School-located influenza vaccination with third-party billing: what do parents think?

[tetano]

Acad Pediatr. 2014 May-Jun;14(3):241-8. doi: 10.1016/j.acap.2014.01.006.
School-located influenza vaccination with third-party billing: what do parents think?
Kempe A1, Daley MF2, Pyrzanowski J3, Vogt TM4, Campagna EJ3, Dickinson LM5, Hambidge SJ6, Shlay JC7.
Author information
Abstract
OBJECTIVE:

School-located influenza vaccination (SLIV) may be instrumental in achieving high vaccination rates among children. Sustainability of SLIV programs may require third-party billing. This study assessed, among parents of elementary school students, the attitudes about SLIV and billing at school, as well as factors associated with being supportive of SLIV.
METHODS:

We conducted a survey (April 2010 to June 2010) of parents of 1000 randomly selected primarily low-income children at 20 elementary schools at which SLIV with billing had occurred.
RESULTS:

Response rate was 70% (n = 699). Eighty-one percent agreed (61% strongly) they "would be okay" with SLIV for their child. Many agreed it was better to get vaccinated at their child's doctor's office because they could take care of other health issues (72%) and the doctor knows the child's medical history (65%). However, an equal percentage (47%) thought the best place for influenza vaccination was the child's doctor's office and the child's school. Twenty-five percent did not want to give health insurance information necessary for billing at school. Factors independently associated with strongly supporting SLIV included parental education of high school or less (relative risk 1.30; 95% confidence interval 1.09-1.58), Hispanic ethnicity (1.25; 1.08-1.45); believing the vaccine is efficacious (1.49; 1.23-1.84); and finding school delivery more convenient (2.37; 1.82-3.45). Having concerns about the safety of influenza vaccine (0.80; 0.72-0.88) and not wanting their child to be vaccinated without a parent (0.74; 0.64-0.83) were negatively associated.
CONCLUSIONS:

The majority of parents were supportive of SLIV, although parental concerns about not being present for vaccination and about the safety and efficacy of the vaccine will need to be addressed.

Copyright ? 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
KEYWORDS:

immunization delivery, influenza vaccination, school-located immunization delivery

PMID:
24767777
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/24767777

 

[tetano]

Re: School-located influenza vaccination with third-party billing: what do parents think?

cad Pediatr. 2014 May-Jun;14(3):234-40. doi: 10.1016/j.acap.2014.01.005.
School-located influenza vaccination with third-party billing: outcomes, cost, and reimbursement.
Kempe A1, Daley MF2, Pyrzanowski J3, Vogt T4, Fang H5, Rinehart DJ6, Morgan N7, Riis M8, Rodgers S8, McCormick E9, Hammer A10, Campagna EJ11, Kile D11, Dickinson M12, Hambidge SJ13, Shlay JC14.
Author information
Abstract
OBJECTIVE:

To assess rates of immunization; costs of conducting clinics; and reimbursements for a school-located influenza vaccination (SLIV) program that billed third-party payers.
METHODS:

SLIV clinics were conducted in 19 elementary schools in the Denver Public School district (September 2010 to February 2011). School personnel obtained parental consent, and a community vaccinator conducted clinics and performed billing. Vaccines For Children vaccine was available for eligible students. Parents were not billed for any fees. Data were collected regarding implementation costs and vaccine cost was calculated using published private sector prices. Reimbursement amounts were compared to costs.
RESULTS:

Overall, 30% of students (2784 of 9295) received ≥1 influenza vaccine; 39% (1079 of 2784) needed 2 doses and 80% received both. Excluding vaccine costs, implementation costs were $24.69 per vaccination. The percentage of vaccine costs reimbursed was 62% overall (82% from State Child Health Insurance Program (SCHIP), 50% from private insurance). The percentage of implementation costs reimbursed was 19% overall (23% from private, 27% from Medicaid, 29% from SCHIP and 0% among uninsured). Overall, 25% of total costs (implementation plus vaccine) were reimbursed.
CONCLUSIONS:

A SLIV program resulted in vaccination of nearly one third of elementary students. Reimbursement rates were limited by 1) school restrictions on charging parents fees, 2) low payments for vaccine administration from public payers and 3) high rates of denials from private insurers. Some of these problems might be reduced by provisions in the Affordable Care Act.

Copyright ? 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
KEYWORDS:

cost of care, influenza immunization, reimbursement, school-based health care, school-located immunization

PMID:
24767776
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/24767776

 

[tetano]

Re: School-located influenza vaccination with third-party billing: what do parents think?

Acad Pediatr. 2014 May-Jun;14(3):219-20. doi: 10.1016/j.acap.2014.03.004.
School-located influenza vaccination: can collaborative efforts go the distance?
Humiston SG1, Poehling KA2, Szilagyi PG3.
Author information

PMID:
24767773
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/24767773