What Works

Real Life Examples of Ways to Increase Adult Vaccination Rates

Effective, evidence-based strategies for increasing adult vaccination rates have been outlined in The Community Guide. But what does it take to translate those strategies into tangible concrete results?

The Provider Workgroup of the National Adult and Influenza Immunization Summit has identified real life examples of adult vaccination success. The most successful efforts have multiple synergistic elements, fueled by one or more outstanding immunization champions. Check out these successful efforts to increase adult vaccination rates and to find inspiring examples that might work in your clinic or community.

For further information or to submit your own example, contact Susan Farrall.

MAY 2016

Beyond Influenza: One Wisconsin Pharmacy Tests New Protocols to Increase Immunization Rates among Adult Patients 
Pharmacy efforts to identify eligible patients, raise their awareness about needed vaccines, increase vaccine administrations, and enhance use of the state registries
Seven Medical Groups Work Collaboratively to Raise Adult Immunization Rates
Medical group collaboration to facilitate exchange of best practices, coaching of managers, and close tracking of immunization rates
Providing Immunizations during the Annual Wellness Visit: An Opportunity Not to Be Missed
Using new ways to routinely assess immunization status as part of Medicare Annual Wellness Visit
Best Practice Alert for Improving Pertussis Vaccination of Pregnant Women in Dallas, Texas
Using EMR alert and streamlined procedures for ordering and administering vaccine
Vaccinating Against Influenza in Connecticut: A Community Response to the Challenge
Healthcare businesses and providers join together to improve access to influenza vaccination in communities and workplaces
Using Population Health Outcomes Data to Increase Adult Pneumococcal Vaccination Rates
Increasing vaccination using clinical performance dashboards, educational activities, and physician champions

MAY 2015

A Good Neighbor in the “Immunization Neighborhood”: GuidePoint
Ensuring Uninsured and Underinsured Adult Patients Can Get Vaccinated
Hepatitis B Prevention in New York City
Improving Outreach to Ethnic Groups with Higher Hepatitis Disease Rates
Immunization Champion Plus Evidence-Based Strategies Equals Results in a Pittsburgh Primary Care Practice
Improving Immunization Rates Using the 4 Pillars™ Immunization Toolkit
Indian Health Service
Using Electronic Health Records and Routine Reporting to Improve Immunization Rates
Minnesota Immunization Networking Initiative
Building Trust as a Powerful Resource
Quality Improvement Organizations
Working to Increase Use of Immunization Registries and Improve Adult Immunization Rates

MAY 2014

AAFP Foundation Immunization Awards
Recognizing Family Medicine Residency Programs that Improve Adult Immunization Rates
The Billables Project
Improving Capability of State and Local Health Departments to Bill for Immunization Services
DaVita HealthCare Partners
Protecting Patients and Healthcare Providers through Vaccinations
HealthMap Vaccine Finder
Improving Accessibility to All Adult Immunizations
Indian Health Services
Quality Measures Drive Increases in Adult Immunization Rates
The Johns Hopkins University Resident Training Project
Improving Adult Immunization through Resident Physician Engagement
Massachusetts Department of Public Health and Community Health Centers
A Win-Win Partnership to Improve Adult Immunization
Pharmacy-based Immunizations
Growing and Improving Adult Immunization Services
Sounds of Pertussis
A National Education Initiative from Sanofi Pasteur and March of Dimes
Spotlight on Immunization Disparities
What has been done, what needs to be done, status check on immunization disparities, and relevant projects
The University of Pittsburgh 4 Pillars Immunization Toolkit
A Quality Improvement Project for Adult Immunization
Setting A “Standard” for the Standards Even Before They Were Finalized

APRIL 2013

Bringing Immunity to the Community
American Nurses Association
Coalition Harnesses Collective Resources to Increase Influenza Vaccination Rates in High Risk Adults
Massachusetts Adult Immunization Coalition
Educating Child Care Providers Gets Results
Washington State Department of Health, Office of Immunization & Child Profile / Immunization Action Coalition of Washington
Outreach to Pharmacists Results in Increased Use of Registries
Washington State Department of Health, Office of Immunization & Child Profile/ Washington State Pharmacy Association
Tdap Initiative to Improve Post-Partum Immunization
University of North Carolina Center for Maternal and Infant Health
Team Approach Brings Measurable Rate Increases
American College of Physicians (ACP)
Wake County (NC) Targets Tdap for the County’s First Responders and Public Safety Personnel
Wake County Human Services and Wake County Health Department
Walgreens: Strong Commitment to Adult Immunization, Big Results


Children’s Hospital in Dallas: Pharmacist Leadership to Increase Influenza Immunizations (APhA Champion)
Provided by: American Pharmacists Association (APhA)
Highlights of Demonstrated and Promising Practices that Improve Older Adult Vaccination Rates
Gerontological Society of America (GSA)
IHS Uses Electronic Health Records to Track and Improve Immunization Rates
Indian Health Service (IHS)
Multi-Stakeholder Collaboration to Improve the Vaccination of Older Adults
Gerontological Society of America (GSA)
Recognizing the Power of the Immunization Champion
American Pharmacists Association (APhA)
Rite Aid: A Twenty-Fold Increase in Vaccinations Over Four Years (APhA Champion)
Provided by: American Pharmacists Association (APhA)
Tri-Care Management: Pharmacists Expanding Flu Vaccination Coverage Among Uniformed Service Personnel, Retired Service Members, and their Families (APhA Champion)
Provided by: American Pharmacists Association (APhA)


AAPA Does Its Part to Increase Adult Vaccinations
American Academy of Physician Assistants (AAPA)
Adding Barcode Scanning Technology to Immunization Registry Leads to Time and Cost Savings in Immunization Clinics
Wyoming Immunization Section
Evaluation of Adult Immunization Guide Shows It Positively Influences Providers
American College of Physicians (APA)
Evidence on What Works
Task Force on Community Preventive Services
Nurse Michelle Flaig at Nix Health Care in San Antonio: Working to Raise Staff Immunization Rates from 35% to 99%
Nix Health Care System, San Antonio TX
The “Full Package” of Member Support Pays Off
American Pharmacists Association (APhA)


Increasing Immunization Rates through OB/GYN Practices
American College of Obstetricians and Gynecologists (ACOG)
Teaching Immunization in Medical Education (TIME): A Curriculum for Medical Schools and Residency Small Group Training
University of Pittsburgh and the Association for Prevention Teaching and Research (APTR)