Immunization Information Systems to Increase Vaccination Rates

Groom, Holly; Hopkins, David P.; Pabst, Laura J.; Morgan, Jennifer; Patel, Mona; Calonge, Ned; Coyle, Rebecca; Dombkowski, Kevin J.; Groom, Amy V.; Kurilo, Mary Beth; Rasulnia, Bobby; Shefer, Abigail; Town, Cecile M.; Wortley, Pascale M.; Zucker, Jane R.

doi:10.1097/phh.0000000000000069

Cited by 146 publications

(89 citation statements)

References 92 publications

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“…15,16 However, this study demonstrates that many primary care physicians are unaware of the existence of a state/local IIS, its functionalities, or state mandates for reporting data into an IIS. Lack of knowledge and use was especially marked among GIMs, with only a quarter reporting any IIS use.…”

Section: Discussionmentioning

confidence: 83%

Use of Immunization Information Systems in Primary Care

Kempe

Hurley

Cardemil

et al. 2017

American Journal of Preventive Medicine

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Introduction Immunization information systems (IISs) are highly effective for increasing vaccination rates but information about how primary care physicians use them is limited. Methods Pediatricians, family physicians (FPs), and general internists (GIMs) were surveyed by e-mail and mail from January 2015 to April 2015 from all states with an existing IIS. Providers were recruited to be representative of national provider organization memberships. Multivariable log binomial regression examined factors associated with IIS use (October 2015–April 2016). Results Response rates among pediatricians, FPs, and GIMs, respectively, were 75% (325/435), 68% (310/459), and 63% (272/431). A proportion of pediatricians (5%), FPs (14%), and GIMs (48%) did not know there was a state/local IIS; 81%, 72%, and 27% reported using an IIS (p < 0.0001). Among those who used IISs, 64% of pediatricians, 61% of FPs, and 22% of GIMs thought the IIS could tell them a patient’s immunization needs; 22%, 29%, and 51% did not know. The most frequently reported major barriers to use included the IIS not updating the electronic medical record (29%, 28%, 35%) and lack of ability to submit data electronically (22%, 27%, 31%). Factors associated with lower IIS use included FP (adjusted risk ratio=0.85; 95% CI=0.75, 0.97) or GIM (adjusted risk ratio=0.33; 95% CI=0.25, 0.42) versus pediatric specialty and older versus younger provider age (adjusted risk ratio=0.96; 95 CI%=0.94, 0.98). Conclusions There are substantial gaps in knowledge of IIS capabilities, especially among GIMs; barriers to interoperability between IISs and electronic medical records affect all specialties. Closing these gaps may increase use of proven IIS functions including decision support and reminder/recall.

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Section: Discussionmentioning

confidence: 83%

Use of Immunization Information Systems in Primary Care

Kempe

Hurley

Cardemil

et al. 2017

American Journal of Preventive Medicine

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“…Additionally, in order for the CDS systems to be most effective, they have to rely on accurate evidence-based clinical algorithms that need to be regularly updated and aligned among multiple systems, settings, and patient populations. Future efforts need to be taken in designing CDS systems or a combination of interventions that improve attention to the at-risk adult Y1-baseline vaccination rates; Y2 -end-of-study vaccination rates; HP2020 -Healthy People 2020; n* -number of providers who reached HP2020 target by the end of intervention period; p-value for independent samples t-test of difference between groups at each time point, unadjusted for baseline rates group, as the existing CDS or a combination of interventions seem to have low effectiveness in this group [16]. Significant missed opportunities have been identified in both groups using at least two metricspopulationbased and patient/visit-based, suggesting need for further understanding and research on how to reduce missed opportunities.…”

Section: Discussionmentioning

confidence: 99%

Effects of multicomponent primary care-based intervention on immunization rates and missed opportunities to vaccinate adults

et al. 2020

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Background: Adult immunization rates are below Healthy People 2020 targets. Our objective was to evaluate the effectiveness of a multicomponent intervention to improve adult immunization rates. Methods: This prospective interventional before-and-after non-randomized study was conducted through the American Academy of Family Physicians National Research Network with 43 primary care physicians from a large multi-specialty healthcare organization (multicomponent intervention group n = 23; comparator group n = 20) in the United States. The multicomponent intervention included provider reminders, quarterly provider-level performance reports, provider education, patient visual aid materials, and standing orders on adult pneumococcal, influenza, and zoster immunizations. We assessed individual and comparative provider-level vaccination rates and missed opportunities detailing concordance with targets established by Healthy People 2020 for pneumococcal, influenza, and zoster immunizations. Results: Vaccination rates increased after 12 months in intervention and comparator groups respectively for: a). influenza from 44.4 ± 16.7 to 51.3% ± 12.9% (by 6.9 percentage points, p = 0.001) and from 35.1 ± 19.1 to 41.3% ± 14.2%, (by 6.2 percentage points, p = 0.01); b). pneumococcal vaccinations in older adults from 62.8 ± 17.6 to 81.4% ± 16.6% (by 18.6 percentage points, for p < 0.0001) and from 55.9 ± 20.0 to 72.7% ± 18.4% (by 16.7 percentage points, p < 0.0001); and c). zoster from 37.1 ± 13.4 to 41.9% ± 13.1% (by 4.8 percentage points, p < 0.0001) and from 35.0 ± 18.7 to 42.3% ± 20.9% (7.3 percentage points, p = 0.001).

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“…En una revisión realizada por The Community Preventive Services Task Force incluyeron 240 artículos o resúmenes referidos a este tema 4 . En este análisis se encontró evidencia sobre la efectividad de los sistemas de información en: -Apoyar intervenciones efectivas para aumentar las tasas de vacunación (sistemas de recordatorio de dosis a usuarios, retroalimentación de la información a los profesionales, etcétera.)…”

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Actividades para captar y vacunar a la población susceptible en la Comunidad Valenciana

Martín-Ivorra

Alguacil-Ramos

Rodrigo

et al. 2015

Rev. Esp. Salud Publica

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No se han recibido becas u otro tipo de subvenciones para la elaboración de este trabajo.Los autores declaran haber participado en reuniones científicas y proyectos financiados por la industria farmacéutica relacionadas con las vacunaciones y haber recibido bolsas de viaje para asistencia a reuniones científicas. RESUMENLa Organización Mundial de la Salud en su revisión del Plan de eliminación del sarampión y la rubéola remarcó la necesidad de evaluar las coberturas vacunales y desarrollar estrategias para mejorarlas y eliminar las bolsas de baja cobertura vacunal. Existe evidencia del papel que pueden jugar los sistemas de información vacunal para mejorar estas coberturas.El objetivo del presente artículo es describir las acciones realizadas a partir del Sistema de Información Vacunal de la Comunidad Valenciana en la mejora de las coberturas vacunales.Se trata de un sistema integral que permite le gestión de los programas de vacunación. Está conectado con otros sistemas de manera que se facilita la toma de decisiones relacionadas con las vacunaciones, tanto clínicas como epidemiológicas o de gestión.Respecto al papel que juega en la mejora de las coberturas vacunales, el Sistema de Información Vacunal facilita la realización de todas las alternativas que se han demostrado efectivas: cálculo de coberturas y difusión de resultados, actividades de captación activa, colaboración con los servicios de vigilancia epidemiológica, gestión de la logística de las vacunas.Se puede concluir, por tanto, que el Sistema de Información Vacunal es una herramienta útil para mejorar las coberturas vacunales y contribuir así a la eliminación del sarampión y la rubéola. Eliminating measles and rubella and preventing congenital rubella infection plan of WHO highlighted the need to assess vaccination coverage and develop strategies to improve it and eliminate pockets of low immunization coverage. It exists evidence about the potential role of immunization information systems to improve coverage.The aim of this article is to describe the actions taken from the Vaccine Information System of Valencian Community addressed to improve the vaccination coverage.The Vaccine Information System is a comprehensive information system that allows the management of vaccination programs. It is connected to other systems so that decisions related to vaccinations as clinical and epidemiological management is facilitated.Regarding the role in improving vaccination coverage, the Vaccine Information System facilitates the implementation of all alternatives that have been proven effective: calculate coverage and feedback of results, active recruitment, cooperate with the epidemiological surveillance and logistics management of vaccines.We can conclude, therefore, that the Vaccine Information System is a useful tool to improve vaccination coverage and thus contribute to the elimination of measles and rubella.

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Immunization Information Systems to Increase Vaccination Rates

Abstract: Findings from 240 articles and abstracts demonstrate IIS capabilities and actions in increasing vaccination rates with the goal of reducing vaccine-preventable disease.

Cited by 146 publications

References 92 publications

Use of Immunization Information Systems in Primary Care

Use of Immunization Information Systems in Primary Care

Effects of multicomponent primary care-based intervention on immunization rates and missed opportunities to vaccinate adults

Actividades para captar y vacunar a la población susceptible en la Comunidad Valenciana

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