Despite national recommendations for vaccination, rates can be lower than practitioners assume. For example, flu vaccines are so ubiquitously offered in the fall and winter that it feels natural to assume that patients are adequately protected, but most practices don’t actively track or work to increase immunization rates. The 4 Pillars™ Practice Transformation (4 Pillars™) Program is a compilation of evidence-based steps for increasing immunizations using an online implementation tracking dashboard. The program provides an easy guide for outpatient clinics to estimate current vaccination rates and then boost those numbers. Not only does widespread vaccination serve the public good, but it also eliminates costs associated with treating preventable illnesses.
The 4 Pillars™ Program (4pillarstoolkit.pitt.edu) is an online compilation of evidence-based best practices and step-by-step guides for increasing immunizations in outpatient practice settings. The program is founded on four key domains or pillars: convenience, communication, facilitation, and motivation.
The 4 Pillars™ Program provides guidance for implementing the strategies, and the online practice transformation dashboard showed the practices’ progress through the change process. The program provides an easy guide for outpatient clinics to estimate current vaccination rates and then boost those numbers.
The 4 Pillars™ Program has been used in 3 large scale clinical trials, where it has minimized missed opportunities for immunization and increased vaccination rates.
- Ready-to-implement format crafted by academic experts
- Increases vaccination rates
- Tracking and increasing immunization rates in outpatient clinics
Stage of Development
The 4 Pillars™ Program is being pilot-tested in a health system with more than 110 primary care practices. The next major release is funded and planning is underway.
Copyright 2016 by the University of Pittsburgh.