Adult Immunization

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Vaccination referral resource containing ACIP recommended vaccines for adult patients.

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New Practical Immunization Microlearning Resources

Stay up to date on the latest pneumococcal and flu vaccine recommendations and learn time-saving tips to make effective vaccine recommendations and boost vaccine confidence.

2022 ACIP Adult Immunization Recommendations

In these videos, Dr. Sandra Adamson Fryhofer, MD, MACP explains the 2022 Advisory Committee on Immunization Practices’ Adult Immunization Recommendations.

These videos were developed through ACP's I Raise the Rates program supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services and Sanofi Pasteur.

Increasing Adult Vaccinations: A Subspecialist's Perspective

Subspecialists share the rationale for raising immunization rates among patients with high-risk chronic conditions

Stay up-to-date on the latest vaccine recommendations, guidelines and clinical updates in adult immunization. 

ACP Resources

• Annals of Internal Medicine: Recommended Adult Immunization Schedule, United States, 2022*
• In these videos, Dr. Sandra Adamson Fryhofer, MD, MACP explains the 2022 Advisory Committee on Immunization Practices’ Adult Immunization Recommendations.
  • ACIP Adult Immunization Schedule 2022
  • Covid Vaccine Boosters: Which One? What Dose? When?
  • Flu Vaccine Update 2022
  • New Pneumococcal Vaccination Recommendations for 2022  
  • These videos were developed through ACP's I Raise the Rates program supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services and Sanofi Pasteur.
• Adult Influenza Immunization Webinar - In this webinar hosted by the New Jersey Immunization Network (NJIN) and sponsored by ACP's I Raise the Rates program, Dr. Margaret "Meg" Fisher, MD, FAAP covers the importance of increasing flu vaccination coverage among adult patients throughout the flu season and identifies best practices to safely administer vaccines during the pandemic. Obtain CME credit.
• COVID-19 Recovery: Increasing Adult Vaccinations Webinar - The COVID-19 pandemic has had a significant impact on routine vaccination rates across all populations in the US. In this webinar, panelists discuss current ACIP recommendations for routine adult and COVID-19 vaccines; the rationale for raising immunization rates among patients with high-risk chronic conditions; and practical strategies to increase vaccination rates in your practices. Obtain CME credit.
• Routine Immunization of People Living with HIV: Why, What and How - Recognizing that people living with HIV (PLHIV) have higher rates of vaccine preventable disease and disease severity compared to HIV negative individuals, this webinar discusses strategies to improve vaccination rates in this population. Presented by Dr. Andrew B. Trotter, MD, MPH.
• Aging and Immunity: The Important Role of Vaccines - This free physician guide provides an understanding of the biological impact of aging on immunity and the value of vaccination as an effective tool in reducing the risk for vaccine-preventable diseases in older adults. Developed by ACP, in partnership with the Gerontological Society of America (GSA) and the American Pharmacists Association (APhA), with funding support from GlaxoSmithKline (GSK).

CDC Resources

• Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices-United States, 2021-22 2022-23 Influenza Season
• CDC Videos:
  • Measles Clinical Features and Diagnosis - CDC's Dr. Manisha Patel describes clinical features of measles, how to diagnose it in a patient, and what to do if you suspect you have a case. Includes images of children with measles infection.
• ACIP Vaccine Recommendations and Guidelines
• CDC Vaccine Schedules app - available from iTunes App Store and Google Play.
• Vaccine Information Statement (VIS)
  • Attenuated Influenza Vaccine VIS
  • Inactive Influenza Vaccine VIS
• Frequently Asked Influenza (flu) Questions: 2022-2023 Season
• ACIP Shared Clinical Decision-Making Recommendations
• CDC Measles Resource - A one-stop-shop digital toolkit developed by the CDC that includes products for healthcare providers and their patients about vaccines and measles. These products include accurate, science-based evidence that we hope can help you counter misinformation about measles and MMR vaccine.
• You Call the Shots Influenza Module: Learn about Influenza vaccines, indications and contraindications for vaccination, and vaccine administration. Continuing education (CE) is available for viewing a module and completing an evaluation.

ACP Resources

• Workflows to Promote Immunizations during the COVID-19 Pandemic: This resource provides practical guidance to promote immunization in your practice, including previsit planning, telehealth resources, and communication strategies to address vaccine hesitancy.
• How to Safely Administer Vaccines during the COVID-19 Pandemic: This resource provides practical tips to safely administer vaccines in practice during the COVID-19 pandemic.
• COVID-19 Recovery: Team-Based Care Toolkit: This resource features team-based resources to help physicians, their teams, and their patients optimize team-based care during and after a pandemic. Topic areas include steps to optimal team-based care, effectiveness of team-based care in a pandemic, using telehealth to manage high-risk chronic conditions, informing patients about changes in practice, and sustaining teams and positive changes.
• Annals of Internal Medicine: Preparing for COVID-19 Vaccination: A Call to Action for Clinicians on Immunization Information Systems. This article promotes IIS utilization among providers and highlights their features and critical role in supporting the COVID-19 vaccination response.
• Coronavirus: What the Clinician Needs to Know: This podcast was produced by CORE IM in collaboration with ACP, and includes an interview with Dr. Christina Fiske, infectious disease subspecialist at Vanderbilt University Medical Center. 

CDC Resources

• Interim Guidance for Immunization Services During the COVID-19 Pandemic: Collection of federal resources designed to guide vaccine planning during the COVID-19 pandemic.
• Tell Me More About Vaccines: Video providing background and clarity – via expert commentary and graphic illustration – to help viewers understand that the science of vaccine development and the full strength of initiatives such as Operation Warp Speed, are reasons for optimism.
• The Difference Between Flu and COVID-19: Provides key differences between flu and COVID-19. COVID-19.
• CDC COVID-19 vaccine webpage: Provides the latest CDC updates on COVID-19 vaccine news.

Other Resources

• COVID-19 Vaccine Confidence Toolkit: conversation toolkit intended as a resource to help healthcare providers navigate discussions about COVID-19 vaccination with their patients.
• GSA Resource-Aging and Immunity-Why Older Adults are Highly Susceptible to Diseases Like COVID-19: With its COVID-19 Task Force and National Adult Vaccination Program Workgroup, the Gerontological Society of America has developed a fact sheet on Aging and Immunity: Why Older Adults are Highly Susceptible to Diseases like COVID-19. IT includes significant amount of information on the stage of vaccine development and how the process is being shortened to produce a safe and effective vaccine for COVID-19. 
• Communicating the Benefits of Seasonal Influenza Vaccine during COVID-19: Resource providing benefits of seasonal flu vaccine as well as tips on how to discuss vaccine effectiveness with your patients.

Learn core quality improvement skills and how to apply them to increase your adult immunization rates in your practice.  

• ACP Quality Improvement Leadership Training: Best Practices in Engaging and Empowering Clinical Teams in Continuous Improvement. These training videos provides a step-by-step guidance, based on ACP’s QI approach, to help participants through their QI journey.
  • Step 1: Getting started
  • Step: 2: Measuring Change
  • Step 3: Planning for Change-Prioritizing Matrix
  • Step 4: Implementing Change
• Practical Approaches to Increasing Adult Immunization
  • Video 1: Vaccine Conversations: Approaching Patients Who Are Deliberating Vaccinations
  • Video 2: Team-based Approach to Increasing Flu Vaccination among Patients with Chronic Diseases
  • Video 3: Importance of Getting Vaccinated this Flu Season
  • Video 4: Importance of Flu Vaccination during the COVID-19 Pandemic
• I Raise the Rates Practice Assessment Survey: Take this practice assessment survey to assist you in pinpointing key areas for improvement in your clinical setting and identifying strategies to increase your adult immunization rates.
• ACP Quality Improvement Curriculum is a step-wise approach that guides you through each stage of the QI journey from establishing the “what” and “why” for change to implementing and sustaining change. This online curriculum, developed by physicians for physicians and their teams, is offered as a series of four modules. Physicians who complete this curriculum are eligible for up to 4 AMA PRA Category 1 CreditsTM and ABIM MOC points. Physicians are also eligible to earn patient safety credit.

Access these resources to help support vaccine administration in your practice. including vaccine assessment, implementing standing orders, understanding the business case for vaccines as well as ordering, storage and handling, billing and coding.

ACP Resources

• Standing Orders-A Model to Fit Your Practice - A webinar focused on standing orders to increase adult immunizations in your practice, clinic, or hospital. Drs. Robert Hopkins and L.J. Tan PhD will present best practices and strategies to implement standing orders in your practice with multiple size location examples.
• Managing your Vaccine Stock - Tips to Improving Ordering, Storage, and Handling Vaccines: A webinar focused on refining your practice’s vaccine ordering, storage, and handling. Drs. John O’Neil, DO, FACP and Michael Soppet, MD, FACP will present practical tips to help you improve ordering and managing of your vaccine stock and how to use your practice staff to streamline the process.
• What in the World is a Chief Vaccination Officer Webinar - A webinar with Dr. Soppet, Ms. Adams and Ms. Cain presenting how increasing adult immunization rates takes more than a committed physician champion-leader; the whole health care team, including office staff, need to be on board to optimize billing, and convey the importance of vaccines to patients.
• Chief Vaccination Officer Webinar 2 - Ordering and Inventory Control Webinar: The second in our series of webinars for I Raise the Rates Chief Vaccination Officers. Dr. Soppet outlines the process for ordering and inventory control of vaccines.
• Chief Vaccination Officer Webinar 3 - Financial Aspects of Insurance Billing and Collections: The third in our series of webinars for I Raise the Rates Chief Vaccination Officers led by C. Michael Soppet, MD, FACP. 
• Adult Immunization - How to Create a Successful Vaccination Program - Issues pertinent to the business aspect of adult immunization are presented in this webinar. How to purchase and stock vaccines, implement standing orders and bill appropriately for vaccines are outlined.  Presented by Jason M. Goldman, MD, FACP, Governor, Florida Chapter, ACP.

CDC Resources

• Seasonal Influenza Vaccine Supply for the U.S. 2020-2021: Provides insight into the flu vaccine supply, including the total amount purchased, distribution, and types of flu vaccine available.
• Needle Resource Guide: addresses questions on types of needles to use, questions to ask supply distributors and contact information for CDC and FDA to report issues or ask technical questions.
• You Call the Shots Vaccine Administration e-Learn: The e-Learn is a free, interactive, online educational program that serves as a useful introductory course or a great refresher on vaccine administration. Continuing education (CE) is available. Visit the You Call the Shots web page to view available modules.
• Comprehensive Vaccine Administration Information: Now is a great time to remind staff members who administer vaccines how to do it right. CDC has developed various tools to share with members of your health care community
• Short video: This training video helps identify intramuscular (IM) injection sites and provides safe injection practices to minimize risk of injuries, infections, and non-infectious adverse events for both patients and providers.
• Vaccine administration e-Leanings: A self-paced vaccine administration course that provides comprehensive training using videos, job aids, and other resources.

Immunization Action Coalition (IAC) Resources

• Immunization Action Coalition-Vaccination (IAC) Step-by Step Guide - Developed by the staff at the Immunization Action Coalition, this guide provides practical information to help you implement or enhance adult immunization services in your healthcare setting. Full guide available for download.
  • Standing Orders
  • Storage and Handling
  • Financial Considerations
  • How to Bill for Adult Immunization
  • Standing Orders for Administering Pneumococcal Vaccines (PCV15, PCV20, and PPSV23) to Adults
  • Standing Orders for Administering Recombinant Zoster Vaccine to Adults

Other Resources

• Coding and Billing for Adult Vaccinations: This webpage developed by the National Adult and Influenza Immunization Summit (NAIIS) provides information on the top questions identified with coding and/or billing for adult vaccinations, scenarios that detail how to go about coding and billing for adult vaccines, and collected resources from the Summit’s medical association, public health, and vaccine manufacturing partners.
• Reasons to Invest in Adult Vaccination Implementation: This document developed by the National Adult and Influenza Immunization Summit (NAIIS) highlight the importance of adult immunization for populations health and discusses both the financial feasibility of adult vaccination implementation and implementation strategies.

Increase your practice capacity to raise adult immunization rates and efficiency through involvement of the full healthcare team.

ACP Resources

• Building QI Team Worksheet
• Increasing Immunization Rates - In this video, Dr. Marie Brown and Sandra R. discuss steps they have incorporated in their intake and rooming process that have resulted in increase immunization rates in their office.
• I Raise the Rates Webinars
  • Standing Orders-A Model to Fit Your Practice - A webinar focused on standing orders to increase adult immunizations in your practice, clinic, or hospital. Drs. Robert Hopkins and L.J. Tan PhD will present best practices and strategies to implement standing orders in your practice with multiple size location examples. 
  • What in the World is a Chief Vaccination Officer Webinar - A webinar with Dr. Soppet, Ms. Adams and Ms. Cain presenting how increasing adult immunization rates takes more than a committed physician champion-leader; the whole health care team, including office staff, need to be on board to optimize billing, and convey the importance of vaccines to patients. 
  • Chief Vaccination Officer Webinar 2 - Ordering and Inventory Control Webinar: The second in our series of webinars for I Raise the Rates Chief Vaccination Officers. Dr. Soppet outlined the process for ordering and inventory control of vaccines. 
  • Chief Vaccination Officer Webinar 3 - Financial Aspects of Insurance Billing and Collections: The third in our series of webinars for I Raise the Rates Chief Vaccination Officers led by C. Michael Soppet, MD, FACP. 
  • Cultural Competency-How to Apply Outreach and Understanding in Your Practice Webinar - A webinar focused on cultural competency and adult immunization to help your practice, clinic, or hospital to better communicate with your patients. Dr. Jennifer Dillaha will present best practices and strategies on focused outreach to minority and ethnic groups, share resources to support communication effects and patient tools to reinforce the importance of immunization. 

Other Resources

• National Academies of Medicine: Implementing Optimal Team-Based Care to Reduce Clinician Burnout: Paper describes key features of successful health care teams, reviews existing evidence that links high-functioning teams to increased clinician well-being, and recommends strategies to overcome key environmental and organizational barriers to optimal team-based care in order to promote clinician and patient well-being.

Patient education resources and tools to communicate risks and benefits of immunization, address vaccine myths and misinformation, and empower patients to make informed decisions on their vaccine needs. 

ACP Resources

• Infographic on where to go to get routine immunizations (pdf|png)
• Poster on the importance of vaccines for older adults
• E-mail template for practices to use to encourage patients to get up-to-date with routine immunizations

CDC Resources

• Adult Immunization Schedule by Age
  • English
  • Spanish
• Adult Immunization Schedule by Medical Condition and Other Indications
  • English
  • Spanish
• Vaccine Information for Adults
• Do You Know What Vaccines You Need? (Video)
• How to Pay for Vaccines
• Roll Up Your Sleeve for Your Annual Flu Vaccine (video)
• Flu Can Be Very Serious – Flu Vaccine Protects (video)
• Protect Your Health This Season (video)
• What you Need to Know for 2020-21
• The Difference Between Flu and COVID-19
• Vaccines: Know What You Need
• 3 Important Reasons For Adults to Get Vaccinated
• Protecting your Patients with the new shingles vaccine
• What You Need to Know About Heart Disease and Adult Vaccinations
• What You Need to Know About Diabetes and Adult Vaccinations

Immunization Action Coalition (IAC) Resources

• Handouts - Clinic Resources
• Screening Checklist for Contraindications to Vaccines for Adults

Access resources to promote health equity and identify strategies to increase adult immunization rates with specialized training in understanding the barriers to immunizing adults in racial and ethnic minorities.

• I Raise the Rates Webinars
  • I Raise the Rates through the promotion of Equity-Virtual Champion Training Webinar - This training provides an overview of QI methodologies and strategies to increase adult immunization rates with specialized training in understanding the barriers to immunizing adults in racial and ethnic minorities. 
  • Cultural Competency-How to Apply Outreach and Understanding in Your Practice Webinar -  A webinar focused on cultural competency and adult immunization to help your practice, clinic, or hospital to better communicate with your patients. 
• National Adult and Influenza Immunization Summit: Spotlight on Adult Immunization Disparities
• Vaccine Publication: Improving Adult Immunization Equity: Where do the Published Research Literature and Existing Resources Lead?
• National Academies of Medicine: Can the Health Literacy Attributes and Practices of Immunization Providers Successfully Address Racial and Ethnic Disparities in Immunization Rates among Medicare Patients? Lessons Learned from Conversations with Providers

Access resources to better understand your immunization data as well as the immunization information system (IIS) within a given geographical area.

• CDC Immunization Information Systems (IIS) - Resources to meet physicians' IIS needs
• IIS Customizable Brochure - This colorful brochure is targeted at healthcare providers with adult patients to encourage them to onboard and use Immunization Information Systems (IIS). This is a “customizable” brochure into which any state/city health department may insert their own name and logo.
• Basics of IISs (Immunization Information Systems) infographic - An overview of how IISs support and connect patients/consumers, health care professionals, and public health. This downloadable PDF provides a simple visual introduction to how IISs work for people who may not be familiar with IISs, such as policy makers, health care professionals, patients, parents, and even public health staff.

• I Raise the Rates Newsletter Sign-up: Complete the following form to receive a digital copy of the I Raise the Rates monthly newsletter developed in partnership with the New Jersey Immunization Network (NJIN).
• Join the ACP Advance: I Raise the Rates Virtual Community to engage with your peers who are also engaged in increasing adult immunization vaccination coverage, share best practices, lessons learned and stay up to date on new adult immunization resources and ACP’s efforts to increase adult immunization rates.