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
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 64.5 62.3 45.3 -- --
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
2016 78.5 69.6 73.0 -- --
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
2016 76.5 68.9 69.7 -- --
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 -- --
CHILDHOOD IMMUNIZATION COMBINATION 10 (DTAP, IPV, MMR, HIB, HEPATITIS A, HEPATITIS B, VZV, PCV, ROTAVIRUS AND INFLUENZA) 
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 51.0 45.4 33.3 -- --
2015 51.0 45.4 33.3 -- --
2014 51.5 43.4 36.1 -- --
2013 49.3 38.7 34.7 -- --
2012 37.9 29.5 31.4 -- --
2011 22.9 17.0 17.3 -- --
2010 18.5 10.4 15.2 -- --
DIPHTHERIA, TETANUS, ACELLULAR PERTUSSIS (DTAP/DT) 
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 85.3 79.6 76.8 -- --
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
2016 85.4 77.1 88.0 -- --
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
2016 91.3 86.0 88.1 -- --
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
2016 90.4 84.9 88.7 -- --
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
2016 92.8 90.5 89.5 -- --
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
2016 85.4 79.9 77.2 -- --
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
2016 92.0 89.5 89.0 -- --
2015 91.9 88.6 88.8 -- --
2014 92.0 88.6 88.8 -- --
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
2016 86.8 84.6 84.2 -- --
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 32.2 39.2 -- --
2010 35.4 28.6 36.5 -- --
ROTAVIRUS (RV) 
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 80.5 75.5 69.0 -- --
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 -- --

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

  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.