SOP Toolkit in Diverse Practices Implemented & Tested With RE-AIM

Summary

The purpose of this study is to test whether or not the 4 Pillars Toolkit increases adult Influenza, pneumococcal polysaccharide vaccine (PPSV), tetanus, adult diphtheria and acellular pertussis vaccine (Tdap/Td) vaccination rates. The vaccines are all FDA licensed vaccines and to be used according to national guidelines. The investigators will conduct a randomized cluster trial of this toolkit in diverse primary care practice with electronic medical records (EMRs).

Conditions

• Adult Influenza Vaccinations
• Adult PPSV Vaccinations
• Adult Tdap/Td Vaccinations

Interventions

BEHAVIORAL

Pillar 1: Convenient Vaccination Services

Extend Vaccination Season: Begin vaccinating for influenza as soon as vaccine arrives; use every visit as opportunity to vaccinate; extend the season for influenza by vaccinating in January and beyond. Use Express Vaccination services such as influenza vaccination clinics, Open access vaccine scheduling (for all vaccines), or dedicated vaccination station. When giving influenza vaccination, screen for need for PPSV/Tdap.

BEHAVIORAL

Pillar 2: Patient notification

Patient Education: notifying patients of doctor recommendations for vaccination; providing information on express vaccination services via email, autodialer, "on-hold" messages, clinic websites, and/or social media

BEHAVIORAL

Pillar 3: Enhanced Office Systems

Routine assessment for office systems flow to ensure staff consistently promoting vaccination: utilization of EMR prompts, review of Immunization tabs within EMR, and/or checking vaccination status as part of vital signs when rooming. Empower staff to vaccinate by use of a standing orders program (SOP). Order a sufficient supply of vaccination to cover increased rates

BEHAVIORAL

Pillar 4: Motivation

Utilization of an Office Immunization Champion who will track overall progress towards their goal - setting a goal of increased rates of 20 to 25% for influenza vaccine; monitoring and sharing progress with staff regularly; and changing office systems flow as needed to increased vaccination rates.

Sponsors & Collaborators

• Centers for Disease Control and Prevention

  collaborator FED

• Baylor College of Medicine

  collaborator OTHER

• University of Pittsburgh

  lead OTHER

Principal Investigators

• Mary Patricia Nowalk, PhD, RD · University of Pittsburgh, School of Medicine, Department of Family Medicine

• Anthony E Brown, MD MPH · Baylor College of Medicine

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2013-04-30

Primary Completion

2015-05-31

Completion

2015-12-31

Countries

• United States

Study Locations