Increasing Influenza Vaccination Rates in a Busy Urban Clinic

Rebecca C. Pierson, Anita M. Malone, David M. Haas

Department of Obstetrics and Gynecology and Department of Medicine, Division of Clinical Pharmacology, Indiana University, Indianapolis, Indiana


Influenza infection is the cause of thousands of hospitalizations and deaths each year; infection during pregnancy results in increased morbidity and mortality. Underserved women are particularly susceptible to not receiving recommended vaccinations. This project explored the effect of a simple paper based prompt on the influenza vaccination rate in a resident continuity clinic for the underserved. Using this reminder to providers to discuss the influenza vaccination with their patients, we were able to increase vaccination rates in our clinic from 2.2% to 14.2%. This implementation of a simple, low cost, low tech prompt to providers increased the rate of influenza vaccination in our clinic and we present this approach as an easy to implement method of improving vaccination rates. We also suggest this method as an alternative to an alert in the electronic medical record in situations where the electronic medical record may not be accessed during every patient encounter. Journal of Nature and Science, 1(3):e57, 2015.

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