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AFIX Manual

 Ohio Assessment, Feedback, Incentives and eXchange (AFIX) Project

What is an AFIX?

Assessment, Feedback, Incentives, and eXchange (AFIX) is a quality improvement program used to raise immunization coverage levels, reduce missed opportunities to vaccinate, and improve standards of practices at the provider level.  


AFIX consists of:

  • Assessment of immunization coverage levels
  • Feedback of information to physicians and staff
  • Incentives to recognize and reward outstanding and improved performance
  • eXchange of best practices and follow up with the provider


How does it work?

The process is simple. The healthcare provider/practice will: 1) work with a trained assessor to review their immunization levels, and 2) work to design a quality improvement action plan to increase immunization levels in their practice.


Who can participate in an AFIX?

Any immunization provider in Ohio that serves pediatric or adolescent patients.


Who performs AFIXs?

Ohio AFIXs are performed by trained AFIX assessors from local health departments, the Ohio Department of Health and the Ohio Chapter of the American Academy of Pediatrics.


Why are AFIXs important?

It is important to ensure patients are up-to-date with their immunizations to offer the best protection against vaccine preventable diseases. Assessing your immunization rates on a regular basis is an effective and recommended strategy to improve immunization rates in both public and private provider settings. The Task Force on Community Prevention Services continues to recommend assessment and feedback based on strong evidence of effectiveness found through a comprehensive literature review on assessment and feedback (AFIX) for immunizations. (http://www.thecommunityguide.org/vaccines/RRproviderassessment.html)


To find out more about participating in an AFIX, please contact:

AFIX Coordinator

Immunization Program

Ohio Department of Health

246 North High Street

Columbus, Ohio 43215

Telephone: (614) 466-4643 or 1-800-282-0546 (Ohio only)

Fax: (614) 728-4279

Email: Immunize@odh.ohio.gov


AFIX Manual and Forms

The following documents were created for Ohio AFIXs to assist trained AFIX assessors to conduct AFIXs. If you would like to know more about the AFIX process or to become a trained AFIX assessor, please contact the AFIX Coordinator at the Ohio Department of Health.   


AFIX Manual

AFIX Manual, June 2018


Forms and Resources

AFIX Site Visit Packet, 2018

AFIX Site Visit Packet Example, 2018

AFIX Site Visit Questionnaire Response Guide    

HIPAA Regulations Letter