BACKGROUND:
Idaho has Universal Status for vaccines. Private practice professionals administer 65% of the state supplied vaccines. Idaho’s goal is to immunize 90% of children before the age of two. A streamlined, efficient immunization practice is one way to increase immunization rates.

OBJECTIVE:
Demonstrate and share proven tools and strategies for creating an efficient and immunization friendly office environment.

METHOD:
Strategies and tools were developed to assist physician offices to reach Idaho’s goal. Tools such as vaccine labels were created and used for documentation. After implementing the strategies and tools in an office and finding success, the ideas were shared with other practices around the state. A manual and a web site, Immunize Idaho, also promote the tools and strategies.

RESULT:
After four years of using these efforts, strategies and instituting tools, a private pediatric office raised their immunization rate from 38% to 90%.

CONCLUSION:
The tools and strategies that were implemented by a private pediatric office increased their immunization rates. These strategies have been shared throughout the state of Idaho. Through an invitation by the Idaho Immunization Program, a video was made describing the use of these tools. These strategies and tools were presented through statewide workshops that were given to both private offices and public clinics.

LEARNING OBJECTIVES:
To efficiently document immunizations with labels, to understand the importance of accurate record keeping, to understand how to streamline vaccine accountability, and to involve staff and develop cooperation in the office practice.