['Bacterial meningitis represents a substantial concern for individuals with cochlear implants (CIs).', 'Chart review and direct patient and family correspondence to ascertain vaccination status.', 'Information dissemination via brochure and electronic media, ongoing reminders of the importance of vaccination when confirmation of vaccination was not received.', 'Marked improvement in vaccination rates ranging from 49% to 99% across different patient populations. Importantly, many patients received their vaccinations only after follow-up reminders.'] Do programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients?