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Performance measures, vaccinations, and pneumonia rates among high-risk patients in veterans administration health care

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  • Jha, A.K.
  • Wright, S.M.
  • Perlin, J.B.

Abstract

Objectives. Influenza and pneumococcal vaccinations reduce morbidity, mortality, and health care costs, but their use lags behind goals set by public health experts. We evaluated the effect of a performance measurement program instituted by the Veterans Health Administration in 1995 to improve vaccination rates. Methods. We used cross-sectional chart-abstracted data to calculate influenza and pneumococcal vaccination rates among eligible patients, and administrative data to calculate pneumonia admission rates. We compared vaccination and hospitalization rates before and after the institution of the performance measurement program with rates outside the Veterans Health Administration. Results. Influenza and pneumococcal vaccination rates for eligible patients rose from 27% and 28% during 1994 to 1995 to 70% and 85%, respectively, by 2003 (P for trend

Suggested Citation

  • Jha, A.K. & Wright, S.M. & Perlin, J.B., 2007. "Performance measures, vaccinations, and pneumonia rates among high-risk patients in veterans administration health care," American Journal of Public Health, American Public Health Association, vol. 97(12), pages 2167-2172.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.099440_3
    DOI: 10.2105/AJPH.2006.099440
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