Simple Steps to Improve Immunization Rates and Maximize your P4P Amounts

Date: 09/25/24

Would you like help raising your Childhood Immunization Combo 10 (CIS Combo 10) and Adolescent Immunization Combo 2 (IMA Combo 2) Rates and earn more Pay for Performance Dollars?

As we have been reviewing medical records, we have found a couple items that may help:

1. Members who were not compliant for CIS Combo 10 either:
   • Received their immunizations but did not receive them timely thus completed the series outside the timeframe.
   • Received all their immunizations but were missing one or both of their influenza vaccines.
2. Members who were not compliant for IMA Combo 2 either:
   • Received their immunizations but did not receive them timely thus completed the series outside the timeframe.
   • Received none of or partially completed the HPV series.

As we spoke with providers who have high compliance results with the CIS and IMA measures, we found the following to be true:

• They proactively submit updated GRITS records to Peach State Health Plan for all members who have reached the designated birthdate and show as non-compliant for the respective care gap.
• They educate the patients and caregivers on the importance of following the Immunization Schedule and do not provide an option for non-adherence.
• They educate their appointment schedulers on the  importance of scheduling upcoming appointments within the correct timeframe and by the designated birthdate per the Immunization Schedule.
• They take advantage of scheduling Nurse Visits for catch-up shots to ensure the patient adheres to the Immunization Schedule.
• They review the need for catch-up shots that can be administered at sick visits.