title: Innovative Strategies Designed to Improve Adult Pneumococcal Immunizations in Safety Net Patient-Centered Medical Homes.
abstract: Streptococcus pneumoniae is a principal cause of serious illness, including bacteremia, meningitis, and pneumonia, worldwide. Pneumococcal immunization is proven to reduce morbidity and mortality in high-risk adult and elderly populations. Current pneumococcal vaccination practices are suboptimal in part because of recommendation complexity, the high cost of provider-driven immunization interventions, and outreach methods that are not patient-centric. These barriers are amplified within the safety net. This paper identifies efforts by the Los Angeles County Department of Health Services to increase pneumococcal immunization rates for adult indigent patient populations. A 4-part approach will be used to increase vaccination rates: (1) protocol driven care, (2) staff education, (3) electronic identification of eligible patients, and (4) automated patient outreach and scheduling. The proposed analytics plan and potential for scalability are described. (Population Health Management 2016;19:240-247).
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.|2 David Geffen School of Medicine at UCLA , Los Angeles, California.
authors.forename: Nina J
authors.initials: NJ
authors.lastname: Park
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.|3 College of Behavioral and Social Sciences at California State University , Northridge, Northridge, California.
authors.forename: Laura Myerchin
authors.initials: LM
authors.lastname: Sklaroff
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.
authors.forename: Sandra
authors.initials: S
authors.lastname: Gross-Schulman
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.
authors.forename: Khathy
authors.initials: K
authors.lastname: Hoang
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.
authors.forename: Helen
authors.initials: H
authors.lastname: Tran
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.
authors.forename: David
authors.initials: D
authors.lastname: Campa
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Scheib
authors.affiliation: 1 Los Angeles County Department of Health Services , Los Angeles, California.|2 David Geffen School of Medicine at UCLA , Los Angeles, California.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Guterman
mesh_terms: D000328:Adult; D004059:Diffusion of Innovation; D005260:Female; D006801:Humans; D017589:Immunization Programs; D008297:Male; D061214:Patient Safety / Q000592:standards*; D018802:Patient-Centered Care; D011008:Pneumococcal Infections / Q000517:prevention & control*; D058996:Quality Improvement; D055815:Young Adult