A coordinated, communitywide program in Monroe County, New York, to increase influenza immunization rates in the elderly

1994 ◽  
Vol 154 (15) ◽  
pp. 1741-1745 ◽  
Author(s):  
N. M. Bennett
Keyword(s):  
New York ◽  
The Elderly ◽  
Monroe County ◽  
Influenza Immunization ◽  
Immunization Rates

scholarly journals Acute upper respiratory tract viral illness and influenza immunization in homes for the elderly

1990 ◽  
Vol 105 (3) ◽  
pp. 609-618 ◽  
Author(s):  
K. G. Nicholson ◽  
D. J. Baker ◽  
A. Farquhar ◽  
D. Hurd ◽  
J. Kent ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Respiratory Tract ◽  
The Elderly ◽  
Upper Respiratory Tract ◽  
Medical Conditions ◽  
Influenza Immunization ◽  
Immunization Rates ◽  
Homes For The Elderly ◽  
Upper Respiratory ◽  
Syncytial Virus

SUMMARYOccupants of 482 long-stay and 33 short-stay beds in 11 Leicester City Council homes for the elderly were studied during a 30-week period from September 1988 to March 1989 to determine the incidence, aetiology, morbidity, and mortality of acute upper respiratory tract viral infections and the use of influenza vaccine.Influenza immunization rates by home ranged from 15·4 to 90% (mean 45%). There were no differences in the distribution of medical conditions by home. The highest immunization rates were seen in people with chest disease (77%), heart disease (60%), diabetes (56%), and those with three medical conditions (75%). There was an average of 0·7 upper respiratory episodes per bed per annum with a mortality of 3·4% (6/179). Half of all episodes were seen by a general medical practitioner and 81 of 90 (90%) referrals were prescribed antibiotics costing approximately £7.50 per patient. Lower respiratory tract complications developed during 45 (25%) of 179 episodes including 3 of 12 coronavirus infections, 3 of 9 respiratory syncytial virus infections, 2 of 4 adenovirus infections, 1 of 11 rhinovirus infections, but none of 5 influenza infections. Respiratory infections were caused mostly by pathogens other than influenza virus during the influenza period documented nationally. This highlights the role of coronaviruses, respiratory syncytial virus, and unidentified agents in the elderly, and questions the assumptions made in American estimates on the impact of influenza and the value of influenza vaccines.

scholarly journals Trends in the Incidence of Clostridium difficile Infections and NAP1/027 Strain in the Elderly population of Monroe County, New York

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Ghinwa Dumyati ◽  
Jennifer Berry ◽  
Rebecca Tsay ◽  
Deborah Nelson ◽  
Anita Gellert
Keyword(s):  
New York ◽  
Clostridium Difficile ◽  
Elderly Population ◽  
The Elderly ◽  
Monroe County

Influenza Immunizations in the Elderly: A Continuous Quality Improvement Project

2000 ◽  
Vol 39 (03) ◽  
pp. 217-222 ◽  
Author(s):  
M. F. Evans ◽  
J. Bloom ◽  
A. Juma
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
The Elderly ◽  
Community Medicine ◽  
Patient Age ◽  
Influenza Immunization ◽  
Continuous Quality ◽  
Immunization Rates ◽  
Patient Gender ◽  
Patient Âgé

AbstractAs part of the continuous quality improvement program at The Toronto Hospital’s Department of Family & Community Medicine (TTH-DFCM), it was considered necessary to examine the structures, processes and outcomes of influenza immunization for the elderly. Objective: The study sought to (a) document the current influenza immunization process; (b) quantify influenza immunization rates for elderly patients during two consecutive immunization seasons (1996 and 1997), and compare these rates across physician teams, attending staff vs. residents, patient gender, and patient age groups; (c) compare influenza immunization rates with other centers; and (d) identify barriers and propose solutions to improve influenza immunization rates in the elderly. Design: Evaluation Formative Research. Setting: A computerized roster of 15,000 patients at The Toronto Hospital, Department of Family and Community Medicine, a University of Toronto academic teaching center. Participants: Active patients age 65 years and over. Dependent variable: Influenza immunization. Independent variables: Physician Teams, Physician status, Patient gender, and Patient age group. Results: Immunization rates of attendees increased from 75.4% to 78.7%; over 3% increase from 1996 to 1997. Major subgroups which benefited from increased immunization rates were patients in the Blue team, patients age 70-74 years, and female patients. Conclusion: This study presents a rigorous examination of the components of the influenza immunization program, and demonstrates improved immunization rates over a two-year period. Suggestions for future action have been identified. The study design can also serve as a model for future clinical quality improvement projects.

scholarly journals Improving Influenza Immunization Rates

2021 ◽  
Vol 147 (2) ◽  
pp. AB123
Author(s):  
Jun Mendoza ◽  
James Quinn
Keyword(s):  
Influenza Immunization ◽  
Immunization Rates

scholarly journals Shooting from the ‘Scrip: Scope of Practice Laws and Access to Immunizations in the Pharmacy Setting

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 444
Author(s):  
Charles Stoecker
Keyword(s):  
Positive Impact ◽  
National Level ◽  
State Level ◽  
The United States ◽  
Scope Of Practice ◽  
Patient Specific ◽  
Behavioral Risk ◽  
Influenza Immunization ◽  
Immunization Rates ◽  
The Impact

In the past two decades, most states in the United States have added authorization for pharmacists to administer some vaccinations. Expansions of this authority have also come with prescription requirements or other regulatory burdens. The objective of this study was to evaluate the impact of these expansions on influenza immunization rates in adults age 65 and over. A panel data, differences-in-differences regression framework to control for state-level unobserved confounders and shocks at the national level was used on a combination of a dataset of state-level statute and regulatory changes and influenza immunization data from the Behavioral Risk Factor Surveillance System. Giving pharmacists permission to vaccinate had a positive impact on adult influenza immunization rates of 1.4 percentage points for adults age 65 and over. This effect was diminished by the presence of laws requiring pharmacists to obtain patient-specific prescriptions. There was no evidence that allowing pharmacists to administer vaccinations led patients to have fewer annual check-ups with physicians or not have a usual source of health care. Expanding pharmacists’ scope of practice laws to include administering the influenza vaccine had a positive impact on influenza shot uptake. This may have implications for relaxing restrictions on other forms of care that could be provided by pharmacists.

scholarly journals Decreasing Emergency Room Utilization in High Risk Geriatric Patients

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 135-135
Author(s):  
Shamsi Fani ◽  
Lizette Munoz ◽  
Susana Lavayen ◽  
Blair McKenzie ◽  
Audrey Chun ◽  
...  
Keyword(s):  
New York ◽  
High Risk ◽  
Emergency Room ◽  
Geriatric Patients ◽  
Social Issues ◽  
The Elderly ◽  
Mount Sinai Hospital ◽  
Status Change ◽  
Community Paramedicine ◽  
Ed Visits

Abstract Background: The Acute Life Interventions Goals & Needs Program (ALIGN) at the Mount Sinai Hospital in New York City aims to work closely with high risk geriatric patients for short term intensive management of acute medical and social issues. Quantitative measures for determining success of the program is comparing emergency room visits and hospitalizations prior to and after enrollment with ALIGN. The Community Paramedicine service allows a paramedic, the ALIGN provider, and an emergency room physician to assess and triage patients in their home via video conference thereby avoiding ED visits for non-urgent services. Method: We reviewed the utilization of the Community Paramedicine service (from July 2017-February 2020) and its impact on ALIGN’s efforts to reduce unnecessary ED visits and hospitalizations. Results: 36 patients were evaluated with the Community Paramedicine service (from July 2017-February 2020). 19 or 52.8% avoided an ED visit and 17 or 47.2% were transported to the ED. 12 or 70.6% were admitted to the hospital of those that were transported to the ED initially. Top reasons for transport to ED included generalized weakness, acute mental status change (AMS), and shortness of breath (SOB). Conclusions: A Community Paramedicine program utilized by a high risk geriatrics team like ALIGN is effective in reducing ED visits and hospitalizations for the elderly population who incur greater expenses to the health care system and traditionally have poorer health outcomes.

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