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Vaccination Programs: Provider Assessment and Feedback

CDC

An Evidence-Based Practice

Description

These interventions assess providers’ delivery of one or more vaccinations to a client population and present providers with feedback on their performance. Feedback may cover a group of providers (e.g., average performance for a practice) or an individual provider. Feedback also may involve other components such as incentives or benchmarking.

Impact

The Community Preventive Services Task Force (CPSTF) recommends provider assessment and feedback programs when used alone or when combined with additional interventions to increase vaccination rates among people of all ages from different populations or settings.

Results / Accomplishments

The systematic review included 20 studies.

Overall vaccination rates increased by a median of 9 percentage points (16 studies).
-Provider assessment and feedback used alone increased vaccination rates by a median of 11 percentage points (7 study arms).
-Provider assessment and feedback used in combination with additional interventions increased vaccination rates by a median of 6 percentage points (13 study arms).

The relative change in vaccination rates showed a median increase of 18.0% (15 study arms).
Overall vaccination rates among children increased by a median of 10.5 percentage points (8 studies with 10 study arms).
One study that did not provide a common measurement of change in vaccination rates reported no intervention effect.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
For more details
https://www.thecommunityguide.org/findings/vaccina...

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  4. CDC COMMUNITY GUIDE: Targeted Vaccinations: Multiple Interventions Implemented in Combination
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Related Content for: Vaccination Programs: Provider Assessment and Feedback

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.