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Immunization registries: costs and savings.

Verna B McKenna1, Alan Sager, Julia E Gunn

  • 1Boston Public Health Commission, Communicable Disease Control Program, Boston, MA 02118, USA.

Public Health Reports (Washington, D.C. : 1974)
|December 13, 2002
PubMed
Summary

Implementing electronic immunization registries like the Boston Immunization Information System (BIIS) can be cost-effective. These systems offer significant savings compared to manual processes when data is current and utilized by caregivers.

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Area of Science:

  • Public Health Informatics
  • Health Economics
  • Immunization Systems

Background:

  • Electronic immunization registries are crucial for tracking vaccination status.
  • Manual tracking systems are often resource-intensive and prone to errors.
  • Assessing the economic impact of digital health solutions is vital for adoption.

Purpose of the Study:

  • To quantify the costs associated with the Boston Immunization Information System (BIIS).
  • To compare the operational costs of BIIS against manual immunization tracking methods.
  • To evaluate the economic efficiency of electronic immunization registries.

Main Methods:

  • Cost data collected from 23 BIIS healthcare sites and 13 control sites.
  • Actual 1998 costs and projected 1999 costs for BIIS were analyzed.

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  • Registry-supported activity costs were compared to manual activity costs.

    • Main Results:

    • The total annual cost for BIIS in 1998 was $345,556, with a cost per record of $5.45.
    • BIIS demonstrated savings of $26,768 in 1998 compared to manual methods.
    • Projected 1999 costs for an expanded BIIS showed potential savings of $689,403.

    Conclusions:

    • Electronic immunization registries offer potential efficiency gains in service delivery.
    • Substantial cost savings are achievable with up-to-date registry data.
    • Routine use by caregivers is key to realizing the full economic benefits of registries.