“…Based on lessons learned from the previous evaluation, this toolkit broadened the approach to improving adult immunizations in primary care with an ordered and linked set of strategies that support SOPs and expand opportunities to increase adult vaccination rates. A number of toolkits for healthcare providers on a variety of clinical topics have been or are being developed (Dykes et al, ; MacDonald, Aavitsland, Bitar, & Borgen, ; Shah et al, ; Williams, Mears, Raisor, & Wilson, ), based on literature reviews of evidenceâbased research and expert consultation, and are commonly pilotâtested and revised before dissemination. In this evaluation of our revised SOP toolkit, we found areas for additional improvements.…”