Table 2.
Relevant Community Preventive Services Task Force Evidence-based Strategies for Increasing Immunization in Gastroenterology and Hepatology Clinics During COVID-197
| Intervention | Level of evidencea | Example |
|---|---|---|
| Client reminder and recall systems | Strong | Reminder letter or message to patient |
| Provider assessment and feedback | Strong | Evaluate provider or practice performance |
| Provider reminders | Strong | Prompt in electronic health record to administer vaccine |
| Standing orders | Strong | Delegation protocols so medical assistant, nurses, or pharmacist can provide vaccines |
| Immunization information systems | Strong | State immunization registries |
| Home visits | Strong | Healthcare worker administering vaccine during routine home visit |
| Healthcare system–based interventions implemented in combination | Strong | Multiple proven interventions including standing orders, provider reminders, assessment and feedback, client reminders, and expanded access |
| Increase access | Strong | Immunization in infusion center, blood draws, local pharmacies |
Level of evidence is based on several factors including study design, number of studies, and consistency of the effect across studies.