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Improving rates of herpes zoster vaccination with a clinical decision support system in a primary care practice.

Abstract

RATIONALE
Herpes zoster (shingles) is a localized neurocutaneous eruption of blisters caused by reactivation of the varicella zoster virus. The cost of care for herpes zoster and its complications is estimated at $1.1 billion. The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices recommends a one-time dose of the vaccine for adults aged 60 years or older. Despite that recommendation, utilization of the vaccine is very low. One way to boost the delivery of preventive services such as vaccinations is with a computerized clinical decision support system. Our study found that the herpes zoster vaccination rate increased significantly after the implementation of such a system.
AIMS
To study utilization of herpes zoster vaccine before and after the implementation of a web-based clinical decision support software solution in a primary care practice.
METHODS
Billing data was utilized to determine number of herpes zoster vaccination administered to patients for a 12-month period during the implementation of the software solution.
RESULTS
The utilization of vaccinations improved from 63 to 117 (53.8% increase) for one primary care practice and from 54 to 127 (42.5% increase) in the other primary care practice.
CONCLUSION
Herpes zoster vaccination rate significantly improved with implementation of a web-based clinical decision support system.

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  • Publisher Full Text
  • Authors

    Chaudhry R, Schietel SM, North F, Dejesus R, Kesman RL, Stroebel RJ

    Institution

    Department of Medicine, Division of Primary Care Internal Medicine and Mayo Clinic, Rochester, MN 55905, USA. chaudhry.rajeev@mayo.edu

    Source

    Journal of evaluation in clinical practice 19:2 2013 Apr pg 263-6

    MeSH

    Decision Support Systems, Clinical
    Herpes Zoster
    Herpes Zoster Vaccine
    Herpesvirus 3, Human
    Humans
    Internet
    Minnesota
    Primary Health Care
    User-Computer Interface
    Vaccination

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    22304668