Improving Immunization Rates at an Urban Charter School.

A midwestern children's hospital operates a school-based clinic in an urban charter school. The clinic provides the expertise and knowledge of an advanced practice registered nurse (APRN) and offers a structure permitting care coordination and continuity. The APRN created a systematic process for immunization record maintenance. This process identifies students needing recommended vaccines for their age group and provides opportunities for students to update their record or receive immunizations. This initiative demonstrated that improved vaccination compliance can be sustained through systematic methods to identify immunization gaps and support the administration of necessary vaccines.