![]() Immunization quality improvement projects can be particularly effective because vaccination is a dynamic, critical, and measurable area of health care. Health Care Practice Quality Improvement Programs The vaccination section of the Guide to Community Preventive Services describes strong or sufficient evidence to support several provider-based immunization strategies discussed throughout this chapter. The Community Preventive Services Task Force’s Guide to Community Preventive Services is a collection of evidence-based findings based on effectiveness data and economic evidence. The Guide to Community Preventive Services Administer vaccine or refer patients to a vaccine provider.Strongly recommend vaccines that patients need.Assess immunization status of all adult patients at every clinical encounter.The Standards for Adult Immunization Practice include the following four standards: Implementation of strategies to improve vaccination coverage.Proper storage and administration of vaccines and documentation of vaccinations.Effective communication about vaccine benefits and risks.The Standards for Child and Adolescent Immunization Practices outline standards within five categories: Providers implementing these standards will help ensure their patients are fully vaccinated, thereby helping to increase vaccination coverage and prevent outbreaks. The standards represent the most desirable immunization practices that providers should strive to achieve, regardless of whether they actually provide vaccinations. The National Vaccine Advisory Committee’s (NVAC) Standards for Child and Adolescent Immunization Practices and Standards for Adult Immunization Practice are recommended for use by all health care providers in the public and private sectors. Standards for Child, Adolescent, and Adult Immunization PracticesĪll health care providers in all settings are encouraged to ensure patients are up-to-date on vaccinations. It covers system-level interventions such as quality improvement programs, as well as practice-level actions directed toward patients and provider staff. This chapter explores strategies health care providers can implement within their own practices. However, creating a culture of immunization within a health care practice also plays a critical role in maintaining and increasing vaccination coverage, as well as ensuring vaccines are delivered safely, effectively, and on time. Some proven strategies (e.g., reducing costs, linking vaccination to Women, Infants, and Children services, home visits) work well to increase coverage among specific populations, such as persons with limited access to immunization services. Some, such as school entry laws, have been effective in increasing vaccination compliance, but the effectiveness of other strategies (e.g., advertising) is not well-documented. Many public health strategies have been used to increase vaccination coverage. Greater understanding of strategies to increase and sustain vaccination coverage is necessary to create lasting, effective immunization delivery systems. High vaccination coverage cannot be maintained with one-time or short-term efforts. Sustainable systems for vaccinating children, adolescents, and adults must be continued in the context of a changing health care environment. Diseases such as measles, mumps, and pertussis can be more severe than often assumed, and can result in social and economic costs in addition to the physical costs: sick children miss school, parents have to take time off from work, and outbreaks can severely disrupt health care systems. Diseases can be passed to unprotected persons or imported from other countries, as shown by the measles outbreaks that occurred in 2019 in New York and other states. ![]() However, the viruses and bacteria that cause vaccine-preventable diseases and death still exist. In 2018, four cases of rubella, one case of diphtheria, and 23 cases of tetanus were reported to CDC. Vaccine-preventable disease rates in the United States are at low levels. By creating a culture of immunization in the practice, both providers and patients can vaccinate with confidence. Providers should implement systems and programs to provide effective vaccine delivery and to maintain and increase vaccination coverage in their practices. ![]() Printer friendly version pdf icon Īn important component of a vaccine provider’s practice is ensuring vaccines reach all patients who need them, when they need them. Creating a Culture of Immunization within a Practice. ![]()
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