Adolescent Immunizations

Project Description

The University of North Texas Health Science Center and INCEDO, the department of professional
and continuing education, collaborated with 4 different health care systems in order to increase
the number of adolescent vaccination rates.


The participating health systems:
Billings Clinic (Billings, Montana)
Cornerstone Health Care (High Point North Carolina)
Mercy Clinic (Norfolk Missouri)
Colorado Springs Health Partners (Colorado Springs, Colorado)


Participating physicians:
231 clinicians, including: 167 pediatricians, 50 family medicine practitioners, 14 internists
During the project, the clinicians had over 75.000 patient encounters between 11 and 17
years of age that were eligible for these different vaccination types:

  • Tetanus, diphteria, and pertussis (Tdap)
  • Meningococcal vaccination
  • Human papilloma virus (HPV) vaccination


One third of the physicians completed all three stages of the Performance Improvement
Continuing Medical (PI CME) program.
The vaccination rates improved by 62,3% in just 18 months.
Clinicians who completed the CME showed greater improvement, 40% to 60% on average,
with some groups reporting as much as 88% improvement.




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