List of Revised Standards for Adult Immunization Practices Make vaccinations available. 1. Adult vaccination services are readily available. 2. Barriers to receiving vaccines are identified and minimized. 3. Patient "out-of-pocket" vaccination costs are minimized. Assess patients' vaccination standards. 4. Healthcare professionals routinely review the vaccination status of patients. 5. Healthcare professionals assess for valid contraindications. Communicate effectively with patients. 6. Patients are educated about risks and benefits of vaccination in easy-to-understand language. Administer and document vaccinations properly. 7. Written vaccination protocols are available at all locations where vaccines are administered. 8. Persons who administer vaccines are properly trained. 9. Healthcare professionals recommend simultaneous administration of indicated vaccine doses. 10. Vaccination records for patients are accurate and easily accessible. 11. All personnel who have contact with patients are appropriately vaccinated. Implement strategies to improve vaccination rates. 12. Systems are developed and used to remind patients and healthcare professionals when vaccinations are due and to recall patients who are overdue. 13. Standing orders for vaccinations are employed. 14. Regular assessments of vaccination coverage levels are conducted in a provider's practice. Partner with the community. 15. Patient-oriented and community-based approaches are used to reach the target population.