Utilization of EHR Provider Prompts to Maximize Adult Pertussis Immunization Rates

2.50
Hdl Handle:
http://hdl.handle.net/10755/316799
Category:
Abstract
Type:
Presentation
Title:
Utilization of EHR Provider Prompts to Maximize Adult Pertussis Immunization Rates
Author(s):
D'Agostino, Susan
Lead Author STTI Affiliation:
Mu Chi
Author Details:
Susan D'Agostino, DNP, MSN, BSN, email: susan.d'agostino@quinnipiac.edu
Abstract:

Poster presented on: Saturday, April 5, 2014, Friday, April 4, 2014

Adult immunizations are an essential part of patient care. The introduction of the electronic health record (EHR) and use of clinical reminders may assist health care practitioners to increase their adherence to preventive health maintenance schedules, including immunizations. Pertussis, known as whooping cough, is a contagious but preventable bacterial infection. Increased prevalence of pertussis may be attributable to the low rate of adults being vaccinated against the disease. The purpose of this pilot study was to examine how the computerized clinical reminder may assist in improving adherence to adult pertussis immunization CDC guidelines. The study utilized a case control design, type of epidemiological observational study in which subjects are not randomly assigned, but assigned to intervention or control groups. Data were extracted from (a) baseline patient EHRs (N = 352), (b) patient EHRs used for intervention and control (N = 120), and (c) physician scores on attitudes and knowledge surveys (N = 5) from two primary care practices affiliated with an urban teaching hospital. Additional questions examined if patient demographics, type of office visit, CPT codes, and health insurance coverage affected patterns in pertussis vaccinations. A higher percent of patients in the intervention group received the Tdap vaccination when compared to baseline and control groups (X²= 10.44, P = .005). Average physician knowledge scores were almost identical between groups, suggesting that physicians’ knowledge did not influence the likelihood of vaccinating their patients. The average score of physicians who did not immunize their patients had a more positive attitude score toward CPG. Age, gender, type of office visit (sick or routine care), or type of health insurance coverage did not significantly influence Tdap vaccination rates, but CPT codes showed a strong association. The EHR clinical reminder may influence health care providers’ adherence to CDC recommendations for administering adult pertussis immunizations.
Keywords:
Pertussis vaccination; Electronic Health Record; Knowledge and Attitudes
Repository Posting Date:
13-May-2014
Date of Publication:
13-May-2014
Conference Date:
2014
Conference Name:
Nursing Education Research Conference 2014
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing; National League of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Nursing Education Research Conference 2014 Theme: Nursing Education Research, held in Hyatt Regency Indianapolis
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription.  Contact your library for assistance in obtaining the as-published article

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleUtilization of EHR Provider Prompts to Maximize Adult Pertussis Immunization Ratesen_GB
dc.contributor.authorD'Agostino, Susanen_GB
dc.contributor.departmentMu Chien_GB
dc.author.detailsSusan D'Agostino, DNP, MSN, BSN, email: susan.d'agostino@quinnipiac.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/316799-
dc.description.abstract<p>Poster presented on: Saturday, April 5, 2014, Friday, April 4, 2014</p>Adult immunizations are an essential part of patient care. The introduction of the electronic health record (EHR) and use of clinical reminders may assist health care practitioners to increase their adherence to preventive health maintenance schedules, including immunizations. Pertussis, known as whooping cough, is a contagious but preventable bacterial infection. Increased prevalence of pertussis may be attributable to the low rate of adults being vaccinated against the disease. The purpose of this pilot study was to examine how the computerized clinical reminder may assist in improving adherence to adult pertussis immunization CDC guidelines. The study utilized a case control design, type of epidemiological observational study in which subjects are not randomly assigned, but assigned to intervention or control groups. Data were extracted from (a) baseline patient EHRs (N = 352), (b) patient EHRs used for intervention and control (N = 120), and (c) physician scores on attitudes and knowledge surveys (N = 5) from two primary care practices affiliated with an urban teaching hospital. Additional questions examined if patient demographics, type of office visit, CPT codes, and health insurance coverage affected patterns in pertussis vaccinations. A higher percent of patients in the intervention group received the Tdap vaccination when compared to baseline and control groups (X<code>²</code>= 10.44, P = .005). Average physician knowledge scores were almost identical between groups, suggesting that physicians’ knowledge did not influence the likelihood of vaccinating their patients. The average score of physicians who did not immunize their patients had a more positive attitude score toward CPG. Age, gender, type of office visit (sick or routine care), or type of health insurance coverage did not significantly influence Tdap vaccination rates, but CPT codes showed a strong association. The EHR clinical reminder may influence health care providers’ adherence to CDC recommendations for administering adult pertussis immunizations.en_GB
dc.subjectPertussis vaccinationen_GB
dc.subjectElectronic Health Recorden_GB
dc.subjectKnowledge and Attitudesen_GB
dc.date.available2014-05-13T16:42:40Z-
dc.date.issued2014-05-13-
dc.date.accessioned2014-05-13T16:42:40Z-
dc.conference.date2014en_GB
dc.conference.nameNursing Education Research Conference 2014en_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.hostNational League of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionNursing Education Research Conference 2014 Theme: Nursing Education Research, held in Hyatt Regency Indianapolisen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription.  Contact your library for assistance in obtaining the as-published articleen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.