Behavioral Economics to Improve Flu Vaccination Using EHR Nudges Replication

Inclusion Criteria

• •All patients must meet the following criteria to be eligible:
• •1. Age ≥ 50 years
• •2. A scheduled new or return (non-urgent/sick) primary care appointment at one of the study practices at Lancaster General Health
• •3. Have not received their annual flu vaccine during the active intervention period (September- February)
• •4. Eligible to receive the flu vaccine
• •For the patient intensification nudge, at least one of the following criteria must be met to be considered high risk and randomized to receive the intensification nudge:
• •1. Age ≥ 70 years
• •2. Living in a lower income community (lowest quartile, zip-code based)
• •3. Did not receive a flu vaccine in the previous calendar year
• •4. Self-identifies as Non-Hispanic Black
• •Clinicians must meet the following criteria to be eligible to receive peer comparison feedback:
• •1. Practicing physician (MD, DO) or advanced practice provider (NP, PA) with the exception of residents and fellows
• •2. Have a minimum patient panel of at least 50 patients, and
• •3. Practicing at a clinical site randomized to receive the clinic-level nudge interventions.