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For Local Health Departments

Local public health authorities (LPHAs) work with the Oregon Immunization Program (OIP) in a few ways: as part of the Program Element #43 (PE43) Immunization Services agreement, reporting and improving immunization metrics, participating in state-supplied vaccine programs, and enforcing school immunization laws.

The OIP Help Desk is open Monday through Friday between 9am and 2pm. You can email them anytime at alertiis@odhsoha.oregon.gov

Program Element #43 Immunization Services

Program Elements (PEs) describe programmatic and service deliverables to be provided based on agreements with the Oregon Health Authority (OHA). PEs are amended periodically and negotiated through the Conference of Local Health Officials (CLHO) and Federally Recognized Tribes. All elements are reviewed as part of a more comprehensive public health review process known as Triennial Reviews.

Program Element #43 (PE43) describes procedural and operational requirements of LPHAs for immunization services. Additionally, LPHAs are required to develop workplans and implement outreach and education activities each fiscal year.

PE43 resources:

Immunization metrics

Immunization rates are often used to measure the health of community populations.

While PE43 helps Oregon's public health system determine rates for all 2-year-old vaccinations and flu vaccinations for adults ages 65+, OHA's CCO Quality Incentive Program uses quality health metrics to understand how well coordinated care organizations (CCOs) are serving Oregon Health Plan (OHP) members.

This incentive program includes the following two immunization-related metrics, both of which can be found on our resources page by clicking on the “Measurement Year" of your choice:

  • Childhood immunization status (for certain vaccines received by age 2)
  • Immunizations for adolescents (for certain vaccines received by age 13)

Improving immunization rates

To improve immunization rates, first determine current rates by using our data dashboards or running clinic level reports in ALERT IIS. Then, identify patients who are due or past due for immunizations using the Reminder/Recall Report in ALERT IIS. The Immunization Quality Improvement Program can work with a clinic to tailor strategies.

Relevant links:

School and child care laws

By law, all schools, preschools, Head Starts and certified child care facilities must submit the Immunization Reports to their LPHA by the due dates. LPHAs send exclusion orders to the parents and schools of the children who are not up to date on their vaccines.

Clinic resources

Many LPHAs have—or work with—clinics enrolled in Vaccines for Children (VFC) and/or Vaccine Access Program (VAP) that receive state-supplied vaccine. VFC and VAP are managed by OIP. Here are some clinic resources:

Disease surveillance and reporting

While OIP does not handle disease surveillance and reporting, our colleagues in the Acute and Communicable Disease Prevention (ACDP) section can answer any questions, and their website offers resources and forms to help you with the reporting process. 

Other resources