Getting under the hood: exploring issues that affect provider-based recall using an immunization information system.

OBJECTIVE: To assess 1) pediatric practices' use of provider-based recall using an immunization information system 8 months after training on the recall process/ 2) initiation and sustainability barriers to provider-based recall using an immunization information system/ 3) strategies that facilitated recall initiation/ and 4) recommendations for alternative approaches for conducting recall. METHODS: In 2008- 11 practices received training on the automatic recall function in the Colorado Immunization Information System (CIIS) for both infants and adolescents. The 2-hour computer-based training provided an opportunity for attendees to run real-time recall reports with CIIS staff assistance. Eight months later- key informant interviews were conducted with 24 providers and staff from these practices. RESULTS: Eight months after training- only 4 of 11 practices had implemented recall using CIIS: 3 practices recalled children