Increase Immunization Rate

• Evaluate current practices for vaccine administration including timing of vaccines before second birthday: Suggestions to Improve Your Immunization Services.
• Use the Washington State Immunization Information System (WAIIS) to discover your clinic rates: DOH Webinars.
• Reconcile active/inactive patients between clinic and WAIIS.
• Develop clinic workflow to deactivate patients who leave the practice: Managing Patient Status.
• Use your EMR to discover clinic rates as this varies by EMR. Contact your vendor.
• Educate parents about the vaccine schedule for their child: Recommended Immunizations 0-6 and Recommended Immunizations 7-18.

• Incorporate standing orders for vaccines into your well visit templates and other templates: Well Child Templates – Standard Orders.
• “No missed opportunities.” Vaccinate at every possible encounter with patient. Give “immunization prescription” if patient is too ill to be vaccinated: Sample Prescription.
• Develop scripts to overcome vaccine hesitancy: Clear Answers and Smart Advice About Your Baby’s Shots and Sample Messages That Work.
• Identify interventions to improve your vaccine rate: Immunization Strategies for Healthcare Practices and Providers.

• Recall patients for missing immunizations: Recalling Patients and How to Use Reminder/Recall.
• Capture immunizations given elsewhere. Sync your EMR records with WAIIS. This training is provided by your EMR vendor in conjunction with WAIIS.
• Develop parent education resources.
• Consider partnering with WIC First Steps and community partners who can reinforce well child and immunization messages: WIC Infant Documentation Form and WIC Age 1-5 Documentation Form

Negotiate a value-based contract: lower cost of care from decreased ED use and decreased hospital stays due to vaccine-preventable diseases.

• Value-Based Payment Models