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Goal 1: Strengthen the Adult Immunization Infrastructure


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The adult immunization infrastructure in the United States is complex and multifaceted, consisting of numerous components with unique functions.This goal of the National Adult Immunization Plan (NAIP) focuses on high-level issues with the potential to have significant impact on adult vaccination rates in the next several years, by improving and leveraging elements that already exist, rather than creating new systems, programs, and entities.


 

Goal 1 Objectives

The following six objectives, and a number of sub-objectives detailed further in the NAIP, were developed to strengthen the adult immunization infrastructure. The fourth and fifth objectives, in bold below, were chosen in the National Adult Immunization Plan: A Path to Implementation as two of eight implementation priorities.

  • Monitor and report trends in adult vaccine-preventable disease levels and vaccination coverage data for all recommended vaccines.  
  • Enhance current vaccine safety monitoring systems and develop new methods to accurately and more rapidly assess vaccine safety and effectiveness in adult subpopulations, like pregnant women.
  • Continue to analyze claims filed as part of the National Vaccine Injury Compensation Program (VICP) to assess whether there was an association between vaccines that a claimant received and adverse events experienced.
  • Increase the use of electronic health records (EHRs) and immunization information systems (IIS) to collect and track adult immunization data.
  • Evaluate and advance targeted quality improvement initiatives.
  • Generate and disseminate evidence about the health and economic impact of adult immunization, including potential diseases averted and cost-effectiveness with the use of current vaccines.

Goal 1 Priority Measures

The implementation of this plan demands regular monitoring and documentation of progress, challenges, and opportunities. Therefore, the following baseline indicators were selected to measure progress in the NAIP and will inform future implementation and quality improvement efforts.


Goal 1 - Infrastructure - 39% of adults were vaccinated annually against seasonal influenza in 2013. The goal is 70% in 2020. #Adult Vax
Goal 1 - Infrastructure - 62% of health care personnel were vaccinated annually against seasonal influenza in 2013. The goal is 90% in 2020. #Adult Vax
Goal 1 - Infrastructure - 52% of pregnant women were vaccinated annually against influenza in 2013. #Adult Vax
Goal 1 - Report - 60% of adults aged 65 and above were vaccinated annually against seasonal influenza in 2013. The goal is 90% in 2020. #Adult Vax
Goal 1 - Infrastructure - 21% of non-institutionalized high-risk adults aged 18–64 years were vaccinated annually against seasonal influenza in 2013. The goal is 60% in 2020. #Adult Vax
Goal 1 - Infrastructure - 66% of non-institutionalized adults in long-term care or nursing homes were vaccinated annually against seasonal influenza in 2013. The goal is 90% in 2020. #Adult Vax
Goal 1 - Infrastructure - 24% of adults age 60 and older were vaccinated against zoster in 2006. The goal is 30% in 2020. #Adult Vax
Goal 1 - Infrastructure - 64% of health care personnel aged 19 and older were vaccinated against hepatitis B in 2008. The goal is 90% in 2020. #Adult Vax
Goal 1 - Infrastructure - 8% of internists and 36% of family physicians recorded information on adult vaccinations in state or regional IIS in 2012 (CDC). The goal is 50% in 2020. #Adult Vax
Goal 1 - Infrastructure - 28% of surveyed pharmacists submitted adult vaccination data to an IIS in 2013 (CDC). The goal is 60% in 2020. #Adult Vax
Goal 1 - Infrastructure - 25% of adults aged 19 and older had one or more immunizations recorded in an IIS in 2012 (CDC). The goal is 50% in 2020. #Adult Vax
Goal 1 - Infrastructure - Of adult health care providers who have identified an adverse event following immunization, 17% of providers reported one or more events to VAERS. #Adult Vax

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Content created by National Vaccine Program Office
Content last reviewed on February 5, 2016