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. 2018 Feb;25(1):e95-e98.
doi: 10.3747/co.25.3756. Epub 2018 Feb 28.

Improving pneumococcal vaccine uptake in veterans with chronic lymphocytic leukemia through a virtual clinic

E C Church  1 , R Banks  2 , B Wilson  2 , L Arfons  3   4 , F Perez  2   5 , R Jump  2   3   5
Affiliations

Improving pneumococcal vaccine uptake in veterans with chronic lymphocytic leukemia through a virtual clinic

E C Church et al. Curr Oncol. 2018 Feb.

Abstract

Through a "virtual clinic," we used the electronic medical record to identify and intervene upon patients with chronic lymphocytic leukemia (cll) who were not current for pneumococcal vaccines. Within 180 days, 100/160 patients (62%) received the recommended pneumococcal vaccine. A virtual clinic may improve vaccination rates among high-risk patient populations.

Keywords: 13-valent pneumococcal vaccine; 23-valent pneumococcal capsular polysaccharide vaccine; cancer care continuum; coordination of patient care; models of care.

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Figures

FIGURE 1
FIGURE 1
Overview and outcomes of a virtual clinic for cll patients at a VA medical center. The primary outcome was vaccination with the recommended pneumococcal vaccine in the 180-day observation period following the virtual clinic intervention. CLL = chronic lymphocytic leukemia; PCV = pneumococcal conjugate vaccine; VA = veteran affairs.
FIGURE 2
FIGURE 2
Rates of PCV13 vaccination among patients with CLL. Approximately three months before the virtual clinic intervention, the vha deployed a system-wide pneumococcal vaccine clinical reminder. To assess that influence compared with the virtual clinic, we compared the rates of PCV13 vaccination over 90-day intervals before the clinical reminder (January – March; grey line), following the deployment of the clinical reminder (May – July; black line), and after the virtual clinic intervention (August – November; dashed line). CLL = chronic lymphocytic leukemia; PCV = pneumococcal conjugate vaccine.
See this image and copyright information in PMC

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