A multifaceted intervention to leverage electronic health records to improve vaccination rates for patients with rheumatoid arthritis

The overall goal of this project is to implement and test a system-level intervention designed to achieve very high levels of adherence to pneumococcal vaccination (PVX), annual influenza vaccination INFVX, and zoster vaccination (ZVX) before treatment with highly immunosuppressive therapies, including biologics and kinase inhibitors, among patients with rheumatoid arthritis (RA). The intervention will include: 1) electronic quality measurement and individual feedback to physicians, 2) computerized, point-of-care clinical decision support, and 3) population health management facilitated by an electronic data warehouse.