Improving the quality of immunization delivery to an at-risk population: A comprehensive approach

Linda Y. Fu, Mark Weissman, Rosie McLaren, Cherie Thomas, Jacquelyn Campbell, Jacob Mbafor, Urvi Doshi, Denice Cora-Bramble

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: Immunization quality improvement (QI) interventions are rarely tested as multicomponent interventions within the context of a theoretical framework proven to improve outcomes. Our goal was to study a comprehensive QI program to increase immunization rates for underserved children that relied on recommendations from the Centers for Disease Control and Prevention's Task Force on Community Preventive Services and the framework of the Chronic Care Model. METHODS: QI activities occurred from September 2007 to May 2008 at 6 health centers serving a low-income, minority population in Washington, DC. Interventions included family reminders, education, expanding immunization access, reminders and feedback for providers, and coordination of activities with community stakeholders. We determined project effectiveness in improving the 4:3:1:3:3:1:3 vaccination series (4 diphtheria-tetanus-pertussis vaccines, 3 poliovirus vaccines, 1 measles-mumps-rubella vaccine, 3 Haemophilus influenzae type b vaccines, 3 hepatitis B vaccines, 1 varicella vaccine, and three 7-valent pneumococcal conjugate vaccines) compliance. RESULTS: We found a 16% increase in immunization rates overall and a 14% increase in on-time immunization by 24 months of age. Improvement was achieved at all 6 health centers and maintained beyond 18 months. CONCLUSION: We were able to implement a comprehensive immunization QI program that was sustainable over time.

Original languageEnglish (US)
Pages (from-to)e496-e503
JournalPediatrics
Volume129
Issue number2
DOIs
StatePublished - Feb 2012
Externally publishedYes

Keywords

  • Immunizations
  • Pediatric
  • Pediatric outpatient clinics
  • Quality improvement
  • Vaccines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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