CHSU Discovery

Abstract:
Immunization completion in the United States has been a topic discussed for decades, in part due to parents being misinformed or lacking knowledge regarding the basis of immunizations. Furthermore, due to the recent COVID-19 pandemic, there has been a reduction in the immunization administration rates in the pediatric population worldwide, especially in rural populations. This study aims to create a suitable flow chart designed to advise staff members of a foundational, transparent, and uniform workflow to ensure pediatric patients reach their appropriate immunization status, and to see how this workflow can improve immunization rates. The Federally Qualified Health Centers’ (FQHC) Monthly Report Card allows observation of the change in percentage of patients aged 0-18 that are up to date on their immunizations at UHC Hanford from June 2023 to December 2023 after the implementation of an MA workflow. Our Quality Improvement (QI) study shows an increase in immunization rates, with a peak incidence in August 2023. June 2023 is when the MA workflow was initially implemented, and the immunization rate was 17%. August showed a peak incidence at 21%, when children received vaccines for their school requirements. December 2023 shows a rate at 19%, which is exceedingly higher than the initial start time for the MA workflow. This QI shows that it is important to implement standardized protocols to address and mitigate these reasons for patients not coming to the clinic for their vaccination appointments. Implementing enhanced and standardized staff protocols for patient follow-up can significantly boost patient compliance with immunizations. Improved communication and support from healthcare providers can foster a sense of trust and confidence in the immunization process, ultimately leading to higher vaccination rates and better public health outcomes.