This project sought to determine the change in a private office setting in vaccine coverage rates among 18-month-olds before and after installation of a provider reminder/recall system and barriers to instituting such a system. The project aimed to determine the barriers that prevent 18-month-old children in the practice from becoming up-to-date, and develop and test methods to overcome such barriers.
Practice-based interventions aimed at encouraging an 18-month well child visit that emphasizes delivery of needed vaccines have the potential to substantially increase individual practice timely vaccination rates. However, providers must first understand how the process within their practice actually occurs. Direct observation of immunization processes and medical record review enhances survey responses in identifying areas for quality improvement. There are several opportunities that practices can use to improve immunization delivery, particularly maintaining accurate and easy-to-locate immunization records and prompting for needed immunizations.