Advertisement
Academic Pediatrics
Advanced searchSave search
Prevention| Volume 11, ISSUE 1, P44-49, January 2011

Getting Under the Hood: Exploring Issues That Affect Provider-Based Recall Using an Immunization Information System

  • Alison W. Saville
    Correspondence
    Address correspondence to Alison W. Saville, MSPH, MSW, 12477 E 19th Ave F443, Aurora, Colorado 80045.
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Karen Albright
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Carolyn Nowels
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Juliana Barnard
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Matthew F. Daley
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Shannon Stokley
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Kimberly Irby
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
  • Allison Kempe
    Affiliations
    Children’s Outcomes Research Program (Ms Saville, Ms Barnard, and Drs Albright, Daley, and Kempe), The Children’s Hospital, Denver, Colo; the Colorado Health Outcomes Research Program (Ms Saville, Ms Nowels, Ms Barnard, and Dr Albright), Department of Community and Behavioral Health, Colorado School of Public Health (Dr Albright), and the Department of Pediatrics (Drs Daley and Kempe), University of Colorado, Denver; the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Ms Stokley); and the Colorado Immunization Information System, Immunization Program, Colorado Department of Public Health and Environment, Denver, Colo (Ms Irby)
    Search for articles by this author
DOI:https://doi.org/10.1016/j.acap.2010.12.009
Getting Under the Hood: Exploring Issues That Affect Provider-Based Recall Using an Immunization Information System
Previous ArticleUsing Baby Books to Increase New Mothers’ Safety Practices
Next ArticleUse of a Pictographic Diagram to Decrease Parent Dosing Errors With Infant Acetaminophen: A Health Literacy Perspective

      Abstract

      Objective

      To assess 1) pediatric practices’ use of provider-based recall using an immunization information system 8 months after training on the recall process; 2) initiation and sustainability barriers to provider-based recall using an immunization information system; 3) strategies that facilitated recall initiation; and 4) recommendations for alternative approaches for conducting recall.

      Methods

      In 2008, 11 practices received training on the automatic recall function in the Colorado Immunization Information System (CIIS) for both infants and adolescents. The 2-hour computer-based training provided an opportunity for attendees to run real-time recall reports with CIIS staff assistance. Eight months later, key informant interviews were conducted with 24 providers and staff from these practices.

      Results

      Eight months after training, only 4 of 11 practices had implemented recall using CIIS: 3 practices recalled children ≤2 years of age, and 1 practice recalled adolescent girls for human papillomavirus vaccine. Initiation barriers included lack of awareness of baseline immunization rates, distrust in the accuracy of CIIS-generated data, and perceived difficulties recalling adolescents. Having unrealistic expectations about recall effectiveness was a barrier to sustainability. Strategies that facilitated recall included having a dedicated staff person for recall efforts and recalling children ≤2 years of age. Most key informants viewed population-based recall conducted by public health departments or schools as an acceptable alternative to provider-based recall.

      Conclusions

      Even with a promising tool to assist pediatric offices, implementing provider-based recall is challenging for pediatric practices. Given existing barriers, providers expressed support for alternative recall methods.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Academic Pediatrics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Task Force on Community Preventive Services
        Recommendations regarding interventions to improve vaccination coverage in children, adolescents, and adults.
        Am J Prev Med. 2000; 18: 92-96
        View in Article
        • Briss P.A.
        • Rodewald L.E.
        • Hinman A.R.
        • et al.
        Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults. The Task Force on Community Preventive Services.
        Am J Prev Med. 2000; 18: 97-140
        View in Article
        • Jacobson V.J.
        • Szilagyi P.
        Patient reminder and patient recall systems to improve immunization rates.
        Cochrane Database Syst Rev. 2005; : CD003941
        View in Article
        • Szilagyi P.G.
        • Bordley C.
        • Vann J.C.
        • et al.
        Effect of patient reminder/recall interventions on immunization rates: a review.
        JAMA. 2000; 284: 1820-1827
        View in Article
        • LeBaron C.W.
        • Lyons B.
        • Massoudi M.
        • Stevenson J.
        Childhood vaccination providers in the United States.
        Am J Public Health. 2002; 92: 266-270
        View in Article
        • Tierney C.D.
        • Yusuf H.
        • McMahon S.R.
        • et al.
        Adoption of reminder and recall messages for immunizations by pediatricians and public health clinics.
        Pediatrics. 2003; 112: 1076-1082
        View in Article
        • Kempe A.
        • Lowery N.E.
        • Pearson K.A.
        • et al.
        Immunization recall: effectiveness and barriers to success in an urban teaching clinic.
        J Pediatr. 2001; 139: 630-635
        View in Article

      8. Department of Health and Human Services, Centers for Disease Control and Prevention. Immunization Program Operations Manual. July 2009. Available at: http://www.cdc.gov/vaccines/vac-gen/policies/ipom/. Accessed August 18, 2010.

        View in Article
        • Colorado Department of Public Health and Environment, Colorado Immunization Information System
        Colorado Annual Immunization Progress Report for CY2008, Section IX—Immunization Information Systems.
        Colorado Department of Public Health and Environment, Denver, ColoSeptember 1, 2009
        View in Article

      10. O’Leary S, Lowery E, Armon C, Todd J. Vaccine-preventable diseases in Colorado’s children, 2007. State of the health of Colorado’s children. 2008;5(1). Available at: http://www.thechildrenshospital.org/pdf/Vaccine-Preventable-Diseases-Colorado-Children-2007.pdf. Accessed August 11, 2010.

        View in Article

      11. American Immunization Registry Association. Reminder/recall in immunization information systems. April 2009. Available at: http://www.immregistries.org/pdf/AIRA_MIROW_RR_041009.pdf. Accessed August 18, 2010.

        View in Article
        • Graneheim U.H.
        • Lundman B.
        Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness.
        Nurse Educ Today. 2004; 24: 105-112
        View in Article
        • Hsieh H.F.
        • Shannon S.E.
        Three approaches to qualitative content analysis.
        Qual Health Res. 2005; 15: 1277-1288
        View in Article

      14. Stemler S. An overview of content analysis. Practical Assessment, Research and Evaluation. 2001;7[17]. Available at: http://PAREonline.net/getvn.asp?v=7&n=17. Accessed October 28, 2010.

        View in Article
        • Teddlie C.
        • Tashakkori A.
        Foundations of Mixed Methods Research Integrating Quantitative and Qualitative Approaches in the Social and Behavioral Sciences.
        Sage Publications, Thousand Oaks, Calif2009
        View in Article
        • Charmaz K.
        Constructing Grounded Theory.
        Sage, London2006
        View in Article
      17. Progress in immunization information systems—United States, 2008.
        MMWR Morb Mortal Wkly Rep. 2010; 59: 133-135
        View in Article
      18. American Academy of Pediatrics. Recommended immunization schedules for children and adolescents—United States, 2007.
        Pediatrics. 2007; 119: 207-208
        View in Article
        • Hogan S.O.
        • Kissam S.M.
        Measuring meaningful use.
        Health Aff (Millwood). 2010; 29: 601-606
        View in Article

      Article info

      Publication history

      Accepted: December 8, 2010
      Received: August 23, 2010

      Footnotes

      Dr Daley is currently affiliated with the Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo; Ms Irby is currently affiliated with the Colorado Foundation for Medical Care, Denver, Colo; Ms Nowels is currently affiliated with the Department of General Internal Medicine, School of Medicine University of Colorado, Denver, Colo

      The authors have no conflicts of interest to disclose.

      Identification

      DOI: https://doi.org/10.1016/j.acap.2010.12.009

      Copyright

      © 2011 Published by Elsevier Inc.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX