{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T15:19:00Z","timestamp":1786375140587,"version":"build-2736575974"},"reference-count":29,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>Immunization quality improvement (QI) interventions are rarely tested as multicomponent interventions within the context of a theoretical framework proven to improve outcomes. Our goal was to study a comprehensive QI program to increase immunization rates for underserved children that relied on recommendations from the Centers for Disease Control and Prevention\u2019s Task Force on Community Preventive Services and the framework of the Chronic Care Model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>QI activities occurred from September 2007 to May 2008 at 6 health centers serving a low-income, minority population in Washington, DC. Interventions included family reminders, education, expanding immunization access, reminders and feedback for providers, and coordination of activities with community stakeholders. We determined project effectiveness in improving the 4:3:1:3:3:1:3 vaccination series (4 diphtheria-tetanus-pertussis vaccines, 3 poliovirus vaccines, 1 measles-mumps-rubella vaccine, 3 Haemophilus influenzae type b vaccines, 3 hepatitis B vaccines, 1 varicella vaccine, and three 7-valent pneumococcal conjugate vaccines) compliance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>We found a 16% increase in immunization rates overall and a 14% increase in on-time immunization by 24 months of age. Improvement was achieved at all 6 health centers and maintained beyond 18 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSION:<\/jats:title>\n                  <jats:p>We were able to implement a comprehensive immunization QI program that was sustainable over time.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2010-3610","type":"journal-article","created":{"date-parts":[[2012,1,10]],"date-time":"2012-01-10T01:45:12Z","timestamp":1326159912000},"page":"e496-e503","source":"Crossref","is-referenced-by-count":27,"title":["Improving the Quality of Immunization Delivery to an At-Risk Population: A Comprehensive Approach"],"prefix":"10.1542","volume":"129","author":[{"given":"Linda Y.","family":"Fu","sequence":"first","affiliation":[{"name":"Goldberg Center for Community Pediatric Health, Children\u2019s National Medical Center, Washington, DC;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Weissman","sequence":"additional","affiliation":[{"name":"Goldberg Center for Community Pediatric Health, Children\u2019s National Medical Center, Washington, DC;"},{"name":"DC Partnership to Improve Children\u2019s Healthcare Quality, Washington, DC;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosie","family":"McLaren","sequence":"additional","affiliation":[{"name":"National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; and"},{"name":"District of Columbia Department of Health, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherie","family":"Thomas","sequence":"additional","affiliation":[{"name":"District of Columbia Department of Health, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn","family":"Campbell","sequence":"additional","affiliation":[{"name":"District of Columbia Department of Health, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Mbafor","sequence":"additional","affiliation":[{"name":"District of Columbia Department of Health, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urvi","family":"Doshi","sequence":"additional","affiliation":[{"name":"District of Columbia Department of Health, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denice","family":"Cora-Bramble","sequence":"additional","affiliation":[{"name":"Goldberg Center for Community Pediatric Health, Children\u2019s National Medical Center, Washington, DC;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,2,1]]},"reference":[{"issue":"36","key":"2021120903082789100_B1","first-page":"1171","article-title":"National, state, and local area vaccination coverage among children aged 19-35 months\u2014United States, 2009","volume":"59","author":"Centers for Disease Control and Prevention (CDC)","year":"2010","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"14","key":"2021120903082789100_B2","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1001\/jama.1994.03520140035034","article-title":"Risk factors for underimmunization in poor urban infants","volume":"272","author":"Bates","year":"1994","journal-title":"JAMA"},{"issue":"1","key":"2021120903082789100_B3","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/00005650-199901000-00008","article-title":"The relation of parent and provider characteristics to vaccination status of children in private practices and managed care organizations in Maryland","volume":"37","author":"Hughart","year":"1999","journal-title":"Med Care"},{"issue":"6","key":"2021120903082789100_B4","doi-asserted-by":"crossref","first-page":"973","DOI":"10.2105\/AJPH.94.6.973","article-title":"Racial\/ethnic disparities in preschool immunizations: United States, 1996-2001","volume":"94","author":"Chu","year":"2004","journal-title":"Am J Public Health"},{"issue":"2","key":"2021120903082789100_B5","doi-asserted-by":"crossref","DOI":"10.1542\/peds.101.2.e5","article-title":"A population-based study of access to immunization among urban Virginia children served by public, private, and military health care systems","volume":"101","author":"Morrow","year":"1998","journal-title":"Pediatrics"},{"issue":"1","key":"2021120903082789100_B6","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1353\/hpu.2004.0013","article-title":"Improving the immunization and health status of children in the Women, Infants, and Children (WIC) Program","volume":"15","author":"Shefer","year":"2004","journal-title":"J Health Care Poor Underserved"},{"issue":"138","key":"2021120903082789100_B7","first-page":"1","article-title":"Statistical methodology of the National Immunization Survey, 1994-2002","author":"Smith","year":"2005","journal-title":"Vital Health Stat 2"},{"issue":"36","key":"2021120903082789100_B8","first-page":"988","article-title":"National, state, and urban area vaccination coverage among children aged 19-35 months\u2014United States, 2005","volume":"55","author":"Centers for Disease Control and Prevention (CDC)","year":"2006","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"11","key":"2021120903082789100_B9","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1001\/jama.1994.03510350043035","article-title":"Low vaccination levels of US preschool and school-age children. Retrospective assessments of vaccination coverage, 1991-1992","volume":"271","author":"Zell","year":"1994","journal-title":"JAMA"},{"key":"2021120903082789100_B10","first-page":"1","article-title":"Vaccine-preventable diseases: improving vaccination coverage in children, adolescents, and adults. A report on recommendations from the Task Force on Community Preventive Services","volume":"48","author":"Task Force on Community Preventive Services","year":"1999","journal-title":"MMWR Recomm Rep"},{"key":"2021120903082789100_B11","unstructured":"Task Force on Community Preventive Services. Vaccinations for preventable diseases: universally recommended vaccines. The Community Guide\u20082002. Available at: www.thecommunityguide.org\/vaccines\/universally\/index.html. Accessed July 7, 2010"},{"issue":"2","key":"2021120903082789100_B12","first-page":"12","article-title":"Improving outcomes in chronic illness","volume":"4","author":"Wagner","year":"1996","journal-title":"Manag Care Q"},{"issue":"4","key":"2021120903082789100_B13","doi-asserted-by":"crossref","first-page":"511","DOI":"10.2307\/3350391","article-title":"Organizing care for patients with chronic illness","volume":"74","author":"Wagner","year":"1996","journal-title":"Milbank Q"},{"issue":"1","key":"2021120903082789100_B14","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1377\/hlthaff.28.1.75","article-title":"Evidence on the Chronic Care Model in the new millennium","volume":"28","author":"Coleman","year":"2009","journal-title":"Health Aff (Millwood)"},{"issue":"15","key":"2021120903082789100_B15","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1001\/jama.288.15.1909","article-title":"Improving primary care for patients with chronic illness: the chronic care model, Part 2","volume":"288","author":"Bodenheimer","year":"2002","journal-title":"JAMA"},{"issue":"14","key":"2021120903082789100_B16","doi-asserted-by":"crossref","first-page":"1775","DOI":"10.1001\/jama.288.14.1775","article-title":"Improving primary care for patients with chronic illness","volume":"288","author":"Bodenheimer","year":"2002","journal-title":"JAMA"},{"key":"2021120903082789100_B17","unstructured":"Centers for Disease Control and Prevention. Percentage of U.S. children &gt;4 months and &lt;6 years with 2+ immunizations in immunization information systems (IIS), 2008. Available at: www.cdc.gov\/vaccines\/programs\/iis\/rates\/2008-child-map.htm. Accessed August 16, 2011"},{"issue":"36","key":"2021120903082789100_B18","first-page":"851","article-title":"Notice to readers: pneumococcal conjugate vaccine shortage resolved","volume":"53","author":"Centers for Disease Control and Prevention","year":"2004","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"35","key":"2021120903082789100_B19","first-page":"961","article-title":"National, state, and local area vaccination coverage among children aged 19\u201335 months\u2014United States, 2007","volume":"57","author":"Centers for Disease Control and Prevention","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"34","key":"2021120903082789100_B20","first-page":"880","article-title":"National, state, and local area vaccination coverage among children aged 19-35 months\u2014United States, 2006","volume":"56","author":"Centers for Disease Control and Prevention (CDC)","year":"2007","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"33","key":"2021120903082789100_B21","first-page":"921","article-title":"National, state, and local area vaccination coverage among children aged 19-35 months\u2014United States, 2008","volume":"58","author":"Centers for Disease Control and Prevention (CDC)","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"1","key":"2021120903082789100_B22","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1093\/phr\/115.1.65","article-title":"National Immunization Survey: the methodology of a vaccination surveillance system","volume":"115","author":"Zell","year":"2000","journal-title":"Public Health Rep"},{"issue":"133","key":"2021120903082789100_B23","first-page":"1","article-title":"Compensating for provider nonresponse using response propensities to form adjustment cells: the National Immunization Survey","author":"Smith","year":"2001","journal-title":"Vital Health Stat 2"},{"issue":"24","key":"2021120903082789100_B24","first-page":"673","article-title":"Updated recommendations for use of Haemophilus influenzae type b (Hib) vaccine: reinstatement of the booster dose at ages 12-15 months","volume":"58","author":"Centers for Disease Control and Prevention (CDC)","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2021120903082789100_B25","unstructured":"Wu S, Pearson M, Schaefer J. Assessing the implementation of the chronic care model in quality improvement collaboratives: does baseline system support for chronic care matter? In: Luczak H, Zink KJ, eds. Human Factors in Organizational Design and Management \u2013 VII. 2003. IEA Press, Santa Monica, CA 2003: 595-601"},{"key":"2021120903082789100_B26","unstructured":"National WIC-Immunization Workgroup. Implementing the new WIC policy for immunization screening and referral: ideas and suggestions for establishing procedures and conducting training in your state agency. 2002. Available at: www.nal.usda.gov\/wicworks\/Sharing_Center\/Immunizations\/Implementation_Guide.pdf. Accessed March 4, 2009"},{"issue":"4","key":"2021120903082789100_B27","first-page":"205","article-title":"Improving pediatric immunization rates in a safety-net delivery system","volume":"33","author":"Melinkovich","year":"2007","journal-title":"Jt Comm J Qual Patient Saf"},{"issue":"8","key":"2021120903082789100_B28","first-page":"176","article-title":"National, state, and urban area vaccination coverage levels among children aged 19-35 months\u2014United States, January-December 1995","volume":"46","author":"Centers for Disease Control and Prevention (CDC)","year":"1997","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"3","key":"2021120903082789100_B29","first-page":"CD003941","article-title":"Patient reminder and patient recall systems to improve immunization rates","author":"Jacobson","year":"2005","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/129\/2\/e496\/1056135\/peds_2010-3610.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/129\/2\/e496\/1056135\/peds_2010-3610.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T17:03:07Z","timestamp":1639069387000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/129\/2\/e496\/32482\/Improving-the-Quality-of-Immunization-Delivery-to"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,1]]},"references-count":29,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2012,2,1]]},"published-print":{"date-parts":[[2012,2,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2010-3610","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,1]]}}}