Recommended vaccines: Vaccines and the schedule of vaccines as recommended by the ACIP for children two years of age. The measure may differ slightly from the ACIP recommendations because the measure focuses on immunizations that are appropriate by age 2. Also, there may be small differences when there are shortages for a particular vaccine.
]]>Children who turn 2 years of age during the measurement period and have a visit during the measurement period
]]>DTaP
Children with any of the following on or before the child’s second birthday meet criteria:
- At least four DTaP vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the diphtheria, tetanus or pertussis vaccine.
- Encephalitis due to the diphtheria, tetanus or pertussis vaccine.
IPV
Children with either of the following on or before the child’s second birthday meet criteria:
- At least three IPV vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the IPV vaccine.
MMR
Children with any of the following meet criteria:
- At least one MMR vaccination on or between the child’s first and second birthdays.
- Anaphylaxis due to the MMR vaccine on or before the child’s second birthday.
- All of the following anytime on or before the child’s second birthday (on the same or different date of service):
- History of measles.
- History of mumps.
- History of rubella.
HiB
Children with either of the following meet criteria on or before the child’s second birthday:
- At least three HiB vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the HiB vaccine.
Hep B
Children with any of the following on or before the child’s second birthday meet criteria:
- At least three hepatitis B vaccinations, with different dates of service.
- One of the three vaccinations can be a newborn hepatitis B vaccination during the eight-day period that begins on the date of birth and ends seven days after the date of birth. For example, if the member’s date of birth is December 1, the newborn hepatitis B vaccination must be on or between December 1 and December 8.
- Anaphylaxis due to the hepatitis B vaccine.
- History of hepatitis B illness.
VZV
Children with any of the following meet criteria:
- At least one VZV vaccination, with a date of service on or between the child’s first and second birthdays.
- Anaphylaxis due to the VZV vaccine on or before the child’s second birthday.
- History of varicella zoster (e.g., chicken pox) illness on or before the child’s second birthday.
PCV
Children with either of the following on or before the child’s second birthday meet criteria:
- At least four pneumococcal conjugate vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the pneumococcal vaccine.
Hep A
Children with any of the following meet criteria:
- At least one hepatitis A vaccination, with a date of service on or between the child’s first and second birthdays.
- Anaphylaxis due to the hepatitis A vaccine on or before the child’s second birthday.
- History of hepatitis A illness on or before the child’s second birthday.
RV
Children with any of the following meet criteria:
- At least two doses of the two-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- At least three doses of the three-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- At least one dose of the two-dose rotavirus vaccine and at least two doses of the three-dose rotavirus vaccine, all on different dates of service, on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the rotavirus vaccine on or before the child’s second birthday.
Flu
Children with either of the following on or before their second birthday meet criteria:
- At least two influenza vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 6 months (180 days) after birth.
- One of the two vaccinations can be a Live Attenuated Influenza Vaccine (LAIV) vaccination administered on the child’s second birthday. Do not count a LAIV vaccination administered before the child’s second birthday.
- Anaphylaxis due to the influenza vaccine.
]]>Not Applicable
]]>Equals Initial Population
]]>Exclude children with any of the following on or before the child’s second birthday:
- Severe combined immunodeficiency
- Immunodeficiency
- HIV
- Lymphoreticular cancer, multiple myeloma or leukemia
- Intussusception
Exclude children who are in hospice care for any part of the measurement period.
]]>None
]]>Higher score indicates better quality
]]>Infants and toddlers are particularly vulnerable to infectious diseases because their immune systems have not built up the necessary defenses to fight infection (CDC, 2019). One study estimated that routine childhood vaccines administered in 2019 prevented 24 million diseases (Talbird et al., 2022). Another recent study estimated that routine childhood vaccinations prevented 17.8 million cases of disease and 31,000 deaths for children born in 2017, in addition to saving $13.7 billion in health care costs (Carrico et al., 2022).
Immunizing a child not only protects that child's health but also the health of the community, especially for those who are not immunized or are unable to be immunized due to other health complications (CDC, 2019).
]]>None
]]>None
]]>This measure looks for childhood vaccinations that should be completed by age 2, in accordance with the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices (CDC ACIP) recommended child and adolescent immunization schedule (CDC ACIP, 2022).
-- For the 2022–23 season, see the 2022–23 ACIP influenza vaccine recommendations (Grohskopf, 2022).
]]>There is a known issue on CMS117v12. See issue EKI-27 on the ONC eCQM Known Issues Dashboard for details.
]]>Children with any of the following on or before the child’s second birthday meet criteria:
- At least four DTaP vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the diphtheria, tetanus or pertussis vaccine.
- Encephalitis due to the diphtheria, tetanus or pertussis vaccine.
IPV
Children with either of the following on or before the child’s second birthday meet criteria:
- At least three IPV vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the IPV vaccine.
MMR
Children with any of the following meet criteria:
- At least one MMR vaccination on or between the child’s first and second birthdays.
- Anaphylaxis due to the MMR vaccine on or before the child’s second birthday.
- All of the following anytime on or before the child’s second birthday (on the same or different date of service):
- History of measles.
- History of mumps.
- History of rubella.
HiB
Children with either of the following meet criteria on or before the child’s second birthday:
- At least three HiB vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the HiB vaccine.
HepB
Children with any of the following on or before the child’s second birthday meet criteria:
- At least three hepatitis B vaccinations, with different dates of service.
- One of the three vaccinations can be a newborn hepatitis B vaccination during the eight-day period that begins on the date of birth and ends seven days after the date of birth. For example, if the member’s date of birth is December 1, the newborn hepatitis B vaccination must be on or between December 1 and December 8.
- Anaphylaxis due to the hepatitis B vaccine.
- History of hepatitis B illness.
VZV
Children with any of the following meet criteria:
- At least one VZV vaccination, with a date of service on or between the child’s first and second birthdays.
- Anaphylaxis due to the VZV vaccine on or before the child’s second birthday.
- History of varicella zoster (e.g., chicken pox) illness on or before the child’s second birthday.
PCV
Children with either of the following on or before the child’s second birthday meet criteria:
- At least four pneumococcal conjugate vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the pneumococcal vaccine.
HepA
Children with any of the following meet criteria:
- At least one hepatitis A vaccination, with a date of service on or between the child’s first and second birthdays.
- Anaphylaxis due to the hepatitis A vaccine on or before the child’s second birthday.
- History of hepatitis A illness on or before the child’s second birthday.
RV
Children with any of the following meet criteria:
- At least two doses of the two-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- At least three doses of the three-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- At least one dose of the two-dose rotavirus vaccine and at least two doses of the three-dose rotavirus vaccine, all on different dates of service, on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the rotavirus vaccine on or before the child’s second birthday.
Flu
Children with either of the following on or before their second birthday meet criteria:
- At least two influenza vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 6 months (180 days) after birth.
- One of the two vaccinations can be a Live Attenuated Influenza Vaccine (LAIV) vaccination administered on the child’s second birthday. Do not count a LAIV vaccination administered before the child’s second birthday.
- Anaphylaxis due to the influenza vaccine.
]]>Exclude children with any of the following on or before the child’s second birthday:
- Severe combined immunodeficiency
- Immunodeficiency
- Human Immunodeficiency Virus (HIV)
- Lymphoreticular cancer, multiple myeloma or leukemia
- Intussusception
]]>Immunizing a child not only protects that child's health but also the health of the community, especially for those who are not immunized or are unable to be immunized due to other health complications (HHS-OIDP, 2022).
]]>-- For the 2023–24 season, see the 2023–24 ACIP influenza vaccine recommendations (Grohskopf, 2023).
]]>Children with any of the following on or before the child’s second birthday meet criteria:
- At least four DTaP vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the diphtheria, tetanus or pertussis vaccine.
- Encephalitis due to the diphtheria, tetanus or pertussis vaccine.
IPV
Children with either of the following on or before the child’s second birthday meet criteria:
- At least three IPV vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the IPV vaccine.
MMR
Children with any of the following meet criteria:
- At least one MMR vaccination on or between the child’s first and second birthdays.
- Anaphylaxis due to the MMR vaccine on or before the child’s second birthday.
- All of the following anytime on or before the child’s second birthday (on the same or different date of service):
- History of measles.
- History of mumps.
- History of rubella.
HiB
Children with either of the following meet criteria on or before the child’s second birthday:
- At least three HiB vaccinations, with different dates of service. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the HiB vaccine.
HepB
Children with any of the following on or before the child’s second birthday meet criteria:
- At least three hepatitis B vaccinations, with different dates of service.
- One of the three vaccinations can be a newborn hepatitis B vaccination during the eight-day period that begins on the date of birth and ends seven days after the date of birth. For example, if the member’s date of birth is December 1, the newborn hepatitis B vaccination must be on or between December 1 and December 8.
- Anaphylaxis due to the hepatitis B vaccine.
- History of hepatitis B illness.
VZV
Children with any of the following meet criteria:
- At least one VZV vaccination, with a date of service on or between the child’s first and second birthdays.
- Anaphylaxis due to the VZV vaccine on or before the child’s second birthday.
- History of varicella zoster (e.g., chicken pox) illness on or before the child’s second birthday.
PCV
Children with either of the following on or before the child’s second birthday meet criteria:
- At least four pneumococcal conjugate vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the pneumococcal vaccine.
HepA
Children with any of the following meet criteria:
- At least one hepatitis A vaccination, with a date of service on or between the child’s first and second birthdays.
- Anaphylaxis due to the hepatitis A vaccine on or before the child’s second birthday.
- History of hepatitis A illness on or before the child’s second birthday.
RV
Children with any of the following meet criteria:
- At least two doses of the two-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- At least three doses of the three-dose rotavirus vaccine on different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- At least one dose of the two-dose rotavirus vaccine and at least two doses of the three-dose rotavirus vaccine, all on different dates of service, on or before the child’s second birthday. Do not count a vaccination administered prior to 42 days after birth.
- Anaphylaxis due to the rotavirus vaccine on or before the child’s second birthday.
Flu
Children with either of the following on or before their second birthday meet criteria:
- At least two influenza vaccinations, with different dates of service on or before the child’s second birthday. Do not count a vaccination administered prior to 6 months (180 days) after birth.
- One of the two vaccinations can be a Live Attenuated Influenza Vaccine (LAIV) vaccination administered on the child’s second birthday. Do not count a LAIV vaccination administered before the child’s second birthday.
- Anaphylaxis due to the influenza vaccine.
]]>Exclude children with any of the following on or before the child’s second birthday:
- Severe combined immunodeficiency
- Immunodeficiency
- Human Immunodeficiency Virus (HIV)
- Lymphoreticular cancer, multiple myeloma or leukemia
- Intussusception
]]>Immunizing a child not only protects that child's health but also the health of the community, especially for those who are not immunized or are unable to be immunized due to other health complications (HHS-OIDP, 2022).
]]>-- For the 2023–24 season, see the 2023–24 ACIP influenza vaccine recommendations (Grohskopf, 2023).
]]>