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Table 1 The 4 Pillars Practice Transformation ProgramTM: Evidence-based strategies to increase vaccination

From: An overview of implementing an evidence based program to increase HPV vaccination in HIV community clinics

Pillar 1: Convenient and easy accessibility

• Use every patient visit type as an opportunity to vaccinate.

• Offer open access/walk-in vaccination during office hours.

• Promote simultaneous vaccination.

• Hold express vaccination clinics outside normal office hours where only influenza or other adolescent vaccines are offered and systems for check-in, screening, and record-keeping are streamlined.

• Create a dedicated vaccination station.

Pillar 2: Patient communication/education

• Provide information about vaccine preventable diseases at the beginning of every visit.

• Enroll patients in electronic health portal.

• Train staff to discuss vaccines during routine processes.

• Discuss the serious nature of vaccine preventable diseases.

• Use clinic messages, poster, fliers, electronic message board, website posting, and social media to promote vaccination.

• Reach out by email, phone, text, mail, health portal to recommend vaccines that are due.

Pillar 3: Enhanced systems to promote vaccination

• Ensure sufficient vaccine inventory.

• Assess vaccination eligibility for every patient encounter.

• Assess immunizations as part of vital signs.

• Review and update accurate EMR vaccination record keeping.

• Establish standing order protocols.

Pillar 4: Motivation

• Create a chart to track progress. Set an improvement goal and regularly track progress.

• Provide ongoing feedback to staff on vaccination progress.

• Create a competitive challenge/provide reward for successful results among staff.