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Vaccine Policy Collaborative Initiative

The Vaccine Policy Collaborative Initiative (VPCI) provides an objective platform for primary care physicians to voice their concerns and experiences with vaccines in their practice. This project allows the physicians’ voice to be heard on a national level with regards to experiences ordering, recommending and administering potential up-and-coming vaccines or vaccines currently recommended by the Center for Disease Control’s Advisory Committee on Immunization Practices (ACIP). This research is vital in order to help direct vaccination policy at a national level.
The VPCI is nearing its sixth year conducting surveys of physicians around the country about important issues relevant to national immunization policy. It is a unique project that has direct influence on the establishment of US immunization policies and practices.

The VPCI is directed by Dr. Allison Kempe of the ACCORDS Child Program at the University of Colorado Denver, and works in collaboration with the Centers for Disease Control and Prevention (CDC). Surveys are conducted each year by a multidisciplinary team with expertise in rapidly designing, conducting and analyzing surveys. The Initiative employs a rapid turnaround survey method with a national network of physicians (indentified as sentinel site networks).

Currently, three sentinel site networks are up and running in pediatrics, family medicine and general internal medicine specialties. Physicians were randomly recruited from around the country using the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP) and American College of Physicians (ACP) membership files. These networks are designed to represent four geographic regions (Northeast, Midwest, South and West), three practice settings (urban inner city, suburban and rural) and three practice types (private, public or hospital-based clinic, and HMO). Each network includes approximately 425 physicians. To establish comparability to these three sentinel sites, the study team also administered surveys to random samples of physicians in each primary care specialty recruited from the American Medical Association (AMA).

Three geographically diverse advisory committees from each primary care setting guide the study team with each survey. The function of the advisory committees is to advise the investigators with regard to policy-relevant issues, discuss optimal ways to access providers, and are used to pilot survey questions and methods.
Our work has been presented every year at National Meetings including the PAS, NIC, and SGIM. Additionally, 7 of these abstracts have been presented at the ACIP annual meetings.


O’Leary ST, Allison MA, Lindley MC, Crane LA, Hurley LP, Brtnikova M, Beaty BL, Babbel CI, Jimenez-Zambrano A, Berman S, Kempe A. Vaccine financing from the perspective of primary care physicians. Pediatrics 2014 Mar;133(3):367-74.
Hurley LP, Bridges CB, Harpaz R, Allison MA, O’ Leary ST, Crane LA, Brtnikova M, Stokley S, Beaty BL, Jimenez-Zambrano A, Ahmed F, Hales C, Kempe A. U.S. physicians' perspective of adult vaccine delivery. Ann Intern Med. 2014 Feb 4;160(3):161.
Allison MA, Dunne EF, Markowitz L, O’Leary ST, Crane LA, Hurley LP, Stokley S, Babbel CI, Brtnikova M, Beaty BL, Kempe A. HPV vaccination of boys in primary care practices. Acad Pediatr. 2013 Sep-Oct;13(5):466-74.
Seewald L, Hurley L, Crane L, Dong F, Stokley S, Daley MF, Barrow J, Babbel C, Dickinson LM, Kempe A. Things are not as bad as they seem: physicians' ability to predict their clinical practice when a new vaccine becomes available. Healthcare Policy. 2013 May; 8(4): 71-85.
O’Leary ST, Alison MA, Stokley S, Crane LA, Hurley LP, Beaty BL, Kempe A.  Physicians' confidence in vaccine safety studies.Prev Med. 2013 Mar;56(3-4):231-3.
O’Leary ST, Parashar UD, Crane LA, Allison MA, Stokley S, Beaty BL, Brtnikova M, Hurley LP, Kempe A. Adoption of rotavirus vaccine by U.S. physicians: progress and challenges. Am J Prev Med. 2013 Jan;44(1):56-62.
O’Leary ST, Suh C, Marin M, Daley MF, Broder K, Crane LA, Babbel C, Barrow J, Wan-Ting H, Stokley S, Beaty B, Dickinson M, Kempe A. Febrile seizures and measles-mumps-rubella-varicella (MMRV) vaccine: what do primary care physicians think? Vaccine 2012 Nov 6;30(48):6731-3.
O'Leary S, Stokley S, Crane L, Allison M, Hurley L, Wortley P, Babbel C, Beaty B, Gahm C, Kempe A. Influenza vaccination in the 2009-2010 pandemic season: the experience of primary care physicians. Preventive Medicine 2012 Jul;55(1):68-71.
O'Leary S, Crane LA, Wortley P, Daley MF, Hurley L, Dong F, Stokley S, Babbel C, Seewald L, Gahm C, Dickinson LM, Kempe A. Adherence to Expanded Influenza Immunization Recommendations Among Primary Care Providers. Pediatrics 2012 March;160(3):480-6.
Kempe A, Wortley P, O'Leary S, Crane LA, Daley MF, Stokley S, Babbel C, Dong F, Seewald L, Suh C, Dickinson LM. Pediatricians' Attitudes About Collaborations with Other Community Vaccinators in the Delivery of Seasonal Influenza. Acad Pediatr 2012 Jan-Feb;12(1):26-35.
Hurley LP, Wortley P, Allison MA, O'Leary S, Daley MF, Babbel C, Crane LA, Stokely S, Beaty B, Dickinson LM, Kempe A. Seasonal Influenza Vaccination in Adults: Practice and Attitudes about Collaborative Delivery with Community Vaccinators. Vaccine 2011 Nov;29(47):8649-55.
Allison MA, Cohn A, Stokley S, Crane LA, O'Leary S, Hurley L, Babbel CI, Dong F, Gahm C, Temte JL, Kempe A. Timing of Adolescent Meningococcal Conjugate Vaccination: Attitudes and Practices of Primary Care Physicians. Am J Prev Med 2011 Dec;41(6):581-7.
O'Leary S, Barrow JC, McQuillan L, Daley MF, Crane LA, Beaty BL, Babbel CI, Dickinson LM, Kempe A. Influenza Vaccine Delivery Delays from the Perspective of Primary Care Physicians. Am J Prev Med. 2011 Jun;40(6):620-4.
Wan-Ting H, Suh C, Campagn
a E, Broder KR, Daley MF, Crane LA, Stockley S, Kempe A. Physicians’ Adherence to Recommendations for Preventing Traumatic Injuries from Postvaccination Syncope: A National Survey. Am J Prev Med. 2011 Sep;41(3):317-21.
Kempe A, Daley MF, McCauley MM, Crane LA, Suh CA, Kennedy AM, Basket MM, Stokley SK, Dong F, Babbel CI, Seewald LA, Dickinson LM. Prevalence of Parental Concerns About Childhood Vaccines: The Experience of Primary Care Physicians. Am J Prev Med. May 2011; 40(5):548-55.
Daley MF, Crane LA, Markowitz LE, Black SB, Beaty BL, Barrow J, Babbel C, Gottlieb SL, Liddon N, Stokley S, Dickinson LM, Kempe A. Human Papillomavirus Vaccination Practices: A Survey of U.S. Physicians 18 Months Post-Licensure . Pediatrics. 2010 Dec;126(3):425-33.
Suh C, McQuillan L, Daley MF, Crane LA, Beaty B, Barrow J, Babbel C, Dickinson LM, Kempe A. Late Season Influenza Vaccination: A National Survey of Physician Practice and Barriers. Am J Prev Med. 2010 Jul;39(1):69-73.
Hurley LP, Lindley MC, Harpaz R, Stokley S, Daley MF, Crane LA, Dong F, Beaty B, Tan L, Babbel C, Dickinson LM, Kempe A. Barriers to the use of herpes zoster vaccine. Annals of Internal Med. 2010, May 4. 159(2): 555-60.
Kempe A, Babbel C, Wallace GS, Stokley S, Daley MF, Crane LA, Beaty B, Black SR, Barrow J, Dickinson LM. Knowledge of Interim Recommendations and Use of Hib Vaccine during Vaccine Shortages. Pediatrics. 2009 May;125(5):914-20. Epub 2010 Apr 19.
Kempe A, Patel MM, Daley MF, Crane LA, Beaty B, Stokley S, Barrow J, Babbel C, Dickinson LM, Tempte JL, Parashar UD. Adoption of Rotavirus Vaccination by U.S. Pediatricians and Family Physicians. Pediatrics. 2009 Nov;124(5):e809-16. Epub 2009 Oct 12.
Daley MF, Hennessey KA, Weinbaum CM, Stokley S, Hurley LP, Crane LA, Beaty BL, Barrow JC, Babbel CI, Dickinson LM, Kempe A. Physician Practices Regarding Adult Hepatitis B Vaccination: A National Survey. Am J Prev Med. 2009 Jun; 36(6):491-6. Epub 2009 Apr 11.
McQuillan L, Daley MF, Stokley S, Crane LA, Beaty BL, Barrow J, Babbel C, Dickinson LM, Kempe A. Impact of the 2004-2005 Influenza Vaccine Shortage on Pediatric Practice: A National Survey. Pediatrics. 2009 Feb; 123(2):el86-92.
Kempe A, Hurley L, Stokley S, Daley MF, Crane LA, Beaty BL, Dickinson LM, Babbel C, Barrow J, Steiner JF. Pneumococcal Vaccination in General Internal Medicine Practice: Current Practice and Future Possibilities. J of Gen Internal Med. Dec; 23(12):2010-3. Epub 2008 Oct 2.
Hurley LP, Harpaz R, Daley MF, Crane LA, Beaty BL, Barrow J, Babbel C, Marin M, Steiner JF, Davidson A, Dickinson LM, Kempe A. National survey of primary care physicians regarding herpes zoster and the herpes zoster vaccine. Journal of Infectious Disease 2008 Mar 1;197.
Crane LA, Daley MF, Barrow J, Babbel C, Beaty BL, Steiner JF, Kempe A, Dickinson LM, and Stokley S. Sentinel Physician Networks as a Technique for Rapid Immunization Policy Surveys. Eval Health Prof. 2008 Mar; 31(1):43-64.
Bardenheier BH, Strikas R, Kempe A, Stokley S, Ellis J. Influenza vaccine supply, 2005-2006: did we come up short? BMC Health Serv Res. 2007 May 4;7:66.
Kempe A, Daley MF, Stokley S, Crane LA, Beaty BL, Barrow J, Babbel C, Dickinson LM, Steiner JF, Berman S. Impact of Influenza Vaccine Shortages on Primary Care Practice in the 2004-2005 Influenza Season. Am J Prev Med. 2007 Dec; 33(6):486-91.
Kempe A, Daley MF, Parashar UD, Crane LA, Beaty BL, Stokley S, Barrow J, Babbel C, Dickinson LM, Widdowson MA, Alexander JP, Berman S. Will pediatricians adopt the new rotavirus vaccine? Pediatrics. 2007 Jan; 119(1):1-10.
Daley MF, Liddon N, Crane LA, Beaty BL, Barrow J, Babbel C, Markowitz LE, Dunne EF, Stokley S, Dickinson LM, Berman S, Kempe A. A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination. Pediatrics. 2006 Dec; 118(6):2280-9.
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 Surveys Completed or In the Field

Hepatitus A Catch-Up Survey- April 2014- June 2014
Human Papillomavirus (HPV) Vaccination Survey- Otober 2013
Survey of General Internists and Family Medicine Physicians on Adult Vaccines and Adult Vaccine Financing Topic- June 2013
Survey on Parental Requests to Spread Out the Vaccine Schedule- June 2012
Survey on Adult Immunization and Preventive Care- March 2012
Survey of Barcode Use on Vaccines- September 2011
Survey of Pediatricians and Family Physicians on Vaccine Financing Topics- April 2011
Survey of Primary Care Physicians Regarding Rotavirus Vaccination and Related Issues- November 2010
Primary Care Physicians Regarding Human Papillomavirus (HPV) Vaccination and Related Issues-July 2010
Short Survey on Physicians’ Use of the Supplemental Dose of PCV13 Vaccine- April 2010
Physicians’ Experiences with the H1N1 vaccine and the Seasonal influenza vaccine during the 2009-2010 season- March 2010
Delivery of the Meningococcal Vaccine to Adolescents and the Possibility for an Infant Meningococcal- December 2009
Seasonal Influenza Vaccine and Novel H1N1 Vaccine for the 2009-2010 Season- July 2009
Communication of Risks and Benefits of Childhood Vaccination-February 2009 Adverse Events Following Immunizations- October 2008
Herpes Zoster Vaccine (Zostavax)- July 2008
Short Survey on Hib Shortage- April 2008
Attitudes and Current Practices of Physicians Regarding HPV Vaccination- January 2008
Attitudes and Knowledge about the Recently Licensed Rotavirus Vaccine- August 2007
Influenza 2006-2007 Season- March 2007
Knowledge and Attitudes Regarding Hepatitis B Vaccination in Adults- August 2006
Knowledge and Attitudes About Rotavirus Infection and the New Rotavirus Vaccine Under Development- January 2006
Survey of Primary Care Physicians Regarding Herpes Zoster and Herpes Zoster Vaccine- November 2005
Short Survey on Ordering, Obtaining and Administering Influenza Vaccine in 2005- November 2005
Knowledge, Opinions and Practice of Physicians Regarding Pneumovax 23- August 2005
Adoption and Attitudes of New HPV Vaccine- September 2005