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Adult Immunization: Strategies That Work
Course Material from the Interactive Satellite Videoconference
Broadcast on April 24, 1997

The following is the course material used with the videoconference. This material covers adult immunization strategies that have been successfully implemented in five health-care settings. The strategies used in each setting are discussed during the videoconference and issues such as implementation, resources, barriers, and results are addressed.

To order a single copy of the video, Adult Immunizations: Strategies that Work, send your request to Information/Distribution Center, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Mail Stop E-34, Atlanta Georgia 30333. Order code 00-6622.

The health-care settings discussed include:

Private Practice
Pulsifer Medical Associates in Rochester, New York, is a group practice serving 20,000 patients. The practice implemented such strategies as placing a health maintenance sheet in the front of every patient chart and identifying high risk patients, checking their immunization status, and giving needed vaccinations via standing orders.

Managed Care
Harvard Pilgrim Health Care in Massachusetts is a managed care organization that serves 300,000 patients in the Boston metropolitan area. Strategies implemented include a system-wide policy of searching records for high risk diagnosis and patient age; the generated list is then sent to the primary care physicians. The MCO also uses mailed reminders and holds special group immunization sessions.

St. Mary's Duluth Clinic Health System in Duluth, Minnesota, is a 300 bed acute care medical center. The staff encourages and offers influenza vaccination to any patient and offers vaccination on or prior to day of discharge. The use of standing orders facilitates this capacity to offer influenza vaccination to those who need or want the vaccine.

Long-Term Care
Dayton's Bluff Community Care Center in Saint Paul, Minnesota, is a 183-bed facility with 99% of the residents aged 65 or older. This organization encourages staff to be vaccinated against influenza to protect residents and provides free vaccine. Visitors are also encouraged to get influenza vaccination from their providers. The staff provide pneumoccoal vaccination as part of admission orders and give Td to residents with nosocomial and pre-existing stage 3 and 4 pressure ulcers.

Public Health
The Peer Review Organization (PRO) of New Jersey developed a state-wide influenza prevention program to increase Medicare reimbursement to health departments to cover the cost of influenza vaccine. The PRO established a coalition for their Fight the Flu campaign, conducted a series of workshops on Medicare billing, and developed media materials to advertise the campaign.

Other educational resources that can be ordered to support adult immunization programs.

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This page last modified on August 2, 2001


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