Developing Key Performance Indicators KPIs for Immunization Programs

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Developing Key Performance Indicators (KPIs) for
Immunization Programs
Angelia M. Paschal, PhD Assistant
Professor Preventive Medicine and Public
Health University of Kansas School of
Medicine-Wichita
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Purpose of KPIs

• Performance Management
• Quality Improvement
• Data Support from IT Systems
• Integrate performance measures for State and
  Local

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Background

• Immunization Technology Program
• KDHEs Immunization Program / Kansas Immunization
  Registry (KSWebIZ)
• Immunize Kansas Kids (IKK)
• CDC guidelines
• NACCHOs Operational Definitions of a Functional
  Local Health Department
• Literature Review
• KALHDs Advisory Board

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Recommended Key Performance Indicators
I. HEALTHY PEOPLE 2010 OUTCOMES Goal 1
Increase overall vaccination rates for
Kansas Goal 2 Increase full vaccination series
among children 18-24 months II. IMMUNIZATION
DELIVERY SYSTEM Goal 3 Remove barriers to
the timely delivery of immunizations Goal 4
Improve vaccinations in urban areas of
Kansas III. TECHNOLOGY INFORMATION SYSTEM
Goal 5 Increase of providers participating
in the Kansas Immunization
Registry (KSWebIZ) Goal 6 Monitor database
maturity for the Kansas Immunization
Registry (KSWebIZ) Goal 7 Provide
deidentified data to public health officials
IV. FINANCING SYSTEMS Goal 9 Insure
adequate immunization funding V. PARTNERSHIPS
Goal 10 Enhance Partnerships and
Provider/Community Feedback
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Notes

• The goals outlined in this presentation pertain
  to state, regional, and county levels, as do each
  of the corresponding key performance indicators
• Key performance indicators should eventually be
  separated by State and County goals
• The Key Performance Indicators are in draft form

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A. HEALTHY PEOPLE 2010 OUTCOMES

• Goal 1a Increase overall vaccination rates for
  Kansas
• Goal 2a Increase full vaccination series among
  children 18-24 months
• 2 KPIs

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• KEY PERFORMANCE INDICATOR 1a
• Increase vaccination coverage rates among
  children 18 years and younger in Kansas to 90 by
  2010
• Annually assess performance by measuring the
  following
• Numerator Percentage of children 18 years and
  younger that reside in Kansas that have been
  vaccinated
• Denominator Percentage of children 18 years and
  younger that reside in Kansas
• KEY PERFORMANCE INDICATOR 2a
• Increase percentage of children in Kansas that
  have finished the full series of vaccinations
  between 18-24 months to 90 by 2010
• Annually assess performance by measuring the
  following
• Numerator Percentage of children in Kansas that
  have completed vaccination series between 18-24
  months of age
• Denominator Percentage of children in Kansas
  that are 24 months of age

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Immunization Delivery System

• Goal 1b Remove barriers to the timely delivery
  of immunizations
• Goal 2b Improve vaccinations in urban areas of
  Kansas
• 6 KPIs

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• KEY PERFORMANCE INDICATOR 1b
• Increase overall percentage of private providers
  participating in the VFC program to 70 in Kansas
  by 2010
• Annually assess performance by measuring the
  following
• Numerator Number of private providers
  participating in VFC program
• Denominator Number of private providers in the
  state
• KEY PERFORMANCE INDICATOR 2b
• Increase percentage of private providers
  participating in the VFC program in frontier
  counties in Kansas
• Annually assess performance by measuring the
  following
• Numerator Number of frontier county based
  private providers in Kansas participating in VFC
  program
• Denominator Number frontier county based private
  providers in Kansas
• Similar KPIs for rural, densely populated,
  semi-urban urban counties KPIs 3b-6b

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Technology and Information System

• Goal 1c Increase of providers participating
  in the Kansas Immunization Regsitry (KSWebIZ)
• Goal 2c Monitor database maturity for the
  Kansas Immunization Registry (KSWebIZ)
• Goal 3c Provide deidentified data to public
  health officials
• 7 KPIs

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Goal Increase number of providers participating
in the Kansas Immunization Registry

• KEY PERFORMANCE INDICATOR 1c
• Increase percentage of local health departments
  participating in the KS Immunization Registry
  (KSWebIZ)
• Annually assess performance by measuring the
  following
• Numerator Number of LHDs participating in
  KSWebIZ
• Denominator Number of LHDs in Kansas
• KEY PERFORMANCE INDICATOR 2c
• Increase percentage of community-based health
  providers participating in the KS Immunization
  Registry (KSWebIZ)
• Annually assess performance by measuring the
  following
• Numerator Number of community-based health
  providers participating in KSWebIZ
• Denominator Number of community-based health
  providers in the state

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• KEY PERFORMANCE INDICATOR 3c
• Increase percentage of private providers
  participating in the Kansas Immunization Registry
  (KSWebIZ)
• Annually assess performance by measuring
• Numerator Number of private providers
  participating in the KSWebIZ
• Denominator Number of private providers in the
  state
• Goal Monitor database maturity for the KS
  Immunization Registry
• (KSWebIZ)
• KEY PERFORMANCE INDICATOR 4c
• Increase percentage of children under age 6 in
  Kansas that are enrolled in the KSWebIZ to 95 by
  2010
• Numerator Number of children residing in Kansas
  under 6 years of age that are enrolled in the
  KSWebIZ
• Denominator Number of children residing in
  Kansas under 6 years of age

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• KEY PERFORMANCE INDICATOR 5c
• Increase percentage of children in Kansas under
  24 months of age and with one or more
  immunization events (excluding first hospital
  administered Hep B shot) that are enrolled in the
  Kansas Immunization Registry (KSWebIZ)
• Annually assess performance by measuring the
  following
• Numerator Number of children under 24 months
  residing in Kansas with one or more immunization
  events (excluding first hospital administered Hep
  B shot) that are enrolled in the KSWebIZ
• Denominator Number of children residing in
  Kansas under 24 months of age
• KEY PERFORMANCE INDICATOR 6c
• Increase percentage of children in KS under 24
  months of age and with up-to-date immunizations
  that are enrolled in the Kansas Immunization
  Registry (KSWebIZ)
• Numerator of children residing in Kansas under
  24 months of age and with up-to-date
  immunizations during the 6-month period prior to
  the report date that are in the KSWebIZ
• Denominator Number of children residing in
  Kansas under 24 months of age

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• Goal Provide deidentified data to public health
  officials
• KEY PERFORMANCE INDICATOR 7c
• Provide public health officials with ability to
  access deidentified client immunization data
• provide LHDs with the ability to query KSWebIZ
  for geographical area data (county, region and
  state)
• provide LHDs with ability to query KSWebIZ for
  rates among race/ethnic groups, and data based on
  other queried factors
• provide LHDs with direct access to
  community-wide, deidentified immunization data as
  opposed to delayed reports of these statistics
• Numerator Baseline number and types of data
  sources and linkages available through KSWebIZ
  and/or the Kansas Immunization Program to public
  health officials
• Denominator Number and types of data linkages
  currently made available to public health
  officials

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D. FINANCING SYSTEMS

• Goal 1d Insure adequate immunization funding
• 3 KPIs

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Goal Insure adequate immunization funding

• KEY PERFORMANCE INDICATOR 1d
• Track changes in vaccine administration costs
• Numerator Cost of vaccine administration for
  previous year
• Denominator Current cost of vaccine
  administration
• KEY PERFORMANCE INDICATOR 2d
• Track changes in costs for additional vaccine
  administered
• Numerator Cost of additional vaccine for
  previous year
• Denominator Current cost of additional vaccine
• KEY PERFORMANCE INDICATOR 3d
• Track changes in overall cost of vaccines
  included in the Kansas immunization schedule
• Numerator Overall cost of vaccines for previous
  year
• Denominator Current overall cost of vaccines

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E. PARTNERSHIPS

• Goal 1e Enhance Partnerships and
  Provider/Community Feedback
• 2 KPIs

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Goal Enhance partnerships and provider/community
feedback

• KEY PERFORMANCE INDICATOR 1e
• To solicit, receive, and analyze feedback from
  stakeholders (e.g., LHDs, community health
  providers, private providers) regarding efforts
  of the Kansas Immunization Program
• Numerator Current results of customer
  satisfaction surveys administered to providers
• Denominator Previous years results of customer
  satisfaction surveys administered to providers
• KEY PERFORMANCE INDICATOR 2e
• To solicit, receive, and analyze feedback from
  Vaccination for Children (VFC) Program
  participants regarding efforts
• Numerator Current results of customer
  satisfaction surveys administered to VFC
  providers
• Denominator Previous years results of customer
  satisfaction surveys administered to VFC
  providers

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Next Steps

• Present to PROPHIT for review and further
  development
• Conduct further work on KPIs