title: Improving adult immunization rates in primary care clinics.
abstract: The goal of this effort was to improve adult immunization rates within a large urban health care system. To measure improvement efforts, we calculated each month the percentage of adults 65 years and older who leave clinic visits with up-to-date pneumococcal vaccination were calculated. This was accomplished through the development of three key aspects: standing orders, an immunization registry, and an algorithm to recommend vaccinations based on age and past vaccination history, but also on health history and risk factors for specific diseases.
authors.affiliation: Denver Community Health Services, Denver, CO, USA.
authors.forename: Karen L
authors.initials: KL
authors.lastname: Jones
authors.forename: Anne L
authors.initials: AL
authors.lastname: Hammer
authors.forename: Carolyn
authors.initials: C
authors.lastname: Swenson
authors.forename: Alicia
authors.initials: A
authors.lastname: Appel
authors.forename: Stephanie
authors.initials: S
authors.lastname: Phibbs
authors.forename: Felicia
authors.initials: F
authors.lastname: Hill
authors.forename: Oddie
authors.initials: O
authors.lastname: Kennedy