School of Medicine and Health Sciences Poster Presentations

Title

Integration of a vaccine checklist to promote discussion between patients and providers and to increase rate of vaccination

Document Type

Poster

Abstract Category

Quality Improvement

Keywords

Vaccination, vaccine checklist, quality improvement, preventive care

Publication Date

Spring 5-1-2019

Abstract

A vaccine checklist created by Center for Disease Control (CDC) was utilized as a tool to increase rate of vaccination in the George Washington Medical Faculty Associates medicine clinic from July 2018 to July 2019. This quality improvement project applied Plan-Do-Study-Act (PDSA) framework to iteratively integrate the checklist into clinical practice. A questionnaire, which used to assess resident's vaccination practice and knowledge, showed that patients rarely initiate discussion regarding vaccination and only few medical residents remember the complex vaccine schedule. Different ways of distributing the vaccine checklist were explored; ultimately, the checklists, along with the patient intake forms, were given to the patients by the medical assistants. The integration of the vaccine checklist went smoothly with minimal interruption to workflow and 75% of the checklists were filled out by the patients. The vaccine checklist was mostly well received by the patients; it was considered educational and not overwhelming. In the last PDSA cycle, 1 patient out of 8 initiated discussion regarding vaccination with their providers during a focus visit. Incorporating the vaccine checklist with the patient intake form during every visit may act as a catalyst in increasing number of times discussion occurs. Given the complex vaccine schedule, the checklist can also be used an additional resource to help remind providers the appropriate vaccines recommendations. Future projects can incorporate the vaccine checklist into patient intake form and measure number of vaccination administered after utilization of the checklist to assess change in rate of vaccination.

Open Access

1

Comments

Presented at Research Days 2019.

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Integration of a vaccine checklist to promote discussion between patients and providers and to increase rate of vaccination

A vaccine checklist created by Center for Disease Control (CDC) was utilized as a tool to increase rate of vaccination in the George Washington Medical Faculty Associates medicine clinic from July 2018 to July 2019. This quality improvement project applied Plan-Do-Study-Act (PDSA) framework to iteratively integrate the checklist into clinical practice. A questionnaire, which used to assess resident's vaccination practice and knowledge, showed that patients rarely initiate discussion regarding vaccination and only few medical residents remember the complex vaccine schedule. Different ways of distributing the vaccine checklist were explored; ultimately, the checklists, along with the patient intake forms, were given to the patients by the medical assistants. The integration of the vaccine checklist went smoothly with minimal interruption to workflow and 75% of the checklists were filled out by the patients. The vaccine checklist was mostly well received by the patients; it was considered educational and not overwhelming. In the last PDSA cycle, 1 patient out of 8 initiated discussion regarding vaccination with their providers during a focus visit. Incorporating the vaccine checklist with the patient intake form during every visit may act as a catalyst in increasing number of times discussion occurs. Given the complex vaccine schedule, the checklist can also be used an additional resource to help remind providers the appropriate vaccines recommendations. Future projects can incorporate the vaccine checklist into patient intake form and measure number of vaccination administered after utilization of the checklist to assess change in rate of vaccination.