Childhood immunizations, based on CDC recommendations, are recognized as a
cost effective and health promoting practice. However, ensuring full immuni
zation requires a longterm commitment on the part of parents and providers.
This article describes a program at Advocate Health care to increase the p
ercentage of children fully immunized at two years to 90%. Termed Baby Advo
cate, the program uses a mailed reminder system that includes vaccine and g
rowth and developement information along with gifts and incentives. Volume,
satisfaction and immunization status data are presented.