Effect of a pharmacist-managed program of pneumococcal and influenza immunization on vaccination rates among adult inpatients

Bourdet, Sharya Vaughan; Kelley, Meera; Rublein, John; Williams, Dennis

doi:10.1093/ajhp/60.17.1767

Cited by 33 publications

(29 citation statements)

References 14 publications

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“…Sokos et al evaluated a pharmacy‐driven pneumococcal vaccination standing order program which screened an average of 800 patients/month and resulted in an increased vaccination rate from 15% to 69% over a two‐year period . Bourdet et al evaluated a pharmacy standing order protocol for influenza and pneumococcal vaccinations . They included 542 patients in the intervention group and 761 in the control group.…”

Section: Discussionmentioning

confidence: 99%

A pharmacy resident‐driven pneumococcal vaccination protocol increases vaccination rates in hospitalized patients over 65 years

Wells

Monte

Prescott

et al. 2019

J Am Coll Clin Pharm

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Introduction Pneumococcal disease remains a leading cause of serious illness in adults aged 65 years and older. Despite this, pneumococcal vaccination rates remain suboptimal in this population. Objectives To implement a pharmacy resident‐driven pneumococcal vaccination protocol and to assess vaccination rates and the return on investment (ROI) for patients age 65 years and older admitted to an internal medicine service at an academic medical center. Methods A retrospective, single center review of a newly implemented pharmacy resident‐driven pneumococcal vaccination protocol targeting patients age 65 years and older admitted to an internal medicine service was conducted. The primary outcome was the percentage of eligible patients, as defined by the Center for Disease Control vaccination guidelines, who received a pneumococcal vaccine prior to discharge over a 60‐day period. The secondary outcome was ROI from the hospital perspective, which was calculated as follows: net profit (defined as total revenue—total cost) divided by total cost and then multiplied by 100. Pneumococcal vaccination rates and ROI data were presented descriptively. Results A total of 84 patients were included in the pharmacy resident‐driven protocol, 37 (42%) of whom were up‐to‐date on their pneumococcal vaccinations. Among the remaining 51 vaccine‐eligible patients, 33 (64.7%) were vaccinated prior to hospital discharge: 19/33 (57.6%) received the pneumococcal conjugate vaccine (PCV13) vaccine and 14/33 (42.4%) received the pneumococcal polysaccharide vaccine (PPSV23) vaccine. The total revenue and cost generated by the protocol over the 60‐day period was $8276.10 and $6406.88, respectively. The ROI for the protocol was calculated to be 29.2%. Conclusion The implementation of a pharmacy resident‐driven pneumococcal vaccination protocol increased pneumococcal vaccination rates while also serving as a revenue source. Health care systems may consider implementing a similar protocol to increase vaccination rates and provide novel revenue generating models for their institution.

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Section: Discussionmentioning

confidence: 99%

A pharmacy resident‐driven pneumococcal vaccination protocol increases vaccination rates in hospitalized patients over 65 years

Wells

Monte

Prescott

et al. 2019

J Am Coll Clin Pharm

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“…Our current findings support this, and in addition correlate with immunization programs using pharmacists in acute care settings. 41 …”

Section: Discussionmentioning

confidence: 99%

Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

Nace

Handler

Hoffman

et al. 2012

Journal of the American Medical Directors Association

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Introduction and Rationale National influenza immunization rates for healthcare workers (HCW) in long-term care (LTC) remain unacceptably low. This poses a serious public health threat to residents. Prior work has suggested high staff turnover rates as a contributing factor to low immunization rates. There is a critical need to identify and deploy successful models of HCW influenza immunization programs to LTC facilities. This report describes one potential model that has been successfully initiated in a network of LTC facilities. Methods All facilities served by a single regional LTC pharmacy were invited to participate in a HCW influenza immunization program. This voluntary immunization program began in 2005 and continues to the present. As part of the program, the pharmacy promoted organizational change by assuming oversight and control of HCW immunization policies and processes for all facilities. Primary and secondary outcomes are the number of facilities reaching HCW influenza immunization rates of 60% and 80%. Results Fourteen of the sixteen LTC facilities participated. Facilities were diverse and included both nursing and assisted living facilities; unionized and nonunionized facilities; and urban, suburban and rural facilities. The pharmacy provided educational and communication materials, centralized data collection using a standardized definition for HCW immunization rates, and facility feedback. All fourteen LTC facilities achieved the primary goal of 60% and nearly two thirds reached the secondary goal of 80%. Twenty percent reached the new Healthy People 2020 goal of 90%. Discussion It is possible for LTC facilities to improve HCW immunization rates using a pharmacy based, voluntary HCW influenza immunization approach. Such an approach may help attenuate the negative influence of staff turnover on HCW immunizations. Attainment of the new Health People 2020 goals still remains a challenge and may require mandatory programs.

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“…The apparent variation in impact of hospitalists by disease (more impact for cardiac conditions, less for pneumonia) may relate primarily to the characteristics of the processes of care that were measured for each condition. For example, one‐half of the pneumonia process measures related to care occurring within a few hours of admission, while the other one‐half (smoking cessation advice and streptococcal and influenza vaccines) were often administered per protocol or by nonphysician providers 26‐29. However, more of the cardiac measures required physician action (eg, prescription of an ACE‐I at discharge).…”

Section: Discussionmentioning

confidence: 99%

Cross‐sectional analysis of hospitalist prevalence and quality of care in California

Vasilevskis

Knebel

Dudley

et al. 2010

Journal of Hospital Medicine

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BACKGROUND:Hospital leaders usually provide financial support to hospitalists groups, often with an expectation of improved performance on publicly reported quality metrics. Whether the presence of hospitalists is associated with differences in hospital‐level performance is unknown.OBJECTIVE:Assess the relationship between hospitalist prevalence and quality performance.DESIGN:Cross‐sectional study.PARTICIPANTS:A total of 208 California hospitals participating in a voluntary reporting initiative.INTERVENTION:Survey of hospital personnel with knowledge of the utilization of hospitalists for patient care.MEASUREMENTS:Sixteen publicly reported quality process measures across 3 medical conditions: acute myocardial infarction (AMI); congestive heart failure (CHF); and pneumonia. Using multivariable models, we assessed the relationship between the presence of hospitalists and the percentage of missed quality opportunities for each process measure.RESULTS:Of 208 eligible hospitals, 170 (82%) had hospitalist services. After adjustment, hospitals with hospitalists had similar performance for cardiac and pneumonia measures assessed at admission and fewer missed processes for CHF measures assessed at discharge. Among sites with hospitalists, every 10% increase in the estimated percentage of patients admitted by hospitalists was associated with 0.5% fewer (P < 0.001) missed quality opportunities for AMI at admission, and 0.6% (P < 0.001), 0.5% (P = 0.004), and 1.5% (P = 0.006) fewer missed quality opportunities for AMI, CHF, and pneumonia assessed at discharge, respectively.CONCLUSIONS:The presence of hospitalists in California was associated with modest improvements in performance on publicly reported process measures. Whether hospitalists directly improve quality or simply reflect a hospital's level of investment in quality remains a subject for future study. Journal of Hospital Medicine 2010;5:200–207. © 2010 Society of Hospital Medicine.

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Effect of a pharmacist-managed program of pneumococcal and influenza immunization on vaccination rates among adult inpatients

Cited by 33 publications

References 14 publications

A pharmacy resident‐driven pneumococcal vaccination protocol increases vaccination rates in hospitalized patients over 65 years

A pharmacy resident‐driven pneumococcal vaccination protocol increases vaccination rates in hospitalized patients over 65 years

Impact of the Raising Immunizations Safely and Effectively (RISE) Program on Healthcare Worker Influenza Immunization Rates in Long Term Care Settings

Cross‐sectional analysis of hospitalist prevalence and quality of care in California

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