Tags

Type your tag names separated by a space and hit enter

Getting under the hood: exploring issues that affect provider-based recall using an immunization information system.
Acad Pediatr. 2011 Jan-Feb; 11(1):44-9.APed

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.

Authors+Show Affiliations

Children's Outcomes Research Program, The Children's Hospital, Denver, CO 80045, USA. Alison.saville@ucdenver.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21272823

Citation

Saville, Alison W., et al. "Getting Under the Hood: Exploring Issues That Affect Provider-based Recall Using an Immunization Information System." Academic Pediatrics, vol. 11, no. 1, 2011, pp. 44-9.
Saville AW, Albright K, Nowels C, et al. Getting under the hood: exploring issues that affect provider-based recall using an immunization information system. Acad Pediatr. 2011;11(1):44-9.
Saville, A. W., Albright, K., Nowels, C., Barnard, J., Daley, M. F., Stokley, S., Irby, K., & Kempe, A. (2011). Getting under the hood: exploring issues that affect provider-based recall using an immunization information system. Academic Pediatrics, 11(1), 44-9. https://doi.org/10.1016/j.acap.2010.12.009
Saville AW, et al. Getting Under the Hood: Exploring Issues That Affect Provider-based Recall Using an Immunization Information System. Acad Pediatr. 2011 Jan-Feb;11(1):44-9. PubMed PMID: 21272823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Getting under the hood: exploring issues that affect provider-based recall using an immunization information system. AU - Saville,Alison W, AU - Albright,Karen, AU - Nowels,Carolyn, AU - Barnard,Juliana, AU - Daley,Matthew F, AU - Stokley,Shannon, AU - Irby,Kimberly, AU - Kempe,Allison, PY - 2010/08/23/received PY - 2010/12/06/revised PY - 2010/12/08/accepted PY - 2011/1/29/entrez PY - 2011/1/29/pubmed PY - 2011/11/16/medline SP - 44 EP - 9 JF - Academic pediatrics JO - Acad Pediatr VL - 11 IS - 1 N2 - 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. SN - 1876-2867 UR - https://www.unboundmedicine.com/medline/citation/21272823/Getting_under_the_hood:_exploring_issues_that_affect_provider_based_recall_using_an_immunization_information_system_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1876-2859(10)00354-2 DB - PRIME DP - Unbound Medicine ER -