Characteristics of long-term care facilities associated with standing order programs to deliver influenza and pneumococcal vaccinations to residents in 13 states

Abigail Shefer; Linda McKibben; Barbara Bardenheier; Dale Bratzler; Henry Roberts

doi:10.1016/j.jamda.2004.12.020

Characteristics of long-term care facilities associated with standing order programs to deliver influenza and pneumococcal vaccinations to residents in 13 states

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2004.12.020 ◽

2005 ◽

Vol 6 (2) ◽

pp. 97-104 ◽

Cited By ~ 19

Author(s):

Abigail Shefer ◽

Linda McKibben ◽

Barbara Bardenheier ◽

Dale Bratzler ◽

Henry Roberts

Keyword(s):

Long Term Care ◽

Term Care ◽

Standing Order ◽

Care Facilities

Download Full-text

Increasing Pneumococcal Vaccination Rates Among Residents of Long-Term–Care Facilities: Provider-Based Improvement Strategies Implemented by Peer-Review Organizations in Four Western States

Infection Control and Hospital Epidemiology ◽

10.1086/501723 ◽

2000 ◽

Vol 21 (11) ◽

pp. 705-710 ◽

Cited By ~ 22

Author(s):

Kurt B. Stevenson ◽

John W. McMahon ◽

Jan Harris ◽

J. Richard Hillman ◽

Steven D. Helgerson

Keyword(s):

Long Term Care ◽

Pneumococcal Vaccination ◽

Vaccination Rate ◽

Term Care ◽

Improvement Project ◽

Vaccination Rates ◽

Standing Order ◽

Care Facilities ◽

Collaborative Efforts

AbstractObjective:To evaluate collaborative efforts and intervention strategies by peer-review organizations (PROs) and long-term-care facilities (LTCFs) for improving pneumococcal vaccination rates among residents of LTCFs.Design:Prospective, before-after quality improvement project.Setting:133 LTCFs in Alaska, Idaho, Montana, and Wyoming.Patients:All residents of participating LTCFs.Methods:Baseline pneumococcal vaccination rates were determined by medical-record review, self-reporting by patient or family members, and review of Medicare claims information. Remeasurement of vaccination rates was accomplished from documentation of vaccination of eligible residents by each LTCF.Results:133 LTCFs with 7,623 residents from Alaska, Idaho, Montana, and Wyoming participated in this quality-improvement project. This accounted for 41% (133/321) of the potential nursing homes and resident population in the participating states. Baseline overall vaccination rates were 40% (3,050/7,589). The overall vaccination rate improved to 75% (5,720/7,623, P<.001). The number of facilities meeting the Healthy People 2000 vaccination goal of 80% improved from 18% (24/133) to 62% (83/133, P<.001). Initial use of chart stickers and implementation of standing orders led to similar increases in vaccination rates, but the standing-order strategy required commitment of fewer PRO resources at a statewide level. Remeasurement of vaccination rates in a subset of participating Idaho LTCFs 1 year after initial vaccination efforts demonstrated a sustained vaccination rate of 70% in facilities enforcing a standing-order policy.Conclusions:Simple and straightforward vaccination strategies implemented in LTCFs over a short period of time can have a significant impact on vaccination rates. Collaborative efforts between state PROs and LTCFs enhance implementation of these strategies and can result in the achievement of national vaccination objectives. Standing orders appear to be one intervention effective in sustaining successful vaccination efforts. Regardless of the specific interventions employed, PROs played a significant role in facilitating vaccination program development and intervention implementation.

Download Full-text