Can hospitalists improve COVID-19 vaccination rates?

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  • Additional Information
    • Source:
      Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BMJ Publishing Group
    • Subject Terms:
      COVID-19*/prevention & control ; COVID-19 Vaccines*/therapeutic use ; COVID-19 Vaccines*/administration & dosage ; Hospitalists*/statistics & numerical data ; Quality Improvement* ; SARS-CoV-2*; Humans ; Vaccination/statistics & numerical data ; Vaccination/methods ; Electronic Health Records/statistics & numerical data ; California
    • Abstract:
      Three years after the start of the SARS-CoV-2 virus (COVID-19) pandemic, its effects continue to affect society and COVID-19 vaccination campaigns continue to be a topic of controversy and inconsistent practice. After experiencing spikes in COVID-19 cases, our University of California Davis Health Division of Hospital Medicine sought to understand the reasons underlying the low COVID-19 vaccination rates in our county and find approaches to improve the number of vaccinations among adults admitted to the inpatient setting. This quality improvement project aimed to increase COVID-19 primary and booster vaccine efforts through a multi-pronged approach of increased collaboration with specialised staff and optimisation of use of our electronic health record system.Our key interventions focused on developing a visual reminder of COVID-19 vaccine status using the functionality of our electronic medical record (EMR), standardising documentation of COVID-19 vaccine status and enhancing team-based vaccination discussions through team huddles and partnering with inpatient care coordinators. While our grassroots approach enhanced COVID-19 vaccination rates in the inpatient setting and had additional benefits such as increased collaboration among teams, system-level efforts often made a greater impact at our healthcare centre. For other institutions interested in increasing COVID-19 vaccination rates, our top three recommendations include integrating vaccination into pre-existing workflows, optimising EMR functionality and increasing vaccine accessibility in the inpatient setting.
      Competing Interests: Competing interests: None declared.
      (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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    • Contributed Indexing:
      Keywords: COVID-19; Healthcare quality improvement; Hospital medicine; Transitions in care
    • Accession Number:
      0 (COVID-19 Vaccines)
    • Publication Date:
      Date Created: 20240422 Date Completed: 20240429 Latest Revision: 20240429
    • Publication Date:
      20240429
    • Accession Number:
      PMC11043723
    • Accession Number:
      10.1136/bmjoq-2023-002646
    • Accession Number:
      38649197