Using an Electronic Medical Record Tool to Improve Pneumococcal Screening and Vaccination Rates for Older Patients Admitted with Community-Acquired Pneumonia

Robinson, Ellen; Cooley, Chris; Schleyer, Anneliese M.; Schreuder, Astrid B.; Onstad, Susan; Chang, Jennifer; Martí, Anna; Minton-Foltz, Paula; Goss, John

doi:10.1016/s1553-7250(11)37052-3

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…We developed a BPA alert trigger through our center's EHR to remind providers to consider giving a pneumococcal vaccine to eligible patients. Similar methods have been used to improve pneumococcal vaccination rates in adult generalist settings .…”

Section: Discussionmentioning

confidence: 99%

A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant

Malone

Clark

Palmer

et al. 2016

Pediatric Transplantation

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Pneumococcal vaccination rates among children receiving a kidney transplant remain suboptimal. Current practice guidelines in the United States recommend giving the 23-valent pneumococcal polysaccharide vaccine (PPSV23) after priming with the 13-valent pneumococcal conjugate vaccine (PCV13). We conducted a quality improvement initiative to increase pneumococcal vaccine rates in our kidney transplant recipients by developing an age-based vaccine algorithm, obtaining vaccine records, and generating reminders for patients and clinicians. A monthly report from the electronic health record tracked outcomes. The process metric was missed vaccine opportunities and the overall objective was to improve coverage with both the PCV13 and PPSV23. Over the first six months, we increased the percentage of visits where the vaccine was given from a baseline of 4% to 33%. However, by the end of the 12 month period, the percentage of eligible visits where the vaccine was given decreased to 8.7%. Nevertheless, over the 12 month observation period, we were able to increase the percentage of transplant patients receiving the PCV13 and PPSV23 from 6% to 52%. Utilizing an age-based algorithm and the electronic medical record, vaccine champions can track both missed visit opportunities and the number of vaccinated patients to improve pneumococcal immunization coverage for these high-risk patients.

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Section: Discussionmentioning

confidence: 99%

A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant

Malone

Clark

Palmer

et al. 2016

Pediatric Transplantation

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“…In the inpatient and outpatient setting, clinical decision support tools and electronic reminders have been shown to increase the numbers of patients undergoing pneumococcal and influenza vaccination. Among adults admitted for community‐acquired pneumonia, the implementation of a screening algorithm in the EMR improved pneumococcal vaccination from 44% to 90% (15). A controlled trial of adults in a primary care practice (16) assessed the effectiveness of EMR reminders, with or without panel management, on the rate of pneumococcal vaccination.…”

Section: Discussionmentioning

confidence: 99%

Increasing pneumococcal vaccination for immunosuppressed patients: A cluster quality improvement trial

Desai¹,

Lü²,

Szent-Gyorgyi³

et al. 2012

Arthritis & Rheumatism

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Objective. Pneumococcal vaccination is important for patients taking immunosuppressive medications, but prior studies suggest that most patients do not undergo vaccination. The aim of this study was to evaluate the effects of a point-of-care paper reminder form as a quality improvement (QI) strategy to increase the numbers of immunosuppressed patients being kept up-to-date with pneumococcal vaccination in a rheumatology practice.Methods. Selected rheumatologists at 5 ambulatory practice sites received a point-of-care paper reminder form to be applied to patients who were not up-to-date with pneumococcal vaccination. Interrupted time-series analyses were used to measure the effect of the intervention on the pneumococcal vaccination rates among patients, comparing the rates in the intervention group with those in a control group of rheumatologists who did not receive the intervention. Adjusted Cox proportional hazards models were examined to identify independent predictors of being up-to-date with pneumococcal vaccination.Results. We evaluated a total of 3,717 patients (66.0% with rheumatoid arthritis) who were taking immunosuppressive medications (74.1% women, mean age 53.7 years). Rheumatologists who received the intervention had a significant increase in the rate of patients who were up-to-date with pneumococcal vaccination, from 67.6% to 80.0% (P ‫؍‬ 0.006), in the time period following the intervention, compared to a rate that remained stable, from 52.3% to 52.0% (P ‫؍‬ 0.90), among patients in the nonintervention control group during this same time period. In regression models, positive predictors of being up-to-date with pneumococcal vaccination at the patient level included the following: having received the intervention (hazard ratio Conclusion. A QI strategy involving a simple point-of-care paper reminder form significantly increased the rate of being up-to-date with pneumococcal vaccination among patients receiving immunosuppressive medications in our rheumatology practices over a 6-month period.[

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A review of acute care interventions to improve inpatient pneumococcal vaccination

Kim

Hughes

Sadowski

2014

Preventive Medicine

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Using an Electronic Medical Record Tool to Improve Pneumococcal Screening and Vaccination Rates for Older Patients Admitted with Community-Acquired Pneumonia

Cited by 3 publications

References 6 publications

A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant

A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant

Increasing pneumococcal vaccination for immunosuppressed patients: A cluster quality improvement trial

A review of acute care interventions to improve inpatient pneumococcal vaccination

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