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Documentation of counseling patients about Pneumococcal Vaccination

Why is this important?
The Pneumococcal Vaccination helps prevent diseases including pneumonia and meningitis. Pneumococcal Disease kills more people in the United States each year than all other vaccine-preventable diseases combined.

Who needs a Pneumococcal Vaccination? Who does this apply to?
This measure applies to CPN's Family Practice, Internal Medicine, Obstetrics and Gynecology and Pediatric providers (physicians, nurse practitioners and physicians' assistants). CPN audits patient charts twice a year for documented Pneumococcal Vaccinations. They check the charts/records of appropriate patients to make sure that providers have documented a discussion of the vaccination and/or that the patient received the vaccination. The current score listed is based on the July 2008 to June 30, 2009 audit.

Centers for Disease Control and Prevention (CDC) recommend that the following patients receive a Pneumococcal Vaccination:

  • people from 2 to 64 years of age who
    have certain chronic medical conditions such as diabetes, or COPD,
    have functional or anatomic asplenia (e.g., sickle cell disease or splenectomy), or
    are living in environments or social settings in which the risk for invasive Pneumococcal Disease or its complications is increased (like nursing homes and other long-term care facilities),
  • people over 65 years of age, and
  • people who have an immune system that has been impaired by disease or treatment.

Alaskan Natives and certain American Indian populations should also be vaccinated because of recently reported outbreaks of Pneumococcal Disease.

Most healthy adults need only a single dose of the Pneumococcal Vaccine. However, a second dose of the vaccine may be recommended for those 65 years or older who received their first dose when they were younger than 65. They should receive their second dose of the Pneumococcal Vaccine 5 years after the first one.

If a patient refuses the vaccination, it must be documented. Unless refusal is due to allergy, providers must document in patients' charts/records that they counseled them about receiving a Pneumococcal Vaccination annually.

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