Emergency Departments as Settings for Vaccination

Study Objectives: The Emergency Department has, historically, been minimally involved with vaccination efforts. With the exception of tetanus and rabies vaccines, vaccinations are typically not distributed in this setting. However, as the country and the world continues to fight the COVID-19 pandemic, determining new methods to deliver vaccines to people is now more important than ever. Moreover, finding ways to reach populations that are less likely to receive vaccines is equally as important. The objective of this study was to implement a screening and delivery protocol for seasonal influenza vaccine in an Emergency Department setting to demonstrate that Emergency Department vaccination protocols are viable public health tools. Methods: A screening protocol was developed based on CDC/ACIP guidelines for Influenza vaccination. This screening protocol was implemented at two academic emergency departments starting 10/01/2020 and ending 01/31/2020. I collected demographic information from the electronic medical records of all patients who were screened and used that information to characterize who was accepting or refusing the vaccination. Results: During the trial period, 11,355 patients were screened out of 25,485 total patients who presented to the participating Emergency Departments. Out of that 11,355, 5,056 (45%) stated they had not received the influenza vaccine. Among those 5,056 people eligible for the vaccine, 1,156 (22.9%) of patients had an order placed for a vaccine and ultimately 441 (8.7%) received the vaccination. Among the participants, the patients identifying as African American or Hispanic were less likely already to have received the influenza vaccine than were non-Hispanic white and Asian identifying patients. Patients identifying as African American were the least likely to accept the vaccination. Conversely, patients identifying as Hispanic were more likely to accept vaccination. Patients identifying as Asian were the most likely to have already received the vaccine and to accept the vaccine when offered. Conclusions: This study demonstrates that seasonal influenza vaccination in the Emergency Department is feasible although we found substantial room for improvement in vaccinating those eligible and acceptance varied by race/ethnicity. The patient population using the emergency department is more likely to comprise medically underserved populations and this is a good opportunity to increase vaccination rates in those populations. These results should motivate the implementation of vaccination programs in other Emergency Departments for both the influenza virus and the COVID-19 virus.Master of Public Healt

Advisory Committee on Immunization Practices (ACIP) summary report : June 19-20, 2013, Atlanta, Georgia

Publication date from document properties.2013_6 minutes.pdf2013607

A Process Improvement Toolkit to Guide the Attainment of Meaningful Use Stage 2 Requirements

Healthcare is evolving. Reimbursement is transitioning to a model based on quality and patient outcomes. To remain relevant and survive this transition, providers of care must adapt and implement new models of care delivery that account for these changes. This toolkit was created as a deliverable of a Doctor of Nursing Practice dissertation that explored a successful primary care delivery model of a Patient-Centered Medical Home that utilized an interdisciplinary team approach that included nurses. Through this model high quality care was delivered to achieve desired outcomes, specifically, successful attestation for Stage 2 of the Meaningful Use Incentive Program during the first quarter of 2014. This toolkit was created as a result of the exploration of this model in order to inform others regarding structures and processes that can be integrated to meet the requirements of Stage 2 Meaningful Use. To do so, this toolkit describes the structure utilized by practice of interest, including the roles of vital staff members. Processes that result in meeting Meaningful Use objectives are also described, many in the form of decision trees. The toolkit also includes an example of what an investment in this model would entail along with guidelines for model replication. This toolkit provides a framework for success in meeting Meaningful Use Stage 2 requirements

Efficient Decision Support Systems

This series is directed to diverse managerial professionals who are leading the transformation of individual domains by using expert information and domain knowledge to drive decision support systems (DSSs). The series offers a broad range of subjects addressed in specific areas such as health care, business management, banking, agriculture, environmental improvement, natural resource and spatial management, aviation administration, and hybrid applications of information technology aimed to interdisciplinary issues. This book series is composed of three volumes: Volume 1 consists of general concepts and methodology of DSSs; Volume 2 consists of applications of DSSs in the biomedical domain; Volume 3 consists of hybrid applications of DSSs in multidisciplinary domains. The book is shaped decision support strategies in the new infrastructure that assists the readers in full use of the creative technology to manipulate input data and to transform information into useful decisions for decision makers

Clinical decision-making in acute paediatrics : evaluation of the impact of an internet-delivered paediatric decision support system

Imperial Users onl

Pharmacist Services

The overall goal of this book is to give the reader a state-of-the-art synopsis of the pharmacist services domain. To accomplish this goal, the authors have addressed the social, psychosocial, political, legal, historic, clinical, and economic factors that are associated with pharmacist services. In this book, you will gain cutting-edge insights from learning about the research of experts throughout the world. The findings have relevance for enhancing pharmacist professionalism, pharmacist practice, and the progression of pharmacist services in the future

Patient Safety and Quality: An Evidence-Based Handbook for Nurses

Compiles peer-reviewed research and literature reviews on issues regarding patient safety and quality of care, ranging from evidence-based practice, patient-centered care, and nurses' working conditions to critical opportunities and tools for improvement