The 130th Annual Meeting of APHA

4124.0: Tuesday, November 12, 2002 - 1:30 PM

Abstract #40148

Using a new software application with provider feedback to increase vaccination coverage in adults

Carolyn Bachino, MPH, Daniel Fishbein, MD, and Abigail Shefer, MD. Immunization Services Division/ Health Services Research and Evaluation Branch, CDC National Immunization Program, 1600 Clifton Rd. NE, MS E-52, Atlanta, GA 30333, 404-639-8721, cbachino@sph.uth.tmc.edu

Background: Assessment of vaccination coverage and feedback of results to providers is a proven method of increasing vaccination coverage in adults and children. The process -- assessment, feedback, incentives, and exchange -- is also called AFIX. Clinical Assessment Software Application (CASA), which facilitates the assessment of coverage when a pediatric immunization schedule is used, is a valuable adjunct to AFIX. CDC’s National Immunization Program (NIP) has now developed a software program to generate vaccine coverage reports and information about missed opportunities for adult immunization. The program, named Adult-CASA (ACASA), is being evaluated in practices serving adults in three states (Georgia, Oregon, and California). Objective: To provide participants with a computerized method of conducting chart audits and feedback on adult patients, and a description of NIPs experiences using it with AFIX in the field. Methods: Participants will be introduced to methods used by CDC and local health departments to recruit clinics, conduct ACASA assessments, and feedback results. We will describe (1) procedures and challenges faced when conducting adult assessment (2) data entry screens and reports generated by ACASA, and (3) how to conduct the feedback incentive, and exchange component of AFIX. Results: Utilization of ACASA will facilitate data-entry and reduce the time it takes to generate reports when conducting vaccine audits of adults. Conclusions: The ACASA is a user-friendly tool for clinical and public health workers to conduct vaccine coverage assessments in practices that provide health care to adults. ACASA should prove to be a useful adjunct to adult AFIX.

Learning Objectives:

Keywords: Immunizations, Assessments

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Centers for Disease Control and Pervention, National Immunization Program, Immunization Services Division, Health Services Research and Evaluation Branch
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Putting the Public Into Immunization Activities

The 130th Annual Meeting of APHA