Title

Increasing Pneumococcal Immunization Rate in the Primary Care Setting: A Team Centered Approach

Document Type

Presentation

Publication Date

11-19-2014

Comments

Capstone Advisor: James F. Pelegano, MD, MS, Thomas Jefferson University

Abstract

The purpose of this study was to improve the pneumococcal vaccination rates in a Primary Care office setting for patients over age 65 and those aged 18 to 64 who are at high risk for pneumococcal pneumonia. The study practice had the following baseline rates of pneumococcal immunization: 72.1% for those over age 65 and 38.3% for those aged 18-64 at high risk. The study period was 3 months, with the PDSA tool being utilized twice, the first cycle lasting two months and the second lasting one month. The first PDSA was compromised of the following interventions: Pre-Visit Health Review (PVHR), the Pre-Visit Plan (PVP), and the Standing Order Protocol (SOP). The second PDSA added a Patient Outreach intervention. One month after implementation of the first PDSA, the immunization rates increased to 75.4% and 41.6% for those over age 65 and those age 18-64 at high risk, respectively. After 2 months, the rates increased to 77.9% and 43.8% respectively. At this point, the second PDSA was implemented and the rates increased to 80.8% and 45.4% respectively. These figures represent Relative Increases from baseline of 12.1% and 18.5% respectively. The PVHR, PVP, SOP, and patient outreach interventions all proved to be effective and complementary in the pursuit of maximizing pneumococcal immunization rates with minimal cost or disruption of workflow.

Presentation: 18 minutes