Improving Immunization Rates


Great Plains QIN is actively working with providers, patients, partners and stakeholders to implement best practices to increase immunization rates for influenza, pneumococcal disease and herpes zoster.

According to the Centers for Disease Control and Prevention, immunization rates among adults in the United States are much lower than national targets. Several interventions, however, have proven successful. For example, recommendations from healthcare professionals have repeatedly shown to increase immunization rates. System-level changes that include routine vaccine assessment, recommendations and administration also lead to improvement.

Goal:By 2019, we envision an absolute rate of 90% for adult immunization status assessment, appropriate immunization or referral and documentation of Medicare beneficiary immunization status via electronic methods. This goal will be achieved by educating and assisting Home Health Agencies (HHAs); practitioner-owned and/or -operated offices/clinics and other healthcare facilities to implement the adult immunization recommendations of the Advisory Committee on Immunization Practices and National Vaccine Advisory Committee standards for adult immunization practice.

Get Involved

We offer a wealth of free evidence-based resources to promote influenza, pneumococcal and herpes zoster vaccination best practices, guidelines and tools to break down barriers to care for disparate populations.  We have also convened a Learning and Action Network (LAN) to give providers, community organizations and patients the opportunity to share and learn. Ultimately, we intend to improve access to and quality of care through our efforts. Together, we play an important role in helping to educate patients about immunization recommendations. Join our Learning and Action Network today.

State Immunization Information Systems for the Great Plains QIN Region

Kansas Immunization Program
Nebraska State Immunization Information System (NESIIS)
North Dakota Immunization Information System
South Dakota Immunization Program

Keep your patients strong. Vaccinate. Fight Flu.

ILINet State Activity Indicator Map

Influenza-Like Illness (ILI) Activity Level Indicator Determined by Data Reported to ILINet

Immunization Schedules.

Additional Immunization Resources


External Resources

4 Pillars Immunization Toolkit (trademarked)
American College of Physicians Immunizations Portal
American Hospital Association - United Against the Flu
Centers for Disease Control and Prevention - Vaccines
CDC Influenza Toolkit for LTC Providers
FLU Defense - Your Older Adult Patients are at Risk
Healthy People 2020 - Immunization and Infectious Diseases
Immunization Action Coalition
National Institute for Infectious Diseases
National Immunization Awareness Month - Communications Toolkit
Types of Influenza Vaccine | Seasonal Flu (CDC)

Immunizing Healthcare Workers
Posters/Infographics/Fact Sheets


External Resources

2018 Recommended Immunizations for Adults by Age
Flu and You - Immunizations and Diabetes Fact Sheet/Infographic

Meet the Experts

Stephan Schroeder

Stephan Schroeder, MD

Immunization Task Practitioner
South Dakota
Email Dr. Schroeder

Katy Burket

Katy Burket, RN

Program Manager
South Dakota
Email Katy

Amanda Bridges


Quality Improvement Advisor
Email Tammy

Amanda Bridges

Erin McGuire, BS

Quality Improvement Consultant
Email Erin

Nikki Medalen

Nikki Medalen, MS, BSN, APHN-BC

Quality Improvement Specialist
North Dakota
Email Nikki

Learning and Action Network

We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.