Calculating a clinic's childhood immunization rate. Costs and returns

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Abstract
To analyze the cost of determining the pediatric immunization rate of a family practice clinic. Medical records audit and cost analysis. A family medicine residency training clinic. All clinic patients aged 2 months to 2 years, totaling 282 medical records. Cost and hours needed to complete the project, pediatric immunization rate, and barriers to pediatric immunizations. The total project cost was $1320.25. Sixty-nine percent of the study group was up-to-date on immunizations. Additional patients were found to have received immunizations from the local health department, which increased the immunization rate to 73.4%. The immunization rate declined significantly with age. The highest rate was 83% for children between the ages of 2 and 3 months. Immunization barriers included parental refusal, missed appointments, and inappropriate withholding of vaccinations. Only 13 records clearly documented why the child was behind on immunizations. Calculating a family practice clinic's immunization rate can be easy and has modest costs. The return is an awareness of immunization barriers and the potential to increase the childhood immunization rate.

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