Date of Doctor of Nursing Practice Project Completion
8-2025
Faculty Advisor
Faith Strunk
Abstract
Purpose:
The purpose of this project was to evaluate the clinical and financial outcomes of implementing a titer-first vaccination protocol for new employees at an Employee Health Clinic. This project sought to improve cost-effectiveness and reduce unnecessary vaccinations.
Background:
This project was conducted at a large healthcare organization in Houston, Texas, to address the cost burden of traditional vaccination protocols. Pre-vaccination serologic testing helps identify existing immunity, reducing unnecessary vaccinations and overall clinic costs.
Methodology:
The titer-first vaccination protocol includes serologic testing for measles, mumps, rubella (MMR), varicella, and hepatitis B, followed by vaccine administration for those without immunity. Data on vaccine costs and dose administration was collected for June, July, and August across two fiscal years. Post-intervention data was compared to pre-intervention data.
Results:
The clinic achieved a cost savings of $7,065.53 and a 44.26% reduction in vaccine doses administered after implementing the Titer-First Vaccination Protocol. Improved data tracking was noted with EMR use (EPIC), despite minor challenges such as early documentation discrepancies and occasional scheduling delays.
Implications:
The titer-first vaccination protocol effectively reduces unnecessary vaccinations and costs while maintaining employee immunization standards. This model is scalable to other institutions with supportive infrastructure.
Keywords
Titer-first vaccination protocol, Employee Health Clinic, Cost-effectiveness in healthcare, Pre-vaccination serologic testing, Immunization standards, Vaccine dose reduction, Healthcare cost savings, Occupational health nursing, Vaccination program evaluation
Recommended Citation
Obehi Dickson, "Titer-First Vaccination Protocol in an Employee Health Clinic" (2025). Doctor of Nursing Practice Final Project Abstract. 99.
https://digitalcommons.library.tmc.edu/dnp_abstract/99
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