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Resource Use Completing Practice-Based Assessments

Resource Use Completing Practice-Based Assessments. Margaret S. Coleman PhD Economist. Co-authors: Noelle-Angelique Molinari PhD Shannon Stokley MPH Mark Messonnier PhD Hussain Yusuf MBBS. Introduction. 1994 Vaccines for Children (VFC)

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Resource Use Completing Practice-Based Assessments

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  1. Resource Use Completing Practice-Based Assessments Margaret S. Coleman PhD Economist Co-authors: Noelle-Angelique Molinari PhD Shannon Stokley MPH Mark Messonnier PhD Hussain Yusuf MBBS

  2. Introduction • 1994 Vaccines for Children (VFC) • 1995 Congress recommended clinic-based immunization assessments • CDC adapted Assessment, Feedback, Information, and eXchange of Information programs (AFIX) • VFC participating medical clinics

  3. What is AFIX? • Health department personnel make site visits: • review clinic records • determine vaccination rates • make recommendations to improve immunization practices & assist in their implementation • 3 types of provider site visits: AFIX-only, VFC-only, combined VFC/AFIX • Both public and private clinics

  4. AFIX: Not Just One Program • AFIX effective at increasing vaccination rates • Programs interpreted AFIX differently • In 2000 and 2001 $29,568,543 awarded but expenditures are not uniform • It’s what you get for the monies…

  5. Objective • Evaluate how immunization programs (grantees) use grant monies for administering AFIX programs in VFC participating clinics

  6. Data and Methods • 2000 and 2001 VFC grant details • FTEs, federal, state, local & private $ • Grantee self-report assessment completion forms • Program spending measured • Poisson regression model estimated using maximum likelihood • Dependent variable AFIX completions

  7. Results Numbers rounded

  8. Results, continued Numbers rounded

  9. Conclusions • Grantee details told partial story • No explanation for wide spread in spending or FTE productivity • Develop stronger standards for program implementation • Develop more uniform grant award guidelines

  10. Future • Program managers’ survey • 4 years of program spending & FTE data waiting to be modeled

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