Scott Hamstra - Academia.edu (original) (raw)

Papers by Scott Hamstra

Research paper thumbnail of Pharmacist Assessments and Care to Improve Adult Vaccination Rates: A Report from Project IMPACT Vaccine Confidence

Journal of the American Pharmacists Association, Mar 1, 2024

Research paper thumbnail of Pharmacist Assessments and Care to Improve Adult Vaccination Rates: A Report from Project IMPACT Vaccine Confidence

Journal of the American Pharmacists Association, Mar 1, 2024

Research paper thumbnail of Password and Encryption for PDAs

Research paper thumbnail of Recording Health Factors in the RPMS System

Research paper thumbnail of Randomized comparative study of ampicillin/sulbactam vs. ceftriaxone for treatment of soft tissue and skeletal infections in children

The Pediatric Infectious Disease Journal, 1989

Research paper thumbnail of PDA and HIPAA Compliance

Research paper thumbnail of PDA Software available from the Internet

Research paper thumbnail of The IHS/ASIIS Immunization Interface: Building Data Exchange through Communication and Collaboration

Background: The Indian Health Service (IHS) immunization data exchange initiative encourages IHS,... more Background: The Indian Health Service (IHS) immunization data exchange initiative encourages IHS, tribal and urban Indian health (ITU) sites to participate in immunization information systems (IIS). Since 2006, ITU sites in Arizona have used IHS developed software to facilitate provider participation in an automated, two-way batch ITU/IIS interface with the Arizona IIS, ASIIS. Interface participation allows ITU providers to import ASIIS information into their locally based electronic health record system and track patient immunizations received by other providers. ASIIS and IHS work together to increase the number of ITU providers that interface with ASIIS and maintain existing interfaces. Setting: ITU clinics that utilize the IHS Resource and Patient Management System (RPMS) and also use the IHS data exchange software to perform automated bidirectional immunization data exchange with ASIIS. Population: In 2008, there were 22,152 (5%) American Indian and Alaska Native (AI/AN) childr...

Research paper thumbnail of Evaluation of the Impact of an Innovative Immunization Practice Model Designed to Improve Population Health: Results of the Project IMPACT Immunizations Pilot

Population Health Management

The goal of the initiative was to evaluate the impact of an innovative practice model on identifi... more The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates. The main outcome measures were the number of vaccination forecast reviews, patients educated, unmet vaccination needs identified and resolved, and vaccines administered. Pharmacists reviewed vaccination forecasts generated by clinical decision-support technology based on patient information documented in the IIS for 1080 patients receiving influenza vaccinations. The vaccination forecasts predicted there were 1566 additional vaccinations due at the time patients were receiving the influenza vaccine. Pharmacist assessments identified 36 contraindications and 196 potential duplications, leaving a net of 1334 unmet vaccination needs eligible for vaccination. In all, 447 of the 1334 unmet vaccinations needs were resolved during the 6-month study period, and the remainder of patients received information about their vaccination needs and recommendations to follow up for their vaccinations. Integration of streamlined principle-centered processes of care in immunization practices that allow pharmacists to utilize actionable point-of-care data resulted in identification of unmet vaccination needs, education of patients about their vaccination needs, a 41.4% increase in the number of vaccines administered, and significant improvements in routinely recommended adult vaccination rates.

Research paper thumbnail of Evaluation of the Impact of an Innovative Immunization Practice Model Designed to Improve Population Health: Results of the Project IMPACT Immunizations Pilot

Population Health Management, Feb 1, 2018

The goal of the initiative was to evaluate the impact of an innovative practice model on identifi... more The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates. The main outcome measures were the number of vaccination forecast reviews, patients educated, unmet vaccination needs identified and resolved, and vaccines administered. Pharmacists reviewed vaccination forecasts generated by clinical decision-support technology based on patient information documented in the IIS for 1080 patients receiving influenza vaccinations. The vaccination forecasts predicted there were 1566 additional vaccinations due at the time patients were receiving the influenza vaccine. Pharmacist assessments identified 36 contraindications and 196 potential duplications, leaving a net of 1334 unmet vaccination needs eligible for vaccination. In all, 447 of the 1334 unmet vaccinations needs were resolved during the 6-month study period, and the remainder of patients received information about their vaccination needs and recommendations to follow up for their vaccinations. Integration of streamlined principle-centered processes of care in immunization practices that allow pharmacists to utilize actionable point-of-care data resulted in identification of unmet vaccination needs, education of patients about their vaccination needs, a 41.4% increase in the number of vaccines administered, and significant improvements in routinely recommended adult vaccination rates.

Research paper thumbnail of Pharmacist Assessments and Care to Improve Adult Vaccination Rates: A Report from Project IMPACT Vaccine Confidence

Journal of the American Pharmacists Association, Mar 1, 2024

Research paper thumbnail of Pharmacist Assessments and Care to Improve Adult Vaccination Rates: A Report from Project IMPACT Vaccine Confidence

Journal of the American Pharmacists Association, Mar 1, 2024

Research paper thumbnail of Password and Encryption for PDAs

Research paper thumbnail of Recording Health Factors in the RPMS System

Research paper thumbnail of Randomized comparative study of ampicillin/sulbactam vs. ceftriaxone for treatment of soft tissue and skeletal infections in children

The Pediatric Infectious Disease Journal, 1989

Research paper thumbnail of PDA and HIPAA Compliance

Research paper thumbnail of PDA Software available from the Internet

Research paper thumbnail of The IHS/ASIIS Immunization Interface: Building Data Exchange through Communication and Collaboration

Background: The Indian Health Service (IHS) immunization data exchange initiative encourages IHS,... more Background: The Indian Health Service (IHS) immunization data exchange initiative encourages IHS, tribal and urban Indian health (ITU) sites to participate in immunization information systems (IIS). Since 2006, ITU sites in Arizona have used IHS developed software to facilitate provider participation in an automated, two-way batch ITU/IIS interface with the Arizona IIS, ASIIS. Interface participation allows ITU providers to import ASIIS information into their locally based electronic health record system and track patient immunizations received by other providers. ASIIS and IHS work together to increase the number of ITU providers that interface with ASIIS and maintain existing interfaces. Setting: ITU clinics that utilize the IHS Resource and Patient Management System (RPMS) and also use the IHS data exchange software to perform automated bidirectional immunization data exchange with ASIIS. Population: In 2008, there were 22,152 (5%) American Indian and Alaska Native (AI/AN) childr...

Research paper thumbnail of Evaluation of the Impact of an Innovative Immunization Practice Model Designed to Improve Population Health: Results of the Project IMPACT Immunizations Pilot

Population Health Management

The goal of the initiative was to evaluate the impact of an innovative practice model on identifi... more The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates. The main outcome measures were the number of vaccination forecast reviews, patients educated, unmet vaccination needs identified and resolved, and vaccines administered. Pharmacists reviewed vaccination forecasts generated by clinical decision-support technology based on patient information documented in the IIS for 1080 patients receiving influenza vaccinations. The vaccination forecasts predicted there were 1566 additional vaccinations due at the time patients were receiving the influenza vaccine. Pharmacist assessments identified 36 contraindications and 196 potential duplications, leaving a net of 1334 unmet vaccination needs eligible for vaccination. In all, 447 of the 1334 unmet vaccinations needs were resolved during the 6-month study period, and the remainder of patients received information about their vaccination needs and recommendations to follow up for their vaccinations. Integration of streamlined principle-centered processes of care in immunization practices that allow pharmacists to utilize actionable point-of-care data resulted in identification of unmet vaccination needs, education of patients about their vaccination needs, a 41.4% increase in the number of vaccines administered, and significant improvements in routinely recommended adult vaccination rates.

Research paper thumbnail of Evaluation of the Impact of an Innovative Immunization Practice Model Designed to Improve Population Health: Results of the Project IMPACT Immunizations Pilot

Population Health Management, Feb 1, 2018

The goal of the initiative was to evaluate the impact of an innovative practice model on identifi... more The goal of the initiative was to evaluate the impact of an innovative practice model on identification of unmet vaccination needs and vaccination rates. This was accomplished through a prospective, multisite, observational study in 8 community pharmacy practices with adults receiving an influenza vaccine with a documented vaccination forecast review from October 22, 2015 through March 22, 2016. When patients presented for influenza vaccinations, pharmacists utilized immunization information systems (IIS) data at the point of care to identify unmet vaccination needs, educate patients, and improve vaccination rates. The main outcome measures were the number of vaccination forecast reviews, patients educated, unmet vaccination needs identified and resolved, and vaccines administered. Pharmacists reviewed vaccination forecasts generated by clinical decision-support technology based on patient information documented in the IIS for 1080 patients receiving influenza vaccinations. The vaccination forecasts predicted there were 1566 additional vaccinations due at the time patients were receiving the influenza vaccine. Pharmacist assessments identified 36 contraindications and 196 potential duplications, leaving a net of 1334 unmet vaccination needs eligible for vaccination. In all, 447 of the 1334 unmet vaccinations needs were resolved during the 6-month study period, and the remainder of patients received information about their vaccination needs and recommendations to follow up for their vaccinations. Integration of streamlined principle-centered processes of care in immunization practices that allow pharmacists to utilize actionable point-of-care data resulted in identification of unmet vaccination needs, education of patients about their vaccination needs, a 41.4% increase in the number of vaccines administered, and significant improvements in routinely recommended adult vaccination rates.