Increasing Vaccine Uptake Among Veterans at the Atlanta VA Health Care System
- Conditions
- PertussisInfluenzaTetanusDiphtheriaPneumonia
- Interventions
- Other: Modified clinical reminders
- Registration Number
- NCT03950986
- Lead Sponsor
- Atlanta VA Medical Center
- Brief Summary
The Office of Evaluation Sciences is collaborating with Emory University and the Atlanta VA Health Care System to increase adult immunizations uptake among veterans. The intervention targets patients of primary care providers (physicians, physician assistants and nurse practitioners) through a modification of the existing reminders in the VA electronic health record system. The team will evaluate the intervention using a randomized controlled trial.
- Detailed Description
The Office of Evaluation Sciences is collaborating with Emory University and the Atlanta VA Health Care System to increase adult immunizations uptake among veterans. The intervention targets patients of primary care providers (physicians, physician assistants and nurse practitioners) through a modification of the existing reminders in the VA electronic health record system.
The intervention includes a bundled vaccination reminder for influenza, pneumococcal and TDap vaccines, an immunization dashboard that relays a patient's vaccination status and history, and talking points for providers to use in their dialogues with patients. This intervention was designed to mitigate potential bottlenecks to vaccination, based on conversations and observations with facility clinicians.
The team will evaluate the intervention using a randomized controlled trial.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 67000
- All patients must have appointments with active primary care providers (physicians, physician assistants and nurse practitioners) in the Atlanta VA Health Care System
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Treatment Modified clinical reminders Providers in the treatment group will receive modified clinical reminders for the vaccines of interest. Reminders for the different vaccines of interest will be bundled into a single reminder, and other changes made to streamline the design and reduce provider burden. Other changes include an immunization dashboard that relays a patient's vaccination status and talking points for providers to use in their dialogues with patients.
- Primary Outcome Measures
Name Time Method Percent of patients receiving one of more vaccines of interest when due for these vaccines 6 months Percent of patients receiving of one or more of the influenza, pneumococcal (PCV13 or PPSV23) or Tdap/Td vaccines during the observation period, conditional on the patient being due for at least one of these vaccines at any appointment during the observation period
Percent of patients receiving the influenza vaccine when due for the vaccine 6 months Percent of patients receiving the influenza vaccine during the observation period, conditional on the patient being due for the influenza vaccine at any appointment during the observation period
- Secondary Outcome Measures
Name Time Method Percent of patients receiving Tdap/Td or pneumococcal vaccines when due 6 months Percent of patients receiving Tdap/Td or pneumococcal vaccines during the observation period, conditional on the patient being due for at least one of these vaccines at any appointment during the observation period
Cost per additional individual vaccinated 6 months Should these data be available, will assess the cost per additional individual vaccinated
Trial Locations
- Locations (1)
Atlanta VA Medical Center
🇺🇸Decatur, Georgia, United States