Implementing Adult Hepatitis B Immunization and Screening Using Electronic Health Records: A Practical Guide

Area of Science:

• Public Health
• Infectious Diseases
• Vaccinology

Background:

• Hepatitis B affects millions in the US, with low diagnosis and vaccination rates.
• Recent CDC recommendations expand adult hepatitis B screening and vaccination eligibility.
• Current screening and vaccination coverage fall significantly short of public health goals.

Purpose of the Study:

• To provide a framework for health systems to implement updated hepatitis B recommendations using EHR tools.
• To address common clinician questions regarding hepatitis B screening and vaccination.

Main Methods:

• Leveraging Electronic Health Record (EHR) tools, including prompts and order sets, to enhance screening and vaccination.
• Developing a practical strategy to guide health systems in implementing new hepatitis B guidelines.
• Compiling frequently asked questions and answers for clinicians to facilitate screening and vaccination.

Main Results:

• EHR tools are effective for increasing hepatitis B screening and vaccination rates.
• Challenges in EHR implementation exist due to provider unfamiliarity and existing questions about hepatitis B vaccines and tests.
• A structured approach is needed for patient identification, order set utilization, and follow-up.

Conclusions:

• A comprehensive EHR strategy is essential for health systems to effectively implement updated adult hepatitis B screening and vaccination recommendations.
• Addressing clinician queries and providing clear guidance can overcome barriers to widespread screening and vaccination.
• Successful implementation will improve diagnosis and vaccination rates, contributing to hepatitis B control in the US.