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Exploring High Immunization Rates in States: Kansas Case Study

Discover how Kansas maintains high immunization rates through its unique financing system and state programs compared to other states. Dive into the mix of public and private funding, vaccine supply policies, and ongoing research findings.

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Exploring High Immunization Rates in States: Kansas Case Study

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  1. States With High Rates: How Do They Do It? Sheldon Weisgrau Sunee Mickle Laura Harrington Kansas Health Institute October 12, 2006

  2. Outline • Current Kansas financing “system” • Experience of other states • Finance & supply policies • State specific programs • Ongoing research

  3. Immunization Financing in Kansas • Mix of public and private funding • Federal, state, and local government • Private insurance • Out-of-pocket • Almost all children are at least partially covered for the costs of immunization

  4. Kansas Immunization Spending

  5. State Immunization Finance & Supply Policy • The financing “system” is more or less the same in every state • Size of the pie may vary • Size of the slices may vary • But the ingredients are the same • States “mix” the ingredients differently in supplying vaccines to providers

  6. Vaccine Supply Policies • Universal (MA, NH, NM) • Universal Select (CT, NC, SD) • VFC & Uninsured (FL, MN, UT) • VFC & Uninsured Select (KS, IL, TX) • VFC Only (CO, IA, MO, NE, OK)

  7. Universal Purchase:Financing Methods • Idaho: VFC, 317, & SGF • New Mexico: VFC, 317, SGF, & voluntary contributions from insurers • New Hampshire: VFC, 317, SGF, & mandatory insurer contributions • South Dakota: VFC, 317, & SGF (but doesn’t cover newer vaccines)

  8. Universal Purchase: Controversy • Can new Universal Purchase states buy vaccines at the CDC contract rate?

  9. State Interventions • Provider Assessment & Feedback • Education & Outreach • Community Collaboration • Other

  10. State Programs to Boost/Sustain Rates • Provider Assessment & Feedback • Mandatory reporting to registry (CT) • Regular assessment, updates, and comparisons of provider performance (MA, CT, MT) • Monthly tracking and targeting of kids who are late (CT)

  11. State Programs to Boost/ Sustain Rates (continued) • Education & Outreach • State epidemiologists assigned to regions to answer questions and provide support (MA) • Immunization coordinators placed at LHDs (CT) • Intensive education and “selling” of VFC program (AL) • Peer in-service education program (MI) • Targeted information to day care providers and school nurses (RI) • Regional training programs for providers (IA)

  12. State Programs to Boost/ Sustain Rates (continued) • Community Collaboration • Local bilingual parents serve as liaisons between health departments and parents (RI) • LHDs responsible for distributing VFC vaccines to local providers (WA) • Other • Walk-in immunization sites assign patients to medical homes (RI) • Physician Advisory Committee (RI)

  13. Ongoing Research • Additional information on programs in states with consistently high immunization rates and states that have improved their rates • Steps to develop and implement initiatives • Cost • Pros and cons for Kansas • Cost of universal purchase in Kansas

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