Childhood Immunization Status (CIS)

The percentage of children 2 years of age who had a four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV); one measles, mumps and rubella (MMR); three haemophilus 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.

The measure calculates a rate for each vaccine and nine separate combination rates.

Why It Matters?

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 preventable care for children. Vaccination coverage must be maintained in order to prevent a resurgence of vaccine-preventable diseases.4

Results

Influenza

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201969.867.249.8
201867.365.446.9
201766.164.547.4
201664.562.345.3
201564.861.045.7
201466.663.551.1
201365.361.350.0
201263.359.849.5
201161.157.344.8
201057.151.143.6

Childhood Immunization Status Combination 10

(DTAP, IPV, MMR, HIB, Hepatitis B and VZV)
Measure YearCommerical HMOCommercial PPOMedicaid HMO
201957.949.738.1

Childhood Immunization Status Combination 2

(DTAP, IPV, MMR, HIB, Hepatitis B and VZV)
Measure YearCommerical HMOCommercial PPOMedicaid HMO
201979.771.473.4
201879.572.870.9
201778.671.272.9
201678.569.673.0
201578.466.872.5
201480.168.573.8
201378.867.574.0
201279.768.175.7
201178.064.874.5
201078.548.574.1
200977.743.174.3
200881.230.673.7
200780.830.172.1
200679.824.573.4
200577.754.870.5
200472.5-63.1
200369.8-58.4
200262.5-53.2
200157.6-52.5
200053.5--
199947.5--

Childhood Immunization Status Combination 3

(DTAP, IPV, MMR, HIB, Hepatitis B, VZV and PCV)
Measure YearCommerical HMOCommercial PPOMedicaid HMO
201978.069.570.3
201877.771.368.1
201776.869.569.4
201676.568.969.7
201576.368.469.0
201478.069.070.4
201376.666.570.8
201276.865.872.1
201175.763.170.6
201075.146.169.9
200973.440.469.4
200876.628.567.6
200775.527.665.4
200665.722.460.9

Diptheria, Tetanus, Acellular Pertussis (DTAP/DT)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201986.379.777.1
201885.880.975.0
201785.380.476.3
201685.379.676.8
201585.977.576.3
201487.380.278.0
201386.780.379.0
201287.280.080.9
201186.576.879.8
201086.364.780.2
200985.459.979.6
200887.247.778.6
200786.942.477.8
200687.239.279.3
200586.162.876.9
200485.9-75.6
200384.3-72.6
200280.1-69.4
200181.5-71.2
200080.4--
199978.7--

Hepatitis B (HEP B)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201986.775.388.2
201887.379.187.1
201786.378.688.2
201685.477.188.0
201586.574.887.7
201488.977.989.3
201388.176.888.6
201289.277.389.5
201187.974.788.8
201090.258.790.1
200990.153.789.1
200891.838.788.3
200791.335.887.2
200691.031.188.4
200590.057.785.4
200487.2-81.9
200385.8-79.5
200281.9-76.2
200179.9-75.4
200077.9--
199975.5--

Haemophilis Influenza Type B (HIB B)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201991.785.887.4
201891.487.186.3
201791.686.887.7
201691.386.088.1
201591.984.587.6
201493.787.589.3
201393.588.190.7
201294.388.392.0
201194.186.191.0
201094.375.590.3
200994.874.893.7
200894.866.393.4
200793.153.687.7
200693.449.289.1
200592.972.686.8
200487.7-79.1
200386.1-77.7
200283.2-73.8
200183.4-74.9
200082.7--
199980.7--

Inactivated Polio Virus (IPV)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201991.385.188.7
201891.386.487.5
201790.685.588.2
201690.484.988.7
201590.782.587.7
201492.385.789.0
201392.286.290.0
201292.886.391.6
201192.483.490.5
201091.871.190.8
200991.165.389.0
200892.152.687.9
200791.547.587.3
200691.443.087.9
200590.366.784.7
200490.1-84.8
200388.7-83.1
200286.0-80.3
200185.4-79.1
200084.2--
199982.6--

Measles, Mumps, Rubella (MMR)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201992.690.788.8
201892.390.387.5
201792.590.488.8
201692.890.589.5
201593.089.989.2
201492.189.190.0
201391.588.790.5
201291.888.391.6
201191.586.990.9
201090.882.790.6
200990.680.591.2
200893.576.490.9
200793.576.390.4
200693.675.091.1
200593.086.289.6
200492.3-88.1
200391.5-87.4
200290.1-84.4
200189.4-83.7
200088.4--
199987.0--

Pneumococcal Conjugate (PCV)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201986.580.377.3
201886.181.575.7
201785.780.976.8
201685.479.977.2
201585.977.776.5
201487.580.478.3
201387.078.379.2
201286.778.980.1
201187.077.779.3
201085.665.679.4
200984.660.177.6
200884.847.875.6
200783.642.373.8
200672.837.168.3

Varicella (VZV)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201992.089.988.4
201892.089.787.3
201792.090.088.6
201692.089.589.0
201591.988.688.8
201492.088.688.8
201391.588.390.2
201291.688.091.1
201191.386.990.5
201090.882.290.0
200990.679.790.6
200892.074.889.7
200791.974.488.7
200690.972.088.9
200589.982.086.6
200487.5-84.7
200385.7-81.8
200282.0-76.4
200175.3-73.6
200070.5--
199963.8--

Hepatitis A (Hep A)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201989.187.285.3
201888.286.783.5
201787.885.884.3
201686.884.684.2
201585.583.183.7
201483.781.883.4
201382.579.381.9
201265.561.176.4
201139.032.239.2
201035.428.636.5

Rotavirus (RV)

Measure YearCommerical HMOCommercial PPOMedicaid HMO
201983.377.071.1
201882.977.869.6
201781.877.070.1
201680.575.569.0
201580.272.867.9
201480.874.668.1
201379.971.967.7
201276.769.866.0
201175.167.262.4
201063.551.957.6

This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.

Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.

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.
  3. gov. 2013. “Immunizations 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

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