Immunizations: Children (Combo 10) Tip Sheet
The percentage of children who have received all the following vaccines (Combo 10) by their 2nd birthday include:
- 4 diphtheria, tetanus, and acellular pertussis (DTaP) (first dose after 42 days after birth)
- 3 inactivated polio vaccine (IPV) (first dose after 42 days after birth)
- 1 measles mumps and rubella (MMR)* (on or between child’s 1st and 2nd birthday)
- 3 haemophilus influenzae type B (HiB) (first dose after 42 days after birth)
- 3 hepatitis B (HepB)*(first dose 0-4 weeks)
- 1 varicella (VZV)*(on or between child’s 1st and 2nd birthday)
- 4 pneumococcal conjugate (PCV) (first dose after 42 days after birth)
- 2 or 3 rotavirus (RV)** (first dose after 42 days after birth)
- 1 hepatitus A (HepA)*(on or between child’s 1st and 2nd birthday)
- 2 influenza (Flu) (vaccines given after 180 days after birth up to or on the child’s 2nd birthday)
*For MMR, HepB, HepA and VZV documentation of history of illness or a seropositive test result for the antigen would meet compliance.
**Members may need 2 or 3 rotavirus doses, depending on the brand of vaccine that was administered. Any of following will make the member compliant for this vaccine:
- 3 doses for RotaTeq
- 2 doses Rotarix
- 1 Rotarix AND two RotaTeq
Incentives will be paid on an annual basis, following the end of quarter 4. For additional information refer to the 2021 CBI Technical Specifications.
Data for this measure will be collected using provider data submissions via the Data Submission Tool on the Provider Portal, claims and immunization registries.
- Run a report from your EHR system
- Manually compile patient data (Example: Download monthly breast cancer screening quality report on the Provider Portal and compare to EHR)
This measure allows providers to submit immunization codes from the clinic EMR/EHR system or paper records to the Alliance at the end of the measurement year by uploading data files to the Data Submission Tool on the Provider Portal. The files are required to be submitted as a CSV file to be accepted. A Data Submission Tool Guide is available on the Provider Portal to provide you with step-by-step instructions.
To view applicable codes for the measure, see the 2021 CBI Technical Specifications.
Children with a valid contraindication for a specific vaccine
- Keep staff up to date with current vaccine requirements.
- Review Standing Orders to ensure that vaccinations are available during all visits, including sick or well, regular hours, or weekend clinics
- Ensure staff has current accounts with your local immunization registry, and staff is trained to entry both administered and vaccines from health records into the registry.
- Check the registry prior to administering any vaccines to ensure the child has not already received the vaccine.
- Keep clinical staff up to date with current recommendations and communication tools.
- Always screen for contraindications. Most vaccines can be given even if the child has a mild illness.
- Voice your strong support of immunization – confident recommendation and education by a healthcare professional is the main reason parents decide to vaccinate.
- Remind parents about upcoming appointments – give reminders by phone, text, email, or postcard
- Empower staff to chart prep to review the schedule of immunizations to avoid any missed opportunities.
- Share reliable sources of immunization information with parents.
- Provide members with a copy of the CDC vaccine schedule:
- Utilize an immunization check list to improve your clinic’s vaccine compliance (http://www.immunize.org/catg.d/p2045.pdf)
- Immunization Resources
- California Immunization Registry (CAIR)
- San Joaquin Immunization Registry