best practices, diphtheria, herpes zoster, immunizations, influenza, NPs, older adults, pertussis, pneumonia, primary prevention, tetanus, vaccinations



  1. Wright, Wendy L. MS, ANP-BC, FNP-BC, FAANP, FAAN, FNAP
  2. Bruns, Debra Pettit PhD, MSN, MSPH
  3. Feeney, Adele Susan DNP, FNP-C, NP-C
  4. Strowman, Shelley R. PhD


Abstract: Adults age 65 or older are at increased risk for acute and chronic diseases. Patients in this group who are up to date with all CDC-recommended vaccinations can reduce morbidity and mortality. This article discusses a quality improvement project across four NP-owned primary care clinics in which all clinical staff received an educational intervention focused on best vaccination practices and Medicare billing strategies. This project yielded improved vaccination rates in the older adult patient population over a 3-month period.