ACOG Increasing Immunization Rates through Obstetrician-Gynecologist Partnerships

Project Description

The Increasing Immunization Rates through Obstetrician-Gynecologist Partnerships project is a four-year, CDC-funded cooperative agreement aimed at reducing barriers and improving adult immunizations in pregnant and non-pregnant populations. As an immunization champion in this demonstration project, you are helping ACOG create and improve resources that will benefit other ob-gyns as they improve their immunization programs and create a culture of immunization.

This project will be implemented in two phases. In the demonstration phase (first three years of the project), ACOG will work with you as the immunization champion in your practice to implement key strategies to improve your immunization program, including: making a strong recommendation for needed immunizations, improving assessment and documentation of patient immunizations, and improving linkages to outside providers (e.g., pharmacies, health clinics) to make referrals for immunizations the practice does not stock. ACOG will provide targeted resources, training and coaching, along with incentives for accomplishing project milestones. ACOG will sponsor a Learning Lab and other networking opportunities for you to share successes, challenges, and ideas with each other.

In the dissemination phase (fourth year of the project) ACOG will disseminate tools and resources for achieving immunization “best practices” to all ACOG members and other health care providers and other stakeholders. These resources will be compiled based feedback from you in the demonstration phase and further tested and refined through focus groups, questionnaires, District meetings presentations, and expert input, etc.

Expectations of our Immunization Champions

As participants in this project, champions are expected to:

  • Complete the annual practice survey.
  • Complete the chart review at baseline (Year 1) and end of project (Year 3).
  • Ensure that the practice register with the state immunization registry and use the registry to report vaccines administered in the office.
  • Attend the annual Learning Lab in Washington, DC.
  • Participate in quarterly update calls with ACOG program staff.
  • Share information about the project with practice staff and partners.
  • Participate in two peer to peer trainings per year. Trainings can be logged here.
  • Make at least two posts to the Discussion Board

Calendar of Events

Immunization Resources for Champions and Practice Staff

Below are some resources you may find helpful as you discuss with your practice partners and staff ways to improve your immunization program. If you are a looking for a resource that you don’t see here, please let us know and we will be happy to help you find it.

Patient Immunization Screening Form

The Patient Immunization Screening Form is a communication tool to help start the conversation between patients and providers about recommended vaccines. Patients can complete this form prior to their visit or while waiting to be seen, then the provider can review it during the patient visit. ACOG hopes that this new immunization tool will make it easier to assess and discuss immunizations with patients at your practices.

Click here to download the form. Please review this form with your team and encourage all of your providers to use it during patient visits.

Immunization Fundamentals

Adult Immunization Schedule 2017

CDC Pink Book – Epidemiology and Prevention of Vaccine-Preventable Diseases

The updated and redesigned Vaccine Storage and Handling Toolkit for health care providers and other interested health care professionals is now available on CDC’s website. This helpful resource provides best practices related to vaccine storage and handling based on recommendations from the Advisory Committee on Immunization Practices (ACIP), product information from vaccine manufacturers, and scientific studies.  

For Resources in Additional Languages: The Immunization Action Coalition has the Immunization schedules and VIS forms in a variety of languages.

Immunization Action Coalition, IAC Publications – Subscribe to email newsletters and stay current on immunization topics.

How to Implement Standing Orders in Your Practice webinar - Immunization Action Coalition.

Standing Orders Webinar - Presenter: LJ Tan, Immunization Action Coalition. This presentation covers what standing orders are, benefits of standing orders, and how to implement them in your practice. 

Laws and Regulations on Medical Assistants' Role Under Standing Orders by the Medical Board of California. 

Standardized Nursing Procedures: A Potential Tool to Help Improve Immunization Rates by the Immunization Branch at the California Department of Public Health

Need CME or Continuing Education?

Visit the ACOG Continuing Medical Education page for opportunities for Continuing Medical Education credits. 

CDC Pink Book Webinar Series – Weekly webinars available for credit

CDC Immunization & Pregnancy flyers

Maternal Vaccination - What vaccines are recommended before, during, and after pregnancy. A resource for providers.

Making a strong vaccine referral to pregnant women: Strategies for healthcare professionals

Patient Education Resources - Please feel free to add this link to your website as a resource for your patients.

CDC Resources for Educating Pregnant Women

CDC-INFO on Demand - Order or download books, fact sheets, pamphlets, and educational materials.

CDC Posters and other resources on vaccines for all adults

EZ IZ Resources

Flu Resources

Free Patient Education and Communication Resources

Tdap Resources

You can start protecting your baby from whooping cough before birth: Information for pregnant women

Provide the best prenatal care to prevent pertussis: Strategies for healthcare professionals

Pneumococcus Resources

Pneumococcal Vaccine Timing - For Adults - Resource from the California Department of Public Health

Pneumococcal Vaccine Timing - For Adults - Resource from the Connecticut Immunization Coalition 

Zoster Resources

Information Series for Adults: What You Need to Know about Shingles and the Shingles Vaccine

Coding Resources

Correct coding helps ensure that a practice receives payment for vaccines given to patients. ACOG has published an updated coding guide solely focused on immunizations: Immunization Coding for Obstetrician-Gynecologists 2016 published June 2016.
ACOG Fellows and their staff will be able to submit specific OB/GYN coding questions to ACOG Coding Assistance by registering for our New Ticket Database at

ACOG's Webinars for Providers

Give it Your Best Shot – General Immunization Webinar

Immunization Business Practices & Clinical Strategies for Ob-Gyn Offices

Integrating Immunizations into Ob-gyn Practice: Practical Tips and Resources




California State Health Department Resources

California Immunization Registry (CAIR)

IZ Data Exchange Tech Support

eziz Mailing List

Massachusetts State Health Department Resources

Massachusetts Immunization Information System (MIIS)

MIIS Support

Massachusetts Department of Public Health Twitter

Massachusetts Department of Public Health Blog

Are you interested in becoming a member of the Massachusetts Adult Immunization Coalition (MAIC)? The MAIC is a collaborative partnership dedicated to increasing adult immunization through education, networking, and sharing innovative and best practices. There are currently over 200 members from a variety of public and private organizations. MAIC meets 3-4 times a year to discuss and strategize around issues such as targeted approaches to increase adult immunization rates in the Commonwealth of Massachusetts; the supply of publicly and privately purchased vaccine; immunization activities; surveillance of vaccine-preventable diseases; analysis of the flu season; and planning for a potential influenza pandemic. Sign up online and you will receive email updates about meetings, topics of interest, and other related news.

Suggested Readings and Materials

Using Standing Orders for Administering Vaccines: What you Should Know. From Immunization Action Coalition

CDC Strategies for Increasing Adult Immunization Rates

The National Adult Immunization Plan, National Vaccine Program Office

How to Give a Strong Recommendation to Adult Patients Who Require Vaccination

Hepatitis B Vaccination for Adults with Diabetes 

Kissin DM, Power ML, Kahn EB, Williams JL, Jamieson DJ, MacFarlane K, SchulkinJ, Zhang Y, Callaghan WM. Attitudes and practices of obstetrician-gynecologists regarding influenza vaccination in pregnancyObstet Gynecol. 2011 Nov;118(5):1074-80.

Eckert, Anderson, Gonik, and Schulkin.  Reporting Vaccine Complications: What Do Ob-gyns Know about the Vaccine Adverse Event Reporting System? Infectious Diseases in Ob-gyn. 2013.



Updated 7/11/17

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