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Vaccination Programs: Health Care System-Based Interventions Implemented in Combination

CDC

An Evidence-Based Practice

Description

Health care system-based interventions implemented in combination involve the use of two or more coordinated interventions to increase vaccination rates within a targeted population. Interventions are used primarily in health care settings, although efforts may include additional activities within the community.

Specific interventions may include client reminder and recall systems; clinic-based client education; expanded access in health care settings; provider assessment and feedback; provider reminders; and standing orders. The selection and implementation of coordinated interventions may result from an overall quality improvement effort in a health care setting.

Impact

The Community Preventive Services Task Force (CPSTF) recommends using a combination of health care system-based interventions to increase vaccination rates in targeted populations.

Results / Accomplishments

Overall change in vaccination rates from the combination of at least two interventions: median increase of 9.0 percentage points (58 studies with 70 study arms)
-Increases in vaccination rates were larger when implemented in settings with low rates at baseline.

Change in vaccination rates from the combination of at least one intervention each from two or more strategies: median increase of 17.0 percentage points (37 studies with 44 study arms)

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
Michigan Health Improvement Alliance