title: Implementation of a pharmacy-based adult vaccine benefit: recommendations for a commercial health plan benefit.
abstract: BACKGROUND
  Although vaccination rates in children exceed 90% in the United States, adults are vaccinated at far lower rates. In order to address this issue, additional community immunizers are needed, and pharmacists are in an ideal position to fill this void.
  
  
  OBJECTIVE
  To explore issues and barriers related to implementation of a pharmacy-based adult vaccine benefit and develop recommendations supporting a pathway for benefit expansion.
  
  
  METHODS
  A literature review on the current environment surrounding pharmacy-based adult vaccinations and structured interviews were conducted to inform an expert panel meeting using a modified Delphi process (pre/post survey). The goal was to develop recommendations on how to improve access to adult vaccines.
  
  
  RESULTS
  Findings suggest employers play a key role in requesting changes in benefit design to include pharmacy-based vaccinations. However, the lack of consistent communication between pharmacists and primary care providers remains a significant barrier.
  
  
  CONCLUSIONS
  Pharmacy-based access to vaccinations improves patient access and benefits individuals and employers. In order to take advantage of this opportunity, pharmacists must be viewed within the broader context of preventative care, including pharmacy-based vaccinations.
authors.affiliation: Cerner Research, 600 Corporate Pointe, Ste. 320, Culver City, CA 90230, USA. Kelly.Ko@Cerner.com.
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Ko
authors.forename: Rolin L
authors.initials: RL
authors.lastname: Wade
authors.forename: Hsing-Ting
authors.initials: HT
authors.lastname: Yu
authors.forename: Ross M
authors.initials: RM
authors.lastname: Miller
authors.forename: Bruce
authors.initials: B
authors.lastname: Sherman
authors.forename: Jeff
authors.initials: J
authors.lastname: Goad
mesh_terms: D000328:Adult; D003157:Community Pharmacy Services; D006801:Humans; D007342:Insurance Benefits; D010595:Pharmacists; D024382:Professional Role; D014611:Vaccination / Q000379:methods; D014612:Vaccines / Q000008:administration & dosage*
chemical_list: D014612:Vaccines