ACOG Increasing Immunization Rates through Obstetrician-Gynecologist Partnerships Project

Through a four-year adult immunization cooperative agreement with the Centers for Disease Control and Prevention (CDC), entitled "Increasing Immunization Rates through Obstetrician-Gynecologist Partnerships," the American College of Obstetricians and Gynecologists (ACOG) identified a series of Strategies for Effectively Integrating Immunizations into Routine Obstetric-Gynecologic Care (Strategies).

The final report on the demonstration phase of the adult immunization project includes background information, project findings, and detailed explanations of these Strategies. A corresponding tip sheet summarizes the Strategies and provides key examples and suggestions for how ob-gyn practices may integrate them into their routine patient care.

Overview of the Adult Immunization Project

Immunizing pregnant and non-pregnant women against vaccine-preventable diseases is an essential component of women’s primary and preventive health care. Obstetrician–gynecologists (ob-gyns) can play a major role in reducing morbidity and mortality from vaccine-preventable diseases by including immunizations as a routine part of their practice.

In 2015, ACOG was awarded a four-year cooperative agreement funded through the Centers for Disease Control and Prevention (CDC) aimed at assisting obstetrician-gynecologists (ob-gyns) in increasing rates of five adult immunizations (Tdap, influenza, pneumococcal, hepatitis B, and herpes zoster) in pregnant and non-pregnant populations. The project, entitled “Increasing Adult Immunization Rates through Obstetrician-Gynecologist Partnerships”, was broken up into a three-year demonstration phase and a one-year dissemination phase. During the three-year demonstration phase, ACOG worked closely with a diverse population of 19 ob-gyn providers as they implemented targeted, evidence-based, and recommended practices for increasing adult immunization rates and improving immunization processes.

Strategies for Effectively Integrating Immunizations into Routine Obstetric-Gynecologic Care

The Strategies for Effectively Integrating Immunizations into Routine Obstetric-Gynecologic Care were identified based on the findings of the adult immunization project’s demonstration phase. These four Strategies were shown to improve immunization processes and ultimately increase immunization rates among ob-gyns that piloted them in practice:

Strategies for Effectively Integrating Immunizations into Routine Obstetric-Gynecologic Care
1. Administer routinely discussed and recommended vaccines, which at a minimum include influenza, Tdap, and HPV.
2. Create a culture of immunization by educating and involving all staff in immunization processes. Delegate the responsibilities of maintaining and championing an immunization program to a team of staff, as appropriate for your practice structure. 
3. Develop a standard process for assessing, recommending, administering, and documenting vaccination status of patients.
4. Utilize existing systems and resources to conduct periodic assessment of immunization rates among patients to determine if and where progress is needed.


These suggested strategies are intended to help ob-gyns optimize their immunization programs and integrate immunizations into their routine patient care. 

Click here to access the final report on the demonstration phase of ACOG’s 2015-2019 “Increasing Adult Immunization Rates through Obstetrician-Gynecologist Partnerships” project.

The Strategies for Effectively Integrating Immunizations into Routine Obstetric-Gynecologic Care tip sheet summarizes the major findings from this demonstration project.

Other tip sheets developed through ACOG's "Increasing Adult Immunization Rates through Obstetrician-Gynecologist Partnerships" project include Developing an Immunization Referral System and Seasonal Influenza Vaccination Programs: Tips for Optimizing Practice Management.

 

Additional Resources

For a wide range of ACOG and partner immunization resources for patients and providers, click here.

For ACOG immunization clinical guidance, click here.

For resources related to Committee Opinion 661 "Integrating Immunizations into Practice," click here.

For ACOG immunization toolkits, click here

For resources related to the practice management of an office-based immunization program, click here.

 

 

 

  

Updated 12/18/18

This website is supported by an independent educational grant from Merck and an educational grant from Sanofi Pasteur U.S. 
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