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Provider Preferences and Experiences With a Countywide Centralized Collaborative Reminder/Recall for Childhood Immunizations

  • Alison W. Saville
    Correspondence
    Address correspondence to Alison W. Saville, MSPH, MSW, 13199 E Montview Blvd, Suite 300, Aurora, CO 80045.
    Affiliations
    ACCORDS (Adult and Child Center for Outcomes Research and Delivery Science), University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Denver, Colo
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  • Dennis Gurfinkel
    Affiliations
    ACCORDS (Adult and Child Center for Outcomes Research and Delivery Science), University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Denver, Colo
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  • Carter Sevick
    Affiliations
    ACCORDS (Adult and Child Center for Outcomes Research and Delivery Science), University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Denver, Colo
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  • Brenda Beaty
    Affiliations
    ACCORDS (Adult and Child Center for Outcomes Research and Delivery Science), University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Denver, Colo

    Department of Family Medicine, University of Colorado Anschutz Medical Campus, Denver, Colo
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  • L. Miriam Dickinson
    Affiliations
    ACCORDS (Adult and Child Center for Outcomes Research and Delivery Science), University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Denver, Colo

    Department of Family Medicine, University of Colorado Anschutz Medical Campus, Denver, Colo
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  • Allison Kempe
    Affiliations
    ACCORDS (Adult and Child Center for Outcomes Research and Delivery Science), University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Denver, Colo

    Department of Pediatrics, University of Colorado Anschutz Medical Campus, Denver, Colo
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Published:September 14, 2015DOI:https://doi.org/10.1016/j.acap.2015.09.002

      Abstract

      Objective

      To assess among providers in 7 Colorado counties where a collaborative centralized reminder/recall (CC-R/R) using the Colorado Immunization Information System (CIIS) was performed: 1) preferences about CC-R/R conducted by the public health department (PHD); 2) preferences for future CC-R/R for different vaccines with and without practice names; and 3) experiences with including their name on CC-R/R notices.

      Methods

      A mailed survey was sent to all primary care sites where CC-R/R had been previously conducted. Respondents self-identified as the “the person in charge of immunization policy within the practice.”

      Results

      Overall response rate was 69.9% (160 of 229). Twenty-one were removed because they did not provide immunizations to children. Among respondents, 65.0% were from family medicine and 26.3% from pediatric practices; 32.1% physicians or midlevel providers; 34.3% nurses or medical assistants; and 33.6% office managers. Taking into account all issues, 57.6% were “okay” with either the PHD or their practice conducting recall; 27.3% preferred the PHD; and 14.4% preferred their practice conduct R/R. Fifty-six percent of active CIIS practices (n = 95) included their practice's name on CC-R/R notices. Interest in future CC-R/R for different ages and vaccines was strongly related to whether reminders included the practice name: 77.8% for routine immunizations in 4- to 6-year-olds; 74.8% for immunizations for 0- to 3-year-olds; 73.3% for vaccines administered to adolescents; and 59.7% for influenza (P < .001).

      Conclusions

      Most practices are accepting of the PHD centrally conducting R/R, but most prefer collaboration that includes their name. Given the success and support of this method, it should be more widely adopted.

      Keywords

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