American Academy of Pediatrics

TABLE 3

Strategies for Increasing Childhood Influenza Vaccination

	Strategy
Provider/care team	Offer presumptive, strong influenza vaccine recommendation.
	Bundle recommendation for influenza vaccine with recommendations for other needed vaccines.
	Use consistent messaging across care team members.
	Identify influenza vaccine champion(s).
Practice/health systems	Review influenza vaccination status at all visits.
	Bundle influenza vaccine with other needed vaccines.
	Vaccinate at all visit types (eg, well child, acute care visits).
	Vaccinate in all health care settings (eg, hospital, emergency department, subspecialty practice).
	Increase access to influenza vaccine (eg, expanded hours, vaccine-only clinic).
	Provide evidence-based information to patients and families (eg, office-based educational handout).
	Send influenza vaccine reminder/recall messages.
	Use standing orders for influenza vaccine.
	Implement influenza vaccine provider prompts/clinical decision support.
	Perform audits or share feedback reports.
	Integrate electronic health record with regional or state immunization information system.
Community/public health	Partner with stakeholders to support vaccine initiatives within the community, including school-based programs and pharmacies.
	Engage with communities affected by health disparities to develop tailored strategies that promote trust, encourage dialogue, and increase access to preventive services.

	Strategy
Provider/care team	Offer presumptive, strong influenza vaccine recommendation.
	Bundle recommendation for influenza vaccine with recommendations for other needed vaccines.
	Use consistent messaging across care team members.
	Identify influenza vaccine champion(s).
Practice/health systems	Review influenza vaccination status at all visits.
	Bundle influenza vaccine with other needed vaccines.
	Vaccinate at all visit types (eg, well child, acute care visits).
	Vaccinate in all health care settings (eg, hospital, emergency department, subspecialty practice).
	Increase access to influenza vaccine (eg, expanded hours, vaccine-only clinic).
	Provide evidence-based information to patients and families (eg, office-based educational handout).
	Send influenza vaccine reminder/recall messages.
	Use standing orders for influenza vaccine.
	Implement influenza vaccine provider prompts/clinical decision support.
	Perform audits or share feedback reports.
	Integrate electronic health record with regional or state immunization information system.
Community/public health	Partner with stakeholders to support vaccine initiatives within the community, including school-based programs and pharmacies.
	Engage with communities affected by health disparities to develop tailored strategies that promote trust, encourage dialogue, and increase access to preventive services.