Carolyn Bachino, NIP/ISD/HSREB, CDC, 1600 Clifton Road, Mailstop E-52, Atlanta, GA, USA, Pascale Wortley, Centers for Disease Control and Prevention, National Immunization Program, 1600 Clifton Road, NE, MS E-52, Atlanta, USA, Abigail Shefer, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-52, Atlanta, GA, USA, and Daniel B. Fishbein, ISD-HSREB, CDC - NIP, 1600 Clifton Road, NE, MS E-52, Atlanta, GA, USA.
KEYWORDS:
Immunization, Adult, Assessment, AFIX
BACKGROUND:
Assessment of vaccination coverage and feedback of results to providers is a proven method of increasing vaccination coverage in adults and children. The process -- assessment, feedback, incentives, and exchange -- is also called AFIX. Clinical Assessment Software Application (CASA), which facilitates the assessment of coverage when a pediatric immunization schedule is used, is a valuable adjunct to AFIX. CDC's National Immunization Program (NIP) has now developed a software program, called Adult CASA (ACASA), to generate vaccine coverage reports and information about missed opportunities for adult immunization.
OBJECTIVE:
To provide participants with a computerized method of conducting chart audits and feedback on adult patients, and a description of NIPs experiences using it with AFIX in the field.
METHOD:
Results of pilot-tests conducted in practices serving adults in three states, (Georgia, Oregon, and California), including methods used by CDC and local health departments to recruit clinics, conduct ACASA assessments, and feed back results. We will describe:
1. procedures and challenges faced when conducting adult assessment
2. data entry screens and reports generated by ACASA, and
3. advantages of using ACASA with AFIX in adults.
RESULT:
Utilization of ACASA version 2.2 will facilitate data-entry and report generation when conducting vaccine audits of adults. Some factors affecting the time required to conduct ACASA/AFIX assessments include:
-Whether charts are pulled by clinic staff
-Whether a list of patients is provided
-Level of preparation
-Organization of charts
-Type of clinic, and
-Type of data collected
CONCLUSION:
Doing AFIX in adults poses unique challenges and rewards. The new ACASA 2.2 is a user-friendly tool for clinical and public health workers to conduct vaccine coverage assessments in practices that provide health care to adults and may prove to be a useful adjunct to adult AFIX.
LEARNING OBJECTIVES:
1.Describe how ACASA can be used with AFIX to increase vaccine coverage
2.Articulate how adult AFIX differs from pediatric AFIX
3.Develop one application for adult AFIX in your community
Web Page:
www.cdc.gov/nip/afix/
See more of Increasing Adult Immunization Rates: Provider-Based Strategies in Practice
See more of The 37th National Immunization Conference
