Increasing Immunization Rates

Once an office-based vaccine program is in place, there are many strategies to help increase the number of vaccines given by your practice. Research indicates that the most important predictor of vaccine uptake is provider recommendation and offer. Make vaccinations a routine part of the conversation you have with your patients. For tips on communicating with vaccine hesitant patients, see ACOG’s communicating with patients section. Additionally, ACOG has developed an extensive resource for providers and patients, “Immunizations and Routine Obstetric-Gynecologic Care: A Guide for Providers and Patients.” 

Pediatric offices may choose to serve as an alternate venue for providing influenza immunization for parents and other care providers of children. Medical liability issues and medical record documentation requirements need to be considered before a pediatrician begins immunizing adults in the office. learn more at: www.aap.org/immunizations

Current Immunization Rates

Influenza Activity — United States, 2015–16 Season and Composition of the 2016–17 Influenza Vaccine. Davlin SL, Blanton L, Kniss K, et al. Influenza Activity — United States, 2015–16 Season and Composition of the 2016–17 Influenza Vaccine. MMWR Morb Mortal Wkly Rep 2016;65:567–575. DOI: http://dx.doi.org/10.15585/mmwr.mm6522a3

Surveillance of Vaccination Coverage Among Adult Populations — United States, 2014
Walter Williams, MD; Peng-Jun Lu, MD, PhD; Alissa O'Halloran, MSPH; David Kim, MD; Lisa A Grohskopf, MD; Tamara Pilishvili, MPH; Tami Skoff, MS; Noele P Nelson, MD, PhD; Rafael Harpaz, MD; Lauri Markowitz, MD; Alfonso Rodrigues-Lainz, PhD, DVM; Carolyn Bridges, MD. Surveillance of Vaccination Coverage Among Adult Populations — United States, 2014. MMWR Morb Mortal Wkly Rep. Feb 5, 2016; 65(1): 1-36

Results: Compared with data from the 2013 NHIS, increases in vaccination coverage occurred for Tdap vaccine among adults aged ≥19 years (a 2.9 percentage point increase to 20.1%) and herpes zoster vaccine among adults aged ≥60 years (a 3.6 percentage point increase to 27.9%). The study shows little change in adult immunization rates since 2010, with rates remaining below national targets.‎

National, State, and Selected Local Area Vaccination Coverage Among Children Aged 19–35 Months United States, 2014
Holly A. Hill, MD, PhD, Laurie D. Elam-Evans, PhD, David Yankey, MS, MPH, et al. CDC. National, State, and Selected Local Area Vaccination Coverage Among Children Aged 19–35 Months — United States, 2014. MMWR Morb Mortal Wkly Rep 2015;64:889-96.

Vaccination Coverage Among Children in Kindergarten — United States, 2014–15 School Year
Ranee Seither, MPH, Kayla Calhoun, MS, Cynthia L. Knighton, et al. CDC. Vaccination Coverage Among Children in Kindergarten — United States, 2014–15 School Year. MMWR Morb Mortal Wkly Rep 2015;64:897-904

CDC. Vaccination Coverage Among Adults, Excluding Influenza Vaccination- United States, 2013. MMWR Morb Mortal Wkly Rep. Feb 6, 2015. 64(4): 95-102.

CDC. Surveillance of Influenza Vaccination Coverage- United States, 2007-08 Through 2011-12 Influenza Seasons. MMWR Morb Mortal Wkly Rep. Oct 25, 2013. 62 (ss04); 1-29

CDC. Influenza Vaccination Coverage Among Pregnant Women- United States, 2013-14 Influenza Season. MMWR Morb Mortal Wkly Rep Sept 19, 2014. 63(37); 816-821.

CDC Influenza Vaccination trends

Resources for Increasing Adult Immunization Rates

The National Foundation for Infectious Diseases (NFID) published the Call to Action: Addressing New and Ongoing Adolescent Vaccination Challenges in April 2016. Vaccines are one of the most effective public health interventions available to protect individuals of all ages. Persistent gaps in vaccination coverage leaves adolescents at risk for HPV-related cancers, meningitis, and annual outbreaks of influenza among other infectious diseases. Read more about the risks and ways to improve vaccination rates in the Call to Action.

The U.S. Department of Health and Human Services released the first National Adult Immunization Plan  in conjunction with Centers for Disease Control and Prevention (CDC) MMWR article, Surveillance of Vaccination Coverage Among Adult Populations — United States, 2014. The new plan, developed by the HHS National Vaccine Program Office with input from a wide range of experts from a variety of organizations, lays out the following four goals to increase adult immunization rates in the U.S.:

  1. Strengthen the public health and health care systems involved in adult immunization;
  2. Improve access to adult vaccines;
  3. Increase awareness of adult vaccine recommendations and use of recommended vaccines; and
  4. Foster innovations in adult vaccines, including new vaccines and new ways to provide them.

The Centers for Disease Control and Prevention (CDC) has a dedicated section with strategies for increasing adult immunization rates. visit the following resoruces:

Epidemiology and Prevention of Vaccine-Preventable Diseases, The Pink Book, 13th Edition (2015)

Chapter 3: Immunization Strategies for Healthcare Practices and Providers


State Vaccination Requirements

State and local vaccination requirements for daycare and school entry are important tools for maintaining high vaccination coverage rates, and in turn, lower rates of vaccine-preventable diseases (VPDs).

 

Vaccine Facts and Policy

The Vaccine Facts and Policy (VFAP) project is making available, for the first time in one location, an expansive compilation of detailed immunization data from every major jurisdiction in the United States.

The project website, www.VaccineFactsAndPolicy.org, includes information within five major topic areas related to immunization law and policy including: demographics and rates, fiscal environment, law and policy, strategies and initiatives, and the structure of immunization programs. Users may customize their experience by searching the data by jurisdiction or topic.

By making this interactive and well-referenced database freely available, the project seeks to enhance the ability of immunization stakeholders, healthcare providers, the vaccine industry, policymakers, legislators, advocates, and consumers to access consistent information and work together in pursuit of higher immunization coverage against vaccine-preventable diseases.

The project is a partnership of the Milken Institute School of Public Health at the George Washington University (GW), the Association of Immunization Managers (AIM), and the Immunization Action Coalition (IAC). This unique partnership builds upon the strengths of each organization, enhancing the value and functionality of the project. Vaccine Facts and Policy FAQs

 

Updated 2/4/16

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