Increasing Pneumococcal Vaccination in Adults 65 Years and Older in Primary Care

Abstract

Purpose. This quality improvement project (QIP) focused on improving provider knowledge ofpneumococcal vaccine benefits, up-to-date guidelines, and enhancing clinic workflow for immunization processes through an asynchronous educational intervention. Background. The most effective primary prevention method for this disease includesvaccination. Throughout the United States, pneumococcal rates for adults 65 and older remain below the national goal of 90% (American Lung Association, 2023). Methods. One method for improving pneumonia vaccination rates is increasing providerknowledge and recommendation of the vaccine to patients to aid in overcoming vaccine hesitancy. Provider baseline knowledge was obtained on pneumococcal vaccinations, recommended immunization schedules, and their current practices through an online knowledge questionnaire. An asynchronous PowerPoint presentation focused on the Advisory Committee on Immunization Practices (ACIP) recommended pneumococcal vaccine schedule. Additionally, utilizing clinic support staff (MAs) could enhance the uptake of pneumonia and other recommended vaccines per age group. Providers were then given a post-test over the information from the presentation. Results. Five of seven providers or 71% participated in the QIP. Data analysis supportsincreased provider knowledge regarding pneumococcal vaccination in adults 65 and older. Comprehension of knowledge increased by 60%. Conclusions. Asynchronous provider education regarding pneumococcal vaccine for adults age65+ increased knowledge and practice intent for discussing patient vaccination recommendations. Additionally, providers will improve the utilization of clinical support staff in vaccination recommendations and administration.