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Goal 2: Improve Access to Adult Vaccines

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The passage of the Affordable Care Act marked an important opportunity for adult vaccination. The National Adult Immunization Plan (NAIP) aims to leverage the full potential of the Affordable Care Act to improve access to adult vaccinations and to identify solutions to ongoing challenges. However, the inability to access vaccines is a commonly cited barrier to increasing adult vaccination, so understanding and reducing these barriers is an important objective of the NAIP.


Goal 2 Objectives

The following four objectives, and a number of sub-objectives detailed further in the NAIP, were developed to improve access to adult vaccines. The first, second and third objectives, in bold below, were chosen in the National Adult Immunization Plan: A Path to Implementation as three of eight implementation priorities.

  • Reduce financial barriers for individuals who receive recommended adult vaccines.
  • Assess and improve understanding of providers’ financial barriers to delivering vaccinations, including stocking and administering vaccines.
  • Expand the adult immunization provider network.
  • Ensure a reliable supply of vaccines and the ability to track vaccine inventories, including during public health emergencies.

Goal 2 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.

Access - 85% of states and territories in 2013 allowed pharmacists to administer all routinely recommended vaccines for adults 19+ without a patient-specific prescription. The goal is 100% in 2020. #Adult Vax
Access - 20% of internists and 31% of family physicians stocked vaccines routinely recommended for adults in 2012 (CDC). The goal is 60% in 2020. #Adult Vax
Access - 20% of state Medicaid programs provided coverage of all ACIP/CDC recommended vaccinations for adults and prohibit cost-sharing. The goal is 100% in 2020. #Adult Vax

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Adult getting vaccinated

Many stakeholders play a role in improving the adult immunization system. Tell us how you or your organization are working to uphold the goals of the National Adult Immunization Plan!

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