Impact of an Electronic Health Record (EHR) Reminder on XXXX ) Vaccine Initiation and Timely Completion.

@entity1 @entity3490 @entity1082
BACKGROUND: The initiation and timely completion of the @entity1082 ) vaccine in young @entity1 is critical. We compared the initiation and completion of the HPV vaccine among @entity1 in 2 community-based networks with electronic health records: 1 with a prompt and reminder system (prompted cohort) and 1 without (unprompted cohort). METHODS: Female @entity1 aged 9 to 26 years seen between @entity3490 , 2007, and January 25, 2010, were used as the retrospective cohort. @entity1 demographics and vaccination dates were extracted from the electronic health records. RESULTS: @entity1 eligible for the vaccine included 6019 from the prompted cohort and 9096 from the unprompted cohort. Mean age at initiation was 17.3 years in the prompted cohort and 18.1 years in the unprompted cohort. Significantly more (P < .001) @entity1 initiated the vaccine in the prompted cohort (34.9%) compared with the unprompted cohort (21.5%). African Americans aged 9 to 18 years with >= 3 visits during the observation period were significantly more likely to initiate in the prompted cohort (P < .001). The prompted cohort was significantly more likely (P < .001) to complete the vaccine series in a timely manner compared with the unprompted cohort. CONCLUSION: More @entity1 aged 9 to 26 years initiated and achieved timely completion of the HPV vaccine series in clinics using an electronic health record system with prompts compared with clinics without prompts.
