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What is AFIX?

Oregon AFIX is a quality improvement process for providers who are interested in improving their immunization practices and coverage rates. Providers who participate in AFIX will receive specific, detailed information about how well immunized their patients are. The assessment also provides information on factors that affect coverage rates.

AFIX participation is voluntary in Oregon and is available to all providers who wish to engage in immunization quality improvement.

How does AFIX work?

Participating clinics receive an assessment of their immunization rates, based on data submitted to the ALERT Registry. This assessment will be shared during a feedback meeting, conducted by your VFC Health Educator or other Immunization Program representative. During this meeting, your Health Educator will walk staff at your clinic through a self-assessment of your clinic’s current immunization practices. A discussion of the self-assessment, along with data presented on your clinic’s coverage rates, will highlight areas of success and areas where improvements could be made. Your Health Educator will then assist clinic staff in setting realistic, attainable goals and creating a plan to meet these goals.

Setting goals or making changes is not required. Only you know how ready your clinic is to make changes, and we’re available to support your efforts in any way we can.

How will participating in AFIX benefit my clinic?

AFIX can help your clinic improve:

  • Immunization coverage rates; patients will be better protected against vaccine preventable diseases
  • Consistency in immunization services
  • Staff knowledge about immunizations
  • Clinic workflow around immunizations
  • Employee morale; staff throughout the organization will gain leadership opportunities


“Assessment and feedback for vaccination providers is recommended based on strong evidence of effectiveness in improving vaccination coverage: (1) in adults and children; (2) whether used alone or with additional components; and (3) across a range of settings and populations.”
Guide to Community Preventive Services. March 2010.
Community Guide Branch
Epidemiology and Analysis Program Office (EAPO
Office of Surveillance, Epidemiology, and Laboratory Services (OSELS
Centers for Disease Control and Prevention.

"Annual assessment of clinic-based immunization rates and practices is one of the 17 Standards for Child and Adolescent Immunization Practices."
Pediatrics 2003; 112; 958-963

"Strong scientific evidence exists that assessment and feedback of vaccination coverage information to providers are effective in improving vaccination coverage."
Briss, Peter A., et al. American Journal of Preventive Medicine 2000; 18 (1S)

"Provider practices play a critical role in underimmunization... Failure to assess immunization status can contribute to missed opportunities to immunize regardless of the type of visit."
NVAC. Strategies to Sustain Success in Childhood Immunizations. JAMA. 1999. 282(4): 363-370.

The National Vaccine Advisory Committee recommends that "All immunization providers, public and private, should assess the immunization coverage levels of their patients annually."
NVAC. Strategies to Sustain Success in Childhood Immunizations. JAMA. 1999. 282(4): 363-370.

How Can I Get More Information About Oregon AFIX?

Please call if you would like to schedule an assessment or if you want more information about this process:

Rex Larsen
VFC/AFIX Program Coordinator
Immunization Program
(971) 673-0298