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Allison Kempe, MD, MPH, Brenda L. Beaty, MSPH, John F. Steiner, MD, MPH, Kellyn A. Pearson, MSN, N. Elaine Lowery, JD, MSPH, Matthew F. Daley, MD, Lori A. Crane, PhD, MPH and Stephen Berman, MD

Allison Kempe is with the Departments of Pediatrics and Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and the Children’s Outcomes Research Program, The Children’s Hospital, Denver, Colo. Brenda Beaty is with the Colorado Health Outcomes Program, University of Colorado Health Sciences Center, and the Children’s Outcomes Research Program, The Children’s Hospital. John Steiner is with the Department of General Internal Medicine and Colorado Health Outcomes Program, University of Colorado Health Sciences Center. Kellyn Pearson is with the Children’s Outcomes Research Program, The Children’s Hospital. N. Elaine Lowery, Matthew Daley, and Stephen Berman are with the Department of Pediatrics, University of Colorado Health Sciences Center, and the Children’s Outcomes Research Program, The Children’s Hospital. Lori Crane is with the Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and the Children’s Outcomes Research Program, The Children’s Hospital.

Correspondence: Requests for reprints should be sent to Allison Kempe, MD, MPH, The Children’s Hospital, 1056 E 19th Ave, B032, Denver, CO 80218 (e-mail: kempe.allison{at}tchden.org).

Objectives. We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates.

Methods. Immunization registry records in 2 regions were categorized as having originated in private practices, community health centers, or public health clinics. "Up to date" rates were calculated after we sequentially added immunization records from the 3 sectors.

Results. The percentage of children with immunizations documented in multiple sectors increased with age from 7 to 24 months, and children who were seen in multiple sectors were more likely to be up to date. There were relative increases in "up to date" rates of 50% for children aged 24 months.

Conclusions. The regional immunization registry is a powerful public health tool for increasing documented "up to date" rates and providing insights into patterns of immunization delivery.

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