Clinical Associate Professor, Sustainability Liaison
Since 1998, Dr. Julie Jacobson Vann has worked on systematic literature reviews aimed at evaluating the effectiveness of interventions to improve vaccination uptake. These interventions include audit and feedback, patient reminder and recall systems, and provider reminders or clinical decision support tools. She initially served as Project Director of this project and moved into the role of Principal Investigator in 2005. Her Cochrane Collaboration systematic literature review and meta-analysis assesses the effectiveness of patient reminder and recall strategies, specifically telephone, letter, postcard, text-message, autodialer, messages through secure patient portals, and combinations of interventions, on increasing vaccination rates. She recently led the third extensive update to the patient reminder and recall systematic review, which involved screening approximately 5,000 scientific abstracts and fully reviewing more than 300 published articles. This systematic review was published in the Cochrane Library in February 2018. She also served as a volunteer co-investigator on a related Cochrane Collaboration systematic review of multiple strategies to increase vaccination uptake among adults with a team of investigators with Cochrane South Africa and the South African Research Council.
For approximately 17 years, Dr. Jacobson Vann planned, directed and evaluated care management and other interventions aimed at improving care and outcomes for North Carolina Medicaid beneficiaries. These projects focused on promoting healthy weight among children and improving self-care for children and adults with chronic conditions. She also assisted clinical practices with implementing Medicare Chronic Care Management services and the Medicare Annual Wellness Visit. This involved developing materials, scripts, forms, and training programs as well as conducting trainings in multiple settings and locations.
Dr. Jacobson Vann is an Associate Professor at UNC Chapel Hill in the School of Nursing. She is passionate about health promotion and disease prevention, environmental health, and greening of health care. She has a Bachelor of Science in Nursing, a Masters degree in Business with a focus on Health Care Management, and a PhD in Health Care Policy and Administration with a minor in Epidemiology. Dr. Jacobson Vann has 45 years of health services experience that spans research and evaluation, academic teaching, health services and managed care administration, and delivery of public health and patient care services. Her primary research focuses on conducting Cochrane Collaboration systematic reviews focused on strategies to increase vaccination rates. She recently collaborated with a team of scientists with Cochrane South Africa and the South African Research Council on another vaccination-related Cochrane Collaboration systematic literature review. In the School of Nursing, she primarily teaches courses focused on health care policy and leadership, health care financing, economics of health systems, human resource management, public health nursing, and evidence-based practice. She engaged in planning, managing and directing health services research projects for more than 20 years. This experience includes evaluating outcomes, health care costs, and health services utilization associated with Medicaid demonstration program interventions or initiatives, such as chronic disease self-management initiatives, community-based care management services, healthy weight interventions, and prior authorization guidelines for high-cost prescription drugs. She has conducted contract research, evaluation, and technical service projects for a health policy research firm in Washington D.C. on national projects funded by the Centers for Medicare & Medicaid Services, Centers for Disease Control and Prevention, Office of Disability Employment Policy within the U.S. Department of Labor, National Institute on Disability, Independent Living, and Rehabilitation Research, and the Agency for Healthcare Research and Quality.
Available for presentations: I am happy to talk about any of the topics listed above, and can develop more specialized programs within any of these categories:
September 2023 – Sigma Theta Tau International Honor Society of Nursing
March 2016 – Award for Excellence in Reviewing, Journal of Nutrition Education and Behavior, for 2015
Sept 16, 2011 – Recognition for High Quality Reviewer, Journal of Managed Care Pharmacy
May 1984 – Beta Gamma Sigma Honor Society, University of Wisconsin — Milwaukee School of Business Administration
May 1978 – Cum Laude, University of Wisconsin — Eau Claire
January 1975 – Alpha Lambda Delta Honor Society, University of Wisconsin — Eau Claire
May 1, 1974 – Salutatorian; Wisconsin Honor Scholar, State of Wisconsin
Jacobson Vann, J. C. (2022). Occupational health. In R. McDermott-Levy, K. P. Jackman-Murphy, J. Leffers, & A. G. Cantu, (Eds.), Environmental health in nursing. (pp. 165 – 178). Alliance of Nurses for Healthy Environments. https://envirn.org/e-textbook/.
Jacobson Vann, J. C. (2015). Chapter 5. Managed care, healthcare financial management, and reimbursement. Advanced practice nursing. Contexts of care. Jones & Bartlett Learning. Edited by L. Hamlin. Burlington, MA. P. 59-107.
Nash, A. L, Bloom, D. L., Chapman, B. M., Wheeler, S. B., McGuire, K. P., Lee, C. N., Weinfurt, K., Rosenstein, D. L., Plichta, J. K., Jacobson Vann, J. C., & Hwang, S. (2023, August 12). The partners’ perspective in contralateral prophylactic mastectomy decision making. Annals of Surgical Oncology. https://doi.org/10.1245/s10434-023-14022-0*
Berkowitz, H. E, & Jacobson Vann, J. (2023). Strategies to address COVID-2019 vaccine and pregnancy myths. MCN – The American Journal of Maternal/Child Nursing, 48(4), 215-223. https://doi.org/10.1097/NMC.0000000000000926.
Turk, K., Jacobson Vann, J., & Oppewal, S. (2022). Antibiotic prescribing patterns and guideline-concordant management of acute respiratory tract infections in virtual urgent care settings: A systematic review. Journal of the American Association of Nurse Practitioners, 34(6), 813-824. https://doi.org/10.1097/JXX.0000000000000705
Jaca, A., Sishuba-Zulu, M., Jacobson Vann, J. C., Wiysonge, C. S., & Ndwandwe, D. (2021, October 13). Interventions to improve vaccination uptake among adults: systematic review protocol. The Cochrane Library of Systematic Reviews.
Bloom, D. L., Chapman, B. M., Wheeler, S. B., McGuire, K. P., Lee, C. N., Weinfurt, K., Rosenstein, D. L., Plichta, J. K, Jacobson Vann, J. C., Hwang, E. S. (2019). Reframing the conversation about contralateral prophylactic mastectomy: Preparing women for postsurgical realities. Psychooncology, 28(2), 394-400. https://doi.org/10.1002/pon.4955
Jacobson Vann, J. C., Jacobson, R. M., Coyne-Beasley, T., Asafu-Adjei, J. K., & Szilagyi. P. (2018). Patient reminder and recall interventions to improve immunization rates. Cochrane Database of Systematic Reviews. Issue 1, Art. No.: DC003941. DOI: 10.1002/14651858.DC003941.pub3. 231 pages.
Chan, W. V., Pearson, T. A., Cushman, W. C., Gaziano, T. A., Gorman, P., Handler, J., …. Jacobson Vann, J. C. (2017). Clinical practice guideline implementation strategies: a summary of systematic reviews by the NHLBI Implementation Science Work Group. Circulation, 135(9), e122-e137. https://doi.org/10.1161/CIR.0000000000000481
Chan, W. V., Pearson, T. A., Cushman, W. C., Gaziano, T. A., Gorman, P., Handler, J., …. Jacobson Vann, J. C. (2017). ACC/AHA special report. Clinical practice guideline implementation strategies: a summary of systematic reviews by the NHLBI Implementation Science Work Group. Journal of American College of Cardiology, 69(8), 1076-1092. https://doi.org/10.1016/j.jacc.2016.11.004
Jacobson Vann, J. C., Hawley, J., Wegner, S. E., Falk, R. J., Harward, D. H., & Kshirsagar, A. V. (2015). Nursing intervention aimed at improving self-management for persons with chronic kidney disease in North Carolina Medicaid. Nephrology Nursing Journal, 42(3), 239-256.*
DuBard, C. A., Jacobson Vann, J. C., Jackson, C. T. (2015). Conflicting readmission rate trends in a high risk population: implications for performance measurement. Population Health Management, 18(5), 351-357. DOI: 10.1089.pop.2014.0138.*
Mazer, M. E., Jacobson Vann, J. C., Lamanna, B. F., & Davison, J. (2014). Reducing children’s exposure to school bus diesel exhaust in one school district in North Carolina. Journal of School Nursing, 30(2), 88-96. https://doi.org/10.1177/1059840513496429
Lundeen, K., Pfeiffenberger, T., Jacobson Vann, J., O’Brien, T., Sampson, C., & Wegner, S., (2013). Evaluation of a novel web-based prior approval application for palivizumab prophylaxis of respiratory syncytial virus in a state Medicaid program. Journal of Managed Care Pharmacy. 19(2), 115-124. https://doi.org/10.18553/jmcp.2013.19.2.115 *
Lindley, L. C., Mark, B. A., Lee, S. Y., Domino, M., Song, M., & Jacobson Vann, J. (2013). Factors associated with the provision of pediatric hospice care. Journal of Pain and Symptom Management, 45(4), 701-711. https://doi.org/10.1016/j.jpainsymman.2012.03.010. Epub 2012 Aug 24.*
Jacobson Vann, J. C. (2011). Slipping through the cracks of the Breast and Cervical Cancer Prevention and Treatment Act of 2000 – A tragic case of failed access to care. Journal of Nursing Law, 14(3-4), 96-106. https://doi.org/10.1891/1073-7472.14.3.4.96
Troxler, H., Jacobson Vann, J. C., & Oermann, M. H. (2011). How baccalaureate nursing programs teach writing. Nursing Forum, 26(4), 280-288. https://doi.org/10.1111/j.1744-6198.2011.00242.x
Jacobson Vann, J. C., Finkle, J., Ammerman, A., Wegner, S., Cockrell Skinner, A., Benjamin, J. T., & Perrin, E. M. (2011). Perceived barriers to healthy eating and physical activity behaviors in children enrolled in North Carolina Medicaid: Relationships to health behaviors. Journal of Pediatric Nursing, 26(5), 404-415. https://doi.org/10.1016/j.pedn.2010.10.011 *
Perrin, E., Jacobson Vann, J. C., Ammerman, A., Cockrell Skinner, A., Wegner, S., & Benjamin, J. T., (2010). Use of a pediatrician toolkit to address Parental Perception of Children’s Weight Status, Nutrition, and Activity Behaviors. Academic Pediatrics, 10(4), 274-281. https://doi.org/10.1016/j.acap.2010.03.006 *
Jacobson Vann, J. C., Christofferson, S., Humble, C. G., Wegner, S. E., Feaganes, J. R., & Trygstad, T. K. (2010). An instant approval process for proton pump inhibitors: Cross-sectional and time series analyses demonstrate pharmacist satisfaction and successful channeling to preferred medications. Journal of Managed Care Pharmacy, 16(4), 250-263.*
Ha, Y, Jacobson Vann, J. C., Choi, E. (2010). Prevalence of overweight and mother’s perception of weight status of their children with intellectual disabilities in South Korea. The Journal of School Nursing, 26(3), 212-222. https://doi.org/10.1177/1059840509358712 *
Lee, G, Ha, Y, Jacobson Vann, J, & Choi, E. (2009). Weight perception and dieting behavior among Korean adolescents. The Journal of School Nursing, 25(6), 427-435. https://doi.org/10.1177/1059840509333788 *
Jacobson Vann, J. C., & Gitterman, D. (2008). Evaluation of policy change and strategies to improve health care delivery to low-income children in North Carolina, Part I: Community Care of North Carolina and enhanced primary care case management. Journal of Nursing Law, 12(3), 100-105. https://doi.org/10.1891/1073-7472.12.3.100
Jacobson Vann, J. C., & Gitterman, D. (2008). Evaluation of policy change and strategies to improve health care delivery to low-income children in North Carolina, Part II: outcomes and recommendations. Journal of Nursing Law, 12(3), 106-114. https://doi.org/10.1891/1073-7472.12.3.106*
Perrin, E., Jacobson Vann, J. C., Lazorick, S., Ammerman, A., Teplin, S., Flower, K., Wegner, S., & Benjamin, J.T., (2008). Bolstering confidence in obesity prevention and treatment counseling for resident and community pediatricians. Patient Education and Counseling, 73(2), 179-185. https://doi.org/10.1016/j.pec.2008.07.025 *
Jacobson Vann, J. C., & Szilagyi, P. (2007). Patient reminder and recall systems to improve immunization rates. Cochrane Database of Systematic Reviews, Issue 3, Art. No.: CD003941. https://doi.org/10.1002/14651858.CD003941.pub2*
Jacobson Vann, J. C., Feaganes, J., & Wegner S. (2007). Reliability of Medicaid claims versus medical record data in a cost analysis of palivizumab. PharmacoEconomics, 25(9), 793-800. https://doi.org/10.2165/00019053-200725090-00007 *
Jacobson Vann, J. C. (2006). Measuring community-based case management performance: strategies for evaluation. Lippincott’s Case Management, 11(3), 147-157. https://doi.org/10.1097/00129234-200605000-00006
Jacobson Vann, J. C., & Szilagyi, P. (2005). Patient reminder and recall systems to improve immunization rates. The Cochrane Library, Cochrane Database Systematic Reviews. https://doi.org/10.1002/14651858.CD003941.pub2 *
Wegner, S., Jacobson Vann, J., Liu, G., Byrns, P., Cypra, C., Campbell, W., & Stiles, A. (2004). Direct cost analysis of palivizumab treatment in a cohort of at-risk children: evidence from the North Carolina Medicaid program. Pediatrics, 114(6), 1612 – 1619. https://doi.org/10.1542/peds.2004-0959
Mays, G., Halverson, P., Baker, E., Stevens, R., & Vann, J. (2004). Availability and perceived effectiveness of public health activities in the nation’s most populous communities. American Journal of Public Health, 94(6), 1019-1026. https://doi.org/10.2105/ajph.94.6.1019 *
Szilagyi, P., Vann, J., Bordley, C., Chelminski, A., Kraus, R., Margolis, P., & Rodewald, L. (2002). Interventions to improve immunization rates. The Cochrane Library, Cochrane Database Systematic Reviews, (4):CD003941. https://doi.org/10.1002/14651858.CD003941 *
Szilagyi, P. G., Bordley, C., Vann, J. C., Chelminski, A., Kraus, R. M., Margolis, P. A., & Rodewald, L.E. (2000). Effect of patient reminder/recall interventions on immunization rates: A Review. Journal of the American Medical Association, 284(14), 1820-1827. https://doi.org/10.1001/jama.284.14.1820 *
Bordley, W.C., Chelminski, A., Margolis, P. A., Kraus, R., Szilagyi, P., & Jacobson Vann, J. (2000). The effect of audit and feedback on immunization delivery: a systematic review. American Journal of Preventive Medicine, 18(4), 343-350. https://doi.org/10.1016/S0749-3797(00)00126-4 *
Mays, G. P., Miller, C. A., Stevens, R., & Vann J. J. (1999). Performing essential public health services in the nation’s most populous communities: who contributes. MMWR.*
Jacobson Vann, J. C., Biddle, A. K., Chaffee, S., Daeschner, C. W., & Gold, S. H. (1995) Health insurance access to young adult survivors of childhood cancer in North Carolina. Medical and Pediatric Oncology, 25, 389-395. https://doi.org/10.1002/mpo.2950250505 *
Faculty Adviser. (2018-2022). Invest in Nursing, Health Resources and Services Administration.
Health Care Consultant. (2018-2023). Retaining Employment and Talent After Injury/Illness (RETAIN) Programmatic Technical Assistance. [Federal contract]. U.S. Department of Labor, Office of Disability and Employment Policy.
Internal Evaluator, Clinical Consultant. (2016-2021). Disability and Rehabilitation Research Project (DRRP) Program: Model Systems Knowledge Translation Center (MSKTC) Grant Competition. [Federal contract]. National Institute on Disability, Independent Living, and Rehabilitation Research.
Principal Investigator. (2020). Nursing clinical site development grant. Area Health Education Center, Greensboro, North Carolina.
Principal Investigator. (2019). Nursing clinical site development grant. Area Health Education Center, Greensboro, North Carolina.
Quality Reviewer. (2012-2016). Supporting the Transparency Efforts of the USPSTF. [Federal contract]. Agency for Health Care Research and Quality
Principal Investigator. (2014). Health Disparities in the Midwest and a Framework for Action. Big Ten – Committee on Institutional Cooperation.
Project Director, Qualitative Evaluation. (2012-2014). Evaluation of the Graduate Nurse Education Demonstration Program Evaluation. [Federal contract]. Contract No. CMMI-393-2012-0117. Subcontract, Subcontractor to Optimal Solutions Group. Centers for Medicare & Medicaid Services.
Senior Researcher. (2013-2014). Monitoring & Evaluation, Strong Start II. [Federal contract]. Center for Medicare and Medicaid Innovation, DHHS.
Senior Researcher. (2014). Health Insurance Marketplace CES. [Federal contract]. Centers for Medicare & Medicaid Services, Center for Clinical Standards & Quality.
Director of Cost Analysis. (2013). Evaluation of the professional development provided by Vocational Rehabilitation State agencies (EPD-VSA). [Federal contract]. U.S. Department of Education.
Co-Investigator. (2013). Patient-Reported Outcomes Measurement Information System. [Federal contract]. National Institutes of Health.
Co-Investigator. (2013). Developing Pain Assessment Tool for Infants with Otitis Media. [Contract]. Rho.
Internal Reviewer. (2012). Standardizing Antibiotic Use in Long-term Care Settings (SAUL Study). [Federal contract]. Agency for Healthcare Research & Quality; Centers for Disease Control & Prevention.
Senior Researcher. (2012). Community Forum. [Federal contract]. Agency for Healthcare Research and Quality.
Dissertation Committee Member. (2011). Providing hospice care for children: an organizational study. Dissertation Award, R36HS020164, Agency for Healthcare Research and Quality.
Evaluation Consultant. (2006-2009). Children with Special Health Care Needs Grant, Improving Pediatric Access Through Collaborative Care (IMPACC), Specialty Case Management Program. Duke Endowment.
Co-Investigator. (2007). Strategies to Improve Child Health Insurance Financing & Delivery: Lessons from the 0 to 5 SCHIP Transition into CCNC Medicaid. Kate B. Reynolds Charitable Trust.
Co-Investigator. (2005). Systematic Review of Immunization Delivery Methods – Update Cochrane Review, United Kingdom on behalf of the Cochrane Collaboration.
Co-Investigator. (1997-2005). Systematic Review of Immunization Delivery Methods, American Academy of Pediatrics.
Research Associate. (1997-1999). Public Health Report Card Development. Centers for Disease Control and Prevention.
Research Associate. (1997-1998). Linkages for Child Health.
Project Manager. (1994-1996). Birth Defects Risk Factor Surveillance Study. [Federal contract]. Centers for Disease Control and Prevention.
Co-Investigator & Project Manager. (1994). Tobacco Vendor Compliance Check Surveys Field Test of Sampling Methods. [Federal contract]. CDC, NCDCPHP, Office on Smoking and Health.
Project Manager. (1995-1996). Women’s Health Initiative. [Federal contract]. National Institutes of Health.
Co-Investigator & Project Director. (1992-1994). North Carolina Long-Term Follow-up of Childhood Cancer, The Cannon Foundation.
Co-Investigator & Project Director. (1992-1994). North Carolina Long-Term Follow-up of Childhood Cancer, Gaston County Cancer Society.
Research Assistant. (1991-1992). Timing of Pregnancies for Women Dentists.
Research Assistant. (1991). Critique of the Methodology of a Congressional Evaluation of Quality of Health Care in the Department of Veterans Affairs Medical Centers Department of Veterans Affairs.
Research Assistant. (1991). Evaluation Design for Community Programs for Clinical Research in AIDS. National Institute of Allergy & Infectious Disease.
Research Assistant. (1990-1991). Community Clinical Oncology Program Evaluation, National Cancer Institute.
Additional Expertise & Specialties: