Abstract
The burden of respiratory disease following a spinal cord injury/disorder (SCI/D) is well-described and experienced by patients, families, health care providers, and the health care delivery system. Despite the effectiveness of respiratory vaccinations (influenza and pneumococcal), vaccination rates in this population have been historically low. The Veterans Health Administration (VHA) Spinal Cord Injury Quality Enhancement Research Initiative (QUERI) developed a program to increase vaccination rates for veterans with SCI/D. Patient, provider, and system-level strategies were used. The purpose of the study was to improve vaccination rates in this population using multiple strategies. The result was significant improvement in vaccination rates following intervention. This paper describes the lessons learned in implementing best practices for vaccination. In addition, the basic elements of this program, and the similarities with the Chronic Care Model, are described.
Publication types
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Research Support, U.S. Gov't, Non-P.H.S.
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Review
MeSH terms
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Benchmarking / organization & administration
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Chronic Disease
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Decision Support Systems, Clinical / organization & administration
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Disease Management
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Humans
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Influenza, Human / etiology
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Influenza, Human / prevention & control
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Medical Records Systems, Computerized / organization & administration*
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Models, Organizational
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Needs Assessment / organization & administration
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Patient Acceptance of Health Care* / psychology
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Patient Acceptance of Health Care* / statistics & numerical data
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Patient Education as Topic
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Pneumonia, Pneumococcal / etiology
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Pneumonia, Pneumococcal / prevention & control
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Registries
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Reminder Systems
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Respiratory Tract Infections / etiology
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Respiratory Tract Infections / prevention & control*
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Risk Factors
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Self Care
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Social Support
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Spinal Cord Injuries* / complications
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Spinal Cord Injuries* / psychology
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Total Quality Management / organization & administration*
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United States
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United States Department of Veterans Affairs / organization & administration*
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Vaccination* / psychology
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Vaccination* / standards
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Vaccination* / statistics & numerical data
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Veterans* / psychology
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Veterans* / statistics & numerical data