TABLE 3

Strategies for Increasing Childhood Influenza Vaccination

Strategy
Clinician/care team Offer strong, presumptive 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) 
 Offer scripting for staff and messaging for patients and families to address common questions, including frequent misconceptions and relevant contraindications and precautions, including allergies 
 Consider an early or expedited allergy referral for patients with a potential flu vaccine allergy to ensure timely vaccination when appropriate 
 Send influenza vaccine reminder or recall messages 
 Use electronic health record-based tools to identify and classify high-risk patients for targeted outreach 
 Use standing orders for influenza vaccine 
 Implement influenza vaccine prompts or clinical decision support 
 Perform audits and share feedback reports 
 Integrate electronic health record with regional or state immunization information system and automate reconciliation of electronically received influenza vaccine administration data 
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 dialog, and increase access to preventive services 
Strategy
Clinician/care team Offer strong, presumptive 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) 
 Offer scripting for staff and messaging for patients and families to address common questions, including frequent misconceptions and relevant contraindications and precautions, including allergies 
 Consider an early or expedited allergy referral for patients with a potential flu vaccine allergy to ensure timely vaccination when appropriate 
 Send influenza vaccine reminder or recall messages 
 Use electronic health record-based tools to identify and classify high-risk patients for targeted outreach 
 Use standing orders for influenza vaccine 
 Implement influenza vaccine prompts or clinical decision support 
 Perform audits and share feedback reports 
 Integrate electronic health record with regional or state immunization information system and automate reconciliation of electronically received influenza vaccine administration data 
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 dialog, and increase access to preventive services 
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