Improving immunization practices in United States hospitals and health systems
International Journal of Health Governance
ISSN: 2059-4631
Article publication date: 4 September 2017
Abstract
Purpose
Payment for healthcare services in the USA has shifted from fee for service to compensation based on value and quality. The indicators used for payments are a variety of clinical measures, including administration of vaccines to patients. The purpose of this paper is to describe the implementation of programs in health systems to improve vaccination rates and patient outcomes.
Design/methodology/approach
A search of the literature was conducted to find examples of vaccine programs in US health systems, and also to identify policies to improve immunization rates.
Findings
Successful programs for improving vaccination rates require advocacy and support of leadership, a systematic and multidisciplinary approach, and an evaluation of local resources and capacity. Numerous examples exist of medical, nursing, and pharmacy led programs that improve vaccination rates. The department in charge has relied on the support of other groups to ensure the success.
Social implications
Mandatory vaccination of healthcare personnel (HCP) in the health system has been a growing trend in the USA. Although there has been some resistance to mandatory vaccinations for HCP, the standards and requirements have resulted in improved rates in health systems, which ultimately improve efficiency and protects patients.
Originality/value
This review describes considerations for implementing a successful vaccination program in a health system and provides examples of specific strategies. An overview of mandatory vaccinations for HCP is also described.
Keywords
Citation
Kufel, W.D., M. Williams, D. and Weber, D.J. (2017), "Improving immunization practices in United States hospitals and health systems", International Journal of Health Governance, Vol. 22 No. 3, pp. 199-211. https://doi.org/10.1108/IJHG-06-2017-0028
Publisher
:Emerald Publishing Limited
Copyright © 2017, Emerald Publishing Limited