Site |
Type | PR | FB | FB | FM | FM | PR | FB | FB | FM | FM |
Number of offices | 5 | 2 | 1 | 1 | 1 | 5 | 2 | 1 | 1 | 1 |
Immunization tracking | EVR | EMR | Manual | EMR | Manual | EVR | EMR | Manual | New | New |
Strategy | | | | | | | | | EMR* | EMR |
Interventions to increase demand for vaccines |
Posters in waiting and examination rooms | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Letter or flier mailed to parent | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | – |
Telephone calls to parent | ✓ | – | – | – | ✓ | ✓ | – | – | – | – |
Flier handed out at registration during influenza season | – | – | – | – | – | – | – | – | – | ✓ |
Interventions to enhance access to vaccination services |
Walk-in flu shots during office hours | ✓ | ✓ | ✓ | – | – | ✓ | ✓ | ✓ | – | – |
Special event flu shot clinics | † | – | ‡ | – | – | † | – | ‡ | – | – |
Physician or system-based interventions |
Clinician education | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Standing orders for nurses to vaccinate | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | – |
Physician educational reminder e-mails | ✓ | ✓ | ✓ | ✓ | ✓ | – | – | – | – | – |
Chart reminders: printed or hand-written or EMR pop-up screen or flag | ✓ | ✓ | – | – | – | – | ✓ | – | § | – |
Total number of interventions | 9 | 7 | 7 | 5 | 5 | 7 | 6 | 5 | 4 | 3 |
Change in vaccination rate over 2 years (%) | – | – | – | – | – | 8 | 11.3 | 15.6 | 28 | 13.3 |