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American Association for Physician Leadership
American Association for Physician Leadership

Optimal Administration Schedule for Pneumococcal Vaccinations for Older Adults: 2018 HEDIS and ACIP Updates

by Erick Kang | Janis Coffin, DO, FAAFP, FACMPE

February 8, 2019


Within the past decade, healthcare has shifted toward a pay-for-performance model where health plans now utilize tools such as the Healthcare Effectiveness Data and Information Set (HEDIS) to assess an institution’s performance and patient satisfaction. The focus of this article will be HEDIS’ inclusion of pneumococcal vaccination for older adults.


Designed by the National Committee for Quality Assurance, HEDIS is used by more than 90% of U.S. health plans to measure whether an institution is providing quality patient care. The data obtained through HEDIS are designed specifically to be able to compare performance within a healthcare institution and among different institutions across the country. These data are readily available for all to review and for hospitals to focus on areas that require improvements. With the recent 2018 HEDIS update, seven new dimensions have now been implemented and are considered standards of care: (1) transitions of care; (2) follow-up after emergency department visit for people with high-risk multiple chronic conditions; (3) use of opioids at high dosages; (4) use of opioids from multiple providers; (5) depression screening and follow-up for adolescents and adults; (6) unhealthy alcohol use screening and follow-up; and (7) pneumococcal vaccination coverage for older adults.

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Erick Kang

Fourth Year PharmD Student, University of Georgia, Athens, Georgia.

Janis Coffin, DO, FAAFP, FACMPE

Chief Transformation Officer, Augusta University, 1120 15th St HB 3042, Augusta, GA 30912; e-mail:

For over 45 years.

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The American Association for Physician Leadership (AAPL) changed its name from the American College of Physician Executives (ACPE) in 2014. We may have changed our name, but we are the same organization that has been serving physician leaders since 1975.


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