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Vaccination Programs: Provider Reminders

CDC

An Evidence-Based Practice

Description

Provider reminders let healthcare providers know when clients are due for specific vaccinations. Reminders are delivered in various ways that may include notes posted in client charts, alerts in electronic medical records, or letters sent by mail or e-mail. They may be handled separately or included in standard checklists or flowcharts.

Impact

The Community Preventive Services Task Force (CPSTF) recommends provider reminders—when used alone or when combined with additional interventions—to increase vaccination rates among people of all ages from different populations or settings.

Results / Accomplishments

The CPSTF finding is based on evidence from a Community Guide systematic review completed in 2008 (23 studies, search period 1997-2007) combined with more recent evidence (5 studies, search period 2007-February 2012).

The systematic review included 28 studies.

Overall vaccination rates increased by a median of 10 percentage points (22 studies).
-Provider reminders used alone increased vaccination rates by a median of 12 percentage points (7 studies).
-Provider reminders used with additional interventions increased vaccination rates by a median of 9 percentage points (15 studies).

Of the six studies that did not provide a common measure of change for vaccination rates, five reported favorable results.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS V25-5
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
For more details
https://www.thecommunityguide.org/findings/vaccina...

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More

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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