Assessment, Feedback, Incentives and eXchange (AFIX)

Boy Dr Exam Shows MuscleFrom January 2004 to December 2005, VCHIP worked under a contract from the Vermont Department of Health to plan and implement the CDC AFIX (Assessment, Feedback, Information, and eXchange) methodology with primary care practices across the state.

Using the CDC’s Clinic Assessment Software Application (CASA) program, the Vermont Department of Health and VCHIP staff traveled to practices across the state to assess immunization coverage levels and provide feedback about current coverage rates. VCHIP provided education and tools to support practices to help them develop strategies to enhance their immunization practices.


Increase immunization coverage levels for children birth to age two cared for in pediatric and family practice sites.
To achieve the Healthy Vermonters 2010 goal of 90% immunization coverage of Vermont children.


105 practices participated in the assessment of current immunization rates between March 2004-April 2005.
VCHIP also assisted in planning and preparation for a statewide conference “Boosting Our Immunization Knowledge” for health care providers, including physicians, nurse practitioners, medical assistants, office and school nurses, public health staff and community partners. The conference was held on December 10, 2005 with 175 participants attending.


Project Completed December 2005