Pharmacist Impact on Pneumococcal Vaccination Rates in Long-Term-Care Facilities

1988 ◽  
Vol 45 (1) ◽  
pp. 73-73 ◽  
Author(s):  
Mark R. Morton ◽  
William J. Spruill ◽  
James W. Cooper
Keyword(s):  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Term Care ◽  
Vaccination Rates ◽  
Care Facilities

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

2000 ◽  
Vol 21 (11) ◽  
pp. 705-710 ◽  
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.

Influenza and Pneumococcal Vaccination Coverage Levels Among Hawaii Statewide Long-Term-Care Facilities

2001 ◽  
Vol 22 (08) ◽  
pp. 519-521 ◽  
Author(s):  
Xiao Wei Cui ◽  
Marcia M. Nagao ◽  
Paul V. Effler
Keyword(s):  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Term Care ◽  
Vaccination Rates ◽  
Time Period ◽  
Care Facilities

Abstract Influenza and pneumococcal vaccination rates among Hawaii long-term-care facilities (LTCFs) statewide during the 1996/97 through the 1998/99 influenza seasons revealed that resident influenza vaccination rates remained over 89%, but pneumococcal vaccination was underutilized. LTCF staff influenza vaccination rates over the same time period were low.

scholarly journals Epidemiology and Management of Seasonal Influenza Outbreaks in Long-Term Care Facilities in the Health Service Executive East Area of Ireland During the 2013-2014 Influenza Season

2017 ◽  
Vol 1 (1) ◽  
pp. 22-32 ◽  
Author(s):  
L. O’Connor ◽  
H. Murphy ◽  
E. Montague ◽  
M. Boland
Keyword(s):  
Public Health ◽  
Seasonal Influenza ◽  
Long Term Care ◽  
Influenza Season ◽  
Term Care ◽  
Health Service Executive ◽  
Outbreak Management ◽  
Vaccination Rates ◽  
Care Facilities

We describe seasonal influenza-like illness (ILI) outbreaks in long-term care facilities in the Health Service Executive (HSE) East area of Ireland in the 2013/2014 influenza season, risk factors associated with outbreak duration and attack rates, and management challenges. Separate questionnaires were distributed to 28 facilities who reported an outbreak and to public health specialists leading outbreak management, with a 79% response rate. Mean outbreak duration (21 vs 17 days; p=0.046) was longer in facilities with staff vaccination rates of <40%. Facilities with a high attack rate (≥50%) were less likely to have an outbreak plan (p=0.03). Smaller facilities (under 50 residents) had a higher attack rate (50% vs 23%, p=0.003) even when controlled for staff vaccination rate (p=0.01). Prior to the outbreak, resident vaccination rates were high (82%, above the World Health Organization target of 75%) but staff vaccination rates were low (39%). Reported challenges to ILI outbreak management in long term care facilities included visitor restrictions, staff education issues, outbreak notification delays and lack of outbreak lead in facilities. Targeted public health-assisted planning, training and response, comprising of staff vaccination, education, written policies, with early notification and prompt response would facilitate a more co-ordinated approach to the management of outbreaks, and reduction in infection rates and consequent morbidity.

Increasing Influenza and Pneumococcal Vaccination and Tuberculosis Screening among Residents of Colorado Long-Term Care Facilities

1999 ◽  
Vol 22 (4) ◽  
pp. 466-483 ◽  
Author(s):  
W. William Schluter ◽  
Debra L. Ralston ◽  
Richard J. Delaney ◽  
Angela Sauaia ◽  
Thomas R. Dunn
Keyword(s):  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Tuberculosis Screening ◽  
Term Care ◽  
Care Facilities

scholarly journals Impact of the 2004-2005 Influenza Vaccine Shortage on Immunization Practices in Long-Term Care Facilities

2006 ◽  
Vol 27 (4) ◽  
pp. 383-387 ◽  
Author(s):  
Lona Mody ◽  
Kenneth M. Langa ◽  
Preeti N. Malani
Keyword(s):  
Influenza Vaccine ◽  
Emergency Preparedness ◽  
Long Term Care ◽  
The United States ◽  
Term Care ◽  
Vaccination Rates ◽  
Immunization Rates ◽  
Care Facilities ◽  
Vaccine Shortage

Objective.To assess the response of long-term care facilities (LTCFs) to the 2004-2005 influenza vaccine shortage and the impact on resident and healthcare worker (HCW) immunization rates.Methods.A 12-item questionnaire was sent to 824 randomly selected LTCFs in December 2004. The following 2 open-ended questions were also asked: “How did you cope with the vaccine shortage?” and “Who helped you get your supply?” Immunization rates reported by LTCF administrators for 2003-2003 and 2003-2004 were compared with those for 2004-2005. Immunization rates were defined as the proportion of all eligible residents and HCWs who received influenza vaccine.Results.Responses were received from 380 LTCFs (46.3%), which had a total of 38,447 beds. Resident mean influenza immunization rates (±SD) decreased from 85% ± 15.3% in 2002-2003 and 85.1% ± 15.3% in 2003-2004 to 81.9% ± 19.4% in the 2004-2005 influenza season (P = .025). The immunization rates among HCWs also decreased from 51% in 2002-2003 and 2003-2004 to 38.4% in 2004-2005 (P<.001). In response to one of the open-ended questions, 96 facilities (25.3%) reported that they obtained vaccine from 2 or more sources. Eight percent commented on specific intensified infection control efforts, and only 2.3% commented on emergency preparedness.Conclusions.The influenza vaccine shortage in 2004-2005 impacted immunization practices of LTCFs across the United States, leading to decreases in both resident and HCW vaccination rates. The significant decrease in vaccination rates in LTCFs is of concern and has broad implications for policy makers working on emergency preparedness for a possible pandemic of influenza.

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