Reducing Missed Opportunities for Influenza Vaccination in Patients with Rheumatoid Arthritis: Evaluation of a Multisystem Intervention

The Journal of Rheumatology
Rachel BroderickJon T Giles

Abstract

To assess a multimodal intervention for reducing missed opportunities for outpatient influenza vaccination in individuals with rheumatoid arthritis (RA). Patients with RA were enrolled from a single center and each rheumatology outpatient visit was tracked for missed opportunities for influenza vaccination, defined as a visit in which an unvaccinated patient without contraindications remained unvaccinated or lacked documentation of vaccine recommendation in the electronic medical record (EMR). Providers then received a multimodal intervention consisting of an education session, EMR alerts, and weekly provider-specific e-mail reminders. Missed opportunities before and after the intervention were compared, and the determinants of missed opportunities were analyzed. A total of 228 patients with RA were enrolled (904 preintervention visits) and 197 returned for at least 1 postintervention visit (721 postintervention visits). The preintervention frequency of any missed opportunities for influenza vaccination was 47%. This was reduced to 23% postintervention (p < 0.001). Among those vaccinated, the relative hazard for influenza vaccination post- versus preintervention period was 1.24 (p = 0.038). Younger age, less frequent office vis...Continue Reading

References

Aug 29, 2012·BMC Musculoskeletal Disorders·William A BlumentalsStephen Toovey
Feb 1, 2013·MMWR Supplements·Carolyn B BridgesUNKNOWN Centers for Disease Control and Prevention (CDC)
Nov 8, 2015·Arthritis & Rheumatology·Jasvinder A SinghTimothy McAlindon
Nov 24, 2016·Rheumatology International·Marco KrasseltOlga Seifert

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Citations

Jan 17, 2019·Clinical Rheumatology·Vincent Gosselin BoucherKim L Lavoie

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