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13
Using an Immunization Registry to Improve the Quality of Immunization Services
Ruth S. Gubernick1, William G. Adams2, Katherine Wytovich3, Zina Kleyman3, Jane Taylor4, Steven Kairys1, and Alan E. Kohrt5. (1) AAPNJ/PCORE, 5 Woodbury Drive, Cherry Hill, NJ, USA, (2) Boston University School of Medicine and NICHQ, 91 East Concord St., Maternity 412, Boston, MA, USA, (3) NJ Department of Health and Senior Services, Trenton, NJ, USA, (4) National Initiative for Children's Healthcare Quality (NICHQ), Boston, MA, USA, (5) Children's Hospital of Philadelphia, 34th & Civic Center Blvd, Philadelphia, PA, USA
BACKGROUND:
Immunization registries are an important resource, however, excellent immunization delivery depends on integrating registries with immunization delivery systems.
OBJECTIVE:
The New Jersey Immunization and Preventive Services Project (NJIPSP) is an on-going project that integrates: 1) the NJ Immunization Information System (NJIIS); 2) a collaborative network of 9 immunization delivery sites, the NJ Dept. of Health and Senior Services, the AAP, NJ Chapter’s Pediatric Council on Research and Education (PCORE) and the National Initiative for Children’s Healthcare Quality (NICHQ); 3) a Model for Improvement that encourages clinical sites to use their immunization registry for quality improvement (QI); and 4) change concepts and goals to help immunization delivery sites identify areas for improvement efforts.
METHOD:
The NJIPSP uses the NJIIS, a shared website and measurement strategy, and a listserv to support a modified Breakthrough Learning Collaborative for continuous quality improvement.
RESULT:
This presentation will focus on describing the development efforts and preliminary results of the NJIPSP. We will: 1) describe our Model for Improvement for immunization delivery; 2) outline the key change concepts identified as likely to lead to significant improvements; 3) describe a web-based collaborative site – integrated with the immunization registry – which allows sharing of innovations and outcomes; 4) outline the evalution components used to measure impact; and 5) present preliminary results from the first three months of the 12 month learning collaborative.
CONCLUSION:
Improvement of immunization delivery requires both innovative technology and a commitment and plan for continuous quality improvement. The NJIPSP is a model with the potential to substantially improve the delivery of immunizations by using immunization registries more effectively.
LEARNING OBJECTIVES:
Understand the NJIPSP
Understand how an immunization registry can support improvement
Understand key changes that can be made by registry using immunization provider to improve immunization services
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