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Year:: 2022
Contributor:: Labaschin, Alana (Author); Nassar, Carolynn (Author); Gutman, Deborah (Author)
Subject:: immunization; internal medicine; Pre-visit Planning
DOI: https://doi.org/10.26300/0q1x-kt25

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Abstract:: Background: Pneumococcal diseases carry high morbidity and mortality rates, yet vaccination rates remain low. Pre-visit planning consists of documenting which preventive measures, such as immunizations and cancer screenings, are due for each patient prior to their appointment. This should improve patient outcomes, but it requires a large time investment. Objectives: We aimed to determine if pre-visit planning intervention impacted quality metrics, specifically with regard to pneumococcal vaccination, to assess if it is worth implementing for an internal medicine office. Design: Quantitative intervention study consisting of a chart review with notes inputted into patient medical records outlining due vaccinations and screenings. Physicians then used these pre-visit planning notes during appointments. Setting: Brown Internal Medicine in East Providence, RI. Participants: 540 patients of 5 selected Brown IM physicians with appointments from December 31st, 2021 to January 1st, 2022 for controls, and February 7th, 2022 to February 18th, 2022 for the intervention group. Instrument: Electronic medical record, EClinicalWorks. Analysis: Calculated the percentage completed of due pneumococcal vaccines in both the control and intervention groups. Results: The percentage of completed pneumococcal vaccines increased from 9.09% without pre-visit planning to 10.39% with pre-visit planning. The rates remained low both before and after intervention. All completed vaccinations in the intervention group occurred during annual visits rather than follow up visits. Conclusion: The small increase in pneumococcal vaccine administration suggests that some aspects of pre-visit planning can be useful. Results indicate that pre-visit planning may only be effective for annual visits. Literature shows that EHR-linked alerts can be effective and decrease the human workload. Further cost-benefit and qualitative studies need to be done to determine if pre-visit planning is worth implementing.

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Labaschin, Alana, Nassar, Carolynn, and Gutman, Deborah, "Effectiveness of Pre-Visit Planning on Pneumococcal Vaccine Administration in an Internal Medicine Office" (2022). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/0q1x-kt25

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Effectiveness of Pre-Visit Planning on Pneumococcal Vaccine Administration in an Internal Medicine Office