Maximizing Adult Vaccinations with the 4 Pillars Immunization Toolkit CMI


This activity is designed for clinical medical staff who wish to increase adult vaccination rates including influenza, Tdap, PPSV, PCV, and zoster vaccines.  The activity has 4 phases – 1) determination of the current state:  selection of immunizations, snapshot of current vaccination levels and review of known barriers to immunization; 2) physician selection of interventions to improve vaccination rates from the 4 Pillars Immunization Toolkit; 3) implementation of the selected interventions, and 4) evaluation of improvement.  The 4 Pillars™ Immunization Toolkit is an evidence-based, practical toolkit that facilitates vaccination by suggesting 1) convenience, 2) messaging to patients, 3) enhanced office systems, and 4) motivation.  This Toolkit was developed with CDC involvement and is up to date on immunization science.  The Toolkit has proven effective in those practices that actively implement it.



  • Choose, read, and relect on 1 case study.
  • Test you knowledge regarding vaccination systems, science, and policy.
  • Conduct a minimum of 10 chart audits.
  • Read a self-learning module.
  • Conduct a post-audit.
  • Complete a short activity evalution survey.


  • Evaluate your practice's vaccination systems, pateint notification, convenience & access to vaccines, and motivation & leadership among staff members.
  • Evaluate process measures to track over the course of the intervention.
0 sec
Contact Us: 

University of Pittsburgh
School of Medicine
Dept of Family Medicine
3518 Fifth Ave
Pittsburgh, PA 15261