9 42.4 77.8
2006 87.2 39.2 79.3
2005 86.1 62.8 76.9
2004 85.9 75.6
2003 84.3 72.6
2002 80.1 69.4
2001 81.5 71.2
2000 80.4
1999 78.7
Hepatitis B (Hep B)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 86.5 74.8 87.7
2014 88.9 77.9 89.3
2013 88.1 76.8 88.6
2012 89.2 77.3 89.5
2011 87.9 74.7 88.8
2010 90.2 58.7 90.1
2009 90.1 53.7 89.1
2008 91.8 38.7 88.3
2007 91.3 35.8 87.2
2006 91.0 31.1 88.4
2005 90.0 57.7 85.4
2004 87.2 81.9
2003 85.8 79.5
2002 81.9 76.2
2001 79.9 75.4
2000 77.9
1999 75.5
Haemophilus Influenza Type B (HIB)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 91.9 84.5 87.6
2014 93.7 87.5 89.3
2013 93.5 88.1 90.7
2012 94.3 88.3 92.0
2011 94.1 86.1 91.0
2010 94.3 75.5 90.3
2009 94.8 74.8 93.7
2008 94.8 66.3 93.4
2007 93.1 53.6 87.7
2006 93.4 49.2 89.1
2005 92.9 72.6 86.8
2004 87.7 79.1
2003 86.1 77.7
2002 83.2 73.8
2001 83.4 74.9
2000 82.7
1999 80.7
Inactivated Polio Virus (IPV)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 90.7 82.5 87.7
2014 92.3 85.7 89.0
2013 92.2 86.2 90.0
2012 92.8 86.3 91.6
2011 92.4 83.4 90.5
2010 91.8 71.1 90.8
2009 91.1 65.3 89.0
2008 92.1 52.6 87.9
2007 91.5 47.5 87.3
2006 91.4 43.0 87.9
2005 90.3 66.7 84.7
2004 90.1 84.8
2003 88.7 83.1
2002 86.0 80.3
2001 85.4 79.1
2000 84.2
1999 82.6
Measles, Mumps, Rubella (MMR)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 93.0 89.9 89.2
2014 92.1 89.1 90.0
2013 91.5 88.7 90.5
2012 91.8 88.3 91.6
2011 91.5 86.9 90.9
2010 90.8 82.7 90.6
2009 90.6 80.5 91.2
2008 93.5 76.4 90.9
2007 93.5 76.3 90.4
2006 93.6 75.0 91.1
2005 93.0 86.2 89.6
2004 92.3 88.1
2003 91.5 87.4
2002 90.1 84.4
2001 89.4 83.7
2000 88.4
1999 87.0
Pneumococcal Conjugate (PCV)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 85.9 77.7 76.5
2014 87.5 80.4 78.3
2013 87.0 78.3 79.2
2012 86.7 78.9 80.1
2011 87.0 77.7 79.3
2010 85.6 65.6 79.4
2009 84.6 60.1 77.6
2008 84.8 47.8 75.6
2007 83.6 42.3 73.8
2006 72.8 37.1 68.3
Varicella (VZV)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 91.9 88.6 88.8
2014 92.0 88.6 89.7
2013 91.5 88.3 90.2
2012 91.6 88.0 91.1
2011 91.3 86.9 90.5
2010 90.8 82.2 90.0
2009 90.6 79.7 90.6
2008 92.0 74.8 89.7
2007 91.9 74.4 88.7
2006 90.9 72.0 88.9
2005 89.9 82.0 86.6
2004 87.5 84.7
2003 85.7 81.8
2002 82.0 76.4
2001 75.3 73.6
2000 70.5
1999 63.8
Hepatitis A (Hep A)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 85.5 83.1 83.7
2014 83.7 81.8 83.4
2013 82.5 79.3 81.9
2012 65.5 61.1 76.4
2011 39.0 32.3 39.2
2010 35.4 28.6 36.5
Rotavirus (RV)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2015 80.2 72.8 67.9
2014 80.8 74.6 68.1
2013 79.9 71.9 67.7
2012 76.7 69.8 66.0
2011 75.1 67.2 62.4
2010 63.5 51.9 57.6