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IID-13.3 Data Details

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IID-13.3 Increase the percentage of institutionalized adults (persons aged 18 years and older in long-term or nursing homes) who are vaccinated against pneumococcal disease

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Minimum Data Set (MDS); Centers for Medicare & Medicaid Services (CMS)
Changed Since the Healthy People 2020 Launch: 
Baseline (Year): 
67.4 (2006)
Target-Setting Method: 
Maintain consistency with national programs, regulations, policies, and laws.
Target-Setting Method Justification: 
The target remains 90.0 percent. Several ongoing State initiatives are expected to improve vaccination of residents in long-term care facilities.

Number of persons in long-term care facilities and nursing homes certified by the Centers for Medicare and Medicaid Services (CMS) reported to have up to date pneumococcal vaccination


Number of persons in long-term care facilities and nursing homes certified by the Centers for Medicare and Medicaid Services (CMS).

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Data Collection Frequency: 
Methodology Notes: 

    Data include residents of CMS-certified nursing homes who had at least one assessment from January 1 through December 31 of the respective year. Residents have an average of 5 assessments per year. Percentage includes US resident nursing home population (i.e., not adjusted for state or facility). Residents who lived in multiple states during a single year were included once in each state they lived in.

    Vaccination status is ascertained by the staff member completing the resident assessment instrument based on medical records when available, self-report by the resident, or report from a resident’s care taker. Residents are considered vaccinated if they were ever reported to be up-to-date with pneumococcal vaccination at any assessment.

    Prior to 2010, Native Hawaiians and other Pacific Islanders are included in the Asian race/ethnicity estimates.

Caveats and Limitations: 
These data do not allow us to tell if a resident lived in multiple states. Thus, a resident will be included not more than once in a state, but may be included in more than one state. Past data show that only about 2-4 percent of residents lived in more than one state during the target period. Approximately 3-5% of residents are excluded from the estimates each year due to missing information regarding pneumococcal vaccination. Additionally, approximately 20% of residents in each assessment year have inconsistent vaccination information wherein they were reported as up-to-date for pneumococcal vaccination on at least one assessment followed by at least one subsequent assessment in which they were reported as not up-to-date. Prior to 2014, most adults only needed one dose of pneumococcal vaccine to be considered up-to-date. In the estimates reported here, residents were considered to be vaccinated if the resident’s pneumococcal vaccination was ever reported to be up-to-date in any assessment.
Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2020 objective 14-29f in that the data source was revised from the "National Nursing Home Survey (NNHS), CDC/NCHS" to the "Minimum Data Set, CMS."

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2015, the baseline estimate and year were revised from 66.4 percent (2005-06) to 67.4 percent (2006) to correct an error in data year. The target and target setting method were not revised.