Case Studies and Best Practices

The following case studies describe real practices who have improved their vaccination rates using strategies from The 4 Pillars Immunization Toolkit.


Urban Family Medicine Practice in Pittsburgh using the 4 Pillars Immunization Toolkit


Immunization rates increased by 9-29% including a two-fold increase in PPSV in high-risk persons.

In an urban family medicine practice, the office manager and lead physician were champions who inspired the staff to take responsibility for assessing vaccination status and vaccinating patients, using standing order protocols (SOPs). Walk-in vaccination and nursing appointments for influenza vaccination made access convenient. Prompts in the electronic medical record and checking immunization status as part of vital signs were used to make the staff aware of needed immunizations, which triggered SOPs. The staff were inspired by the regular feedback on vaccination rates and the competition with other sites. The staff believed that their efforts made the difference.


Source: Success of the 4 pillars toolkit for influenza and pneumococcal vaccination in adults​ Journal for Healthcare Quality 2014; 36(6):5-15. PMID: 23777396