Resources to Help Improve Immunization Rates

General
To Improve Staff Rates
To Improve Resident Rates

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Resources to Improve Resident Immunization Rates

Adopt SOPs

Standing Orders

Using Standing Orders for Administering Vaccines: What You Should Know

Immunize.org

Describes elements of a standing order including definitions, what elements to include, who can recommend them, and how often they should be renewed

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10 Steps to Implementing Standing Orders for Imunization in Your Practice Setting

Immunize.org

Step-by-step instructions for setting up and using standing orders in a practice

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Take a STAND! How to Implement Standing Orders in Your Practice

Immunize.org

10 steps to implementing standing orders for immunization in your practice setting

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Standing Order Templates for Administering Vaccines to Children, Teens, and Adults

Immunize.org

Modifiable standing order templates for all adult vaccines

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The Community Guide: Vaccination Programs: Standing Orders

The Community Guide

Description of evidence for standing orders for vaccinations from The Community Preventive Services Task Force

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Vaccination Requirements & Laws by State (Including Consent Requirements)

Centers for Disease Control and Prevention

Links to all state laws regarding immunization, including HIPAA overviews and consent

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Consent Requirements for COVID-19 Vaccination for Long-term Care Residents

Centers for Disease Control and Prevention

Responses to frequently asked questions about medical consent for Pfizer-BioNTech booster doses for PALTC residents; clarifies that there are no federal consent requirements for vaccination

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Jannsen (Johnson & Johnson) COVID-19 Vaccine Standing Order

Centers for Disease Control and Prevention

Sample standing order for Johnson & Johnson COVID-19 vaccine

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Moderna COVID-19 Vaccine Standing Order Template

Centers for Disease Control and Prevention

Sample standing order for Moderna COVID-19 vaccination

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Pfizer COVID-19 Vaccine (12 Years and Older – Gray Cap) Standing Order Template

Centers for Disease Control and Prevention

Sample standing order for Pfizer-BioNTech COVID-19 vaccination

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Assess at Admission and Yearly Thereafter

Standards for Practice: Vaccine Needs Assessment

Centers for Disease Control and Prevention

Tips and resources for improving vaccine assessment based on the four Standards for Adult Immunization Practice

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Office of Inspector General Report on Nursing Home Vaccination: Reaching Healthy People Goals

Health and Human Services

Ways to achieve the Healthy People objective of vaccinating 70 percent of nursing home residents against influenza

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Provider Assessment and Feedback

The Community Guide

An overview of how to use provider assessment and feedback to improve immunization rates

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Before You Vaccinate Adults, Consider Their “H-A-L-O”!

Immunize.org

Easy-to-use chart that can help make an initial decision about vaccinating a patient based on four factors-the patient’s health, age, lifestyle, and occupation (H-A-L-O)

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Pneumococcal Vaccine Algorithm

Centers for Disease Control and Prevention

Algorithm to help determine which residents need which pneumococcal vaccines, includes very detailed specific circumstances as well as general overview of current recommendations

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Offer Vaccines on Site at Regular Intervals (and at no cost)

Best Practices for Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations

Centers for Disease Control and Prevention

Step-by-step guide to help clinical coordinators/supervisors overseeing vaccination clinics held at non-ambulatory care locations follow CDC guidelines and best practices for vaccine shipment, transport, storage, handling, preparation, administration, and documentation

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Vaccinating Adults: A Step-by-Step Guide

Immunize.org

Comprehensive, easy-to-use guide for vaccinating adults, including printable resources for all steps of providing vaccines to adults

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Current Vaccine Information Statements (VISs)

Centers for Disease Control and Prevention

Collection of all vaccine information statements, which includes overview of side effects and benefits, to be provided to patients for each administered vaccine

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How to Administer Intramuscular and Subcutaneous Vaccine Injections to Adults

Immunize.org

Printable reference document on how to administer injections to adults, including intramuscular and subcutaneous

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Administering Vaccines to Adults: Dose, Route, Site, and Needle Size

Immunize.org

Printable reference document for determining the dose, route, site, and needle size when administering adult vaccines

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Screening Checklist for Contraindications to Vaccines for Adults

Immunize.org

Printable resource to determine contraindications when screening adults prior to vaccination

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Documentation Requirements for Vaccination

Centers for Disease Control and Prevention

Requirements for documenting vaccines in paper or electronic charts and IISs, including a link to the Vaccine Adverse Event Reporting System (VAERS)

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Initiate Prompts or Reminder Recall Systems

Using implementation intentions prompts to enhance influenza vaccination rates

Proceedings of the National Academies of Science (PNAS)

Journal article evaluating the effect of using prompts to increase influenza vaccination rates

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Reminder Systems for Immunization and Preventive Services

Agency for Healthcare Research and Quality (AHRQ)

AHRQ report on implementing provider prompts with patients and clinicians

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Provider Reminders

The Community Guide

Recommendations and resources to assist in implementing provider reminders or prompts

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Interventions on health care providers to improve seasonal influenza vaccination rates among patients

Journal of Family Practice

Summary of the evidence on interventions with health care providers (physicians/nurses/pharmacists) to increase seasonal influenza vaccinations (SIVs)

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Behavioural nudges increase COVID-19 vaccinations

Nature

Journal article summarizing the effect of behavioral interventions (e.g. a reminder system) on the uptake of COVID-19 vaccines

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Create Champion or Advocate

Create Champion or Advocate

Building a Community of QI and Patient Safety Champions

Institute for Healthcare Improvement

Personal story of instituting champions

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Building COVID-19 Vaccine Confidence: Helping People Make Informed Choices

San Francisco Department of Public Health

PowerPoint presentation and training on how to become a COVID-19 champion

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Duties of a Champion

Colorado Department of Public Health & Environment

Brief description of the importance of a champion and traditional roles

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AMDA COVID-19 Education Toolkit

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Resources to help champions advocate for COVID-19 vaccine in their facilities, including a toolkit and checklist for monoclonal antibody assessment

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Champion Training Videos

American College of Physicians

Series of videos and downloadable PowerPoints from I Raise the Rates Champion Training. While focused on an office setting, it has applicability to PALTC

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COVID-19 Vaccination and Therapeutics in PALTC Toolkit: Resources for Clinicians

AMDA, GAPNA, AANP, ASCP, AAPA

This toolkit covers a range of topics, including prescribing and ordering medications, communication aids for bivalent vaccines and antiviral therapeutics, information on the Novavax vaccine for hesitant populations, and co-circulation of influenza and COVID-19.

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Promote Staff as Influencers

Characteristics of Quality Improvement Champions in Nursing Homes: A systematic review with implications for evidence-based practice

Worldviews Evidence Based Nursing

Literature review describing a program to create CNA champions

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Long-Term Care Community Champions: Voices From the Front Line

Centers for Medicare & Medicaid Services (CMS)

Video with long-term care staff who moved from being initially uncertain about receiving the COVID-19 vaccine to accepting it, and encourage their peers to do the same

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Create Title and Make Part of Job/Role for “Champion”

The champion for improved delivery of care to older people in long‐term care settings: effects on professional practice, quality of care and resident outcomes

Cochrane Library

Journal article assessing the effectiveness of a champion on professional practice, quality of care, and resident outcomes in long‐term care

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Inside help: An integrative review of champions in healthcare-related implementation

SAGE Open Medicine

Journal article reviewing the current state of champions in healthcare settings including recommended “characteristics of a champion”

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Address Concerns

Use a Proven Model for Communication

S.H.A.R.E.

Centers for Disease Control and Prevention

Explains the Share, Highlight, Address, Remind, Explain model for communication

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Addressing Vaccine Hesitancy

Washington State Department of Health

Overview of strategies for systems, healthcare providers, individuals – includes resources for COVID-19

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How to Talk to Someone About Vaccine Hesitancy

Cleveland Clinic

Article with practical advice for addressing hesitancy

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How to Address COVID-19 Vaccine Misinformation

Centers for Disease Control and Prevention

Specific strategies to address misinformation and disinformation about COVID-19 vaccine

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Understand Concerns or Reasons for Hesitancy

Impact of Race on Immunization Status in Long-Term Care Facilities

Journal of Racial and Ethnic Health Disparities

Journal article describing the relationship between resident race and immunization status in long-term care facilities

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Persistence of Racial Inequities in Receipt of Influenza Vaccination Among Nursing Home Residents in the United States

Clinical Infectious Disease

Journal article describing racial gaps in influenza vaccination rates among nursing home residents

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Increasing Vaccination: Putting Psychological Science Into Action

Psychological Science in the Public Interest

Journal article describing different kinds of hesitancy and motivations, the difference between hesitancy and antivaccine advocacy, and proposes 3 theories to motivate vaccination.

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Addressing Vaccine Hesitancy in BIPOC Communities — Toward Trustworthiness, Partnership, and Reciprocity

The New England Journal of Medicine

Journal article describing hesitancy as a result of systemic underinvestment in BIPOC communities and reframing the conversation towards confidence.

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Address Specific Concerns

Video Series “Ask Your Internist”

American College of Physicians

Series of videos with internists answering common questions about vaccines, including COVID-19. There are also videos specifically designed for physicians

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Flu and Older Adults

National Institutes on Aging

Website that lists risk conditions, symptoms, and preventive measures for flu in older adults

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People 65 and Older Need a Flu Shot

Centers for Disease Control and Prevention

Flyer with facts for older adults regarding why they need an influenza vaccine

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Benefits of Flu Vaccine for Older Adults

Families Fighting Flu, Inc.

Website addressing the risks and impact of flu on seniors as well as benefits of getting flu vaccine specific to older adults

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Safety Information for Pneumococcal Vaccines

Centers for Disease Control and Prevention

Website with safety data for PPSV23 and PCV vaccines including information on vaccine side effects

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Our Best Shot: The Truth About Vaccines for You and Your Loved Ones

Alliance for Aging Research

Fact sheet that provides an overview on how vaccines work, explains the benefits of vaccination, gives tips on spotting misinformation and disinformation, and debunks some of the most common myths regarding childhood and adult vaccination including a new section on COVID-19 vaccines.

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Flu Vaccines for Older Adults: A Decision Tool

The Gerontological Society of America

A decision aid to help older adults decide which flu vaccine is right for them

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Practical Microlearning Resources

American College of Physicians

Stay up to date on the latest pneumococcal and flu vaccine recommendations and learn time-saving tips to make effective vaccine recommendations and boost vaccine confidence.

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