 1. Determine the effectiveness of a multi-component translational intervention on adoption of three strategies known to increase delivery of preventive services: nurse standing orders, a reminderrecall system preferably PSRS, and special immunization andor preventive services clinics. The intervention will include: a performance feedback and benchmarking; b training of clinicians and office staff in principles of effective preventive services enhanced academic detailing by a physician opinion leader; c practice enhancement assistants to facilitate office system changes; and d an IT application that provides prompts and reminders to office staff, clinicians, and patients. 