Health care system-based interventions implemented in combination are recommended on the basis of strong evidence of effectiveness in increasing vaccination rates in targeted client populations. The combination of at least one intervention to increase client demand for vaccinations (i.e., client reminder & recall systems, clinic-based client education, manual outreach & tracking) with one or more interventions that address either or both of the following strategies: interventions to enhance access to vaccinations (i.e., expanded access in health care settings, reduced client out-of-pocket costs, home visits) and interventions directed at vaccination providers or systems (i.e., provider reminders, standing orders, provider assessment & feedback). Health care system-based interventions implemented in combination involve the use of two or more coordinated interventions to increase vaccination rates within a targeted population. Interventions are implemented primarily in health care settings, although efforts may include additional activities within the community. The selection and implementation of coordinated interventions may result from an overall quality improvement effort in a health care setting.

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Effect Health System Change, Effect Behavioral Change, Reduce Morbidity, Reduce Mortality, Reduce Risk or Incidence of Disease or Condition, Healthcare, Public Health, Behavioral & Social, Environmental & Policy, Primary Prevention, Clinical Practice, Patients, Families & Households