Learning Objectives for this Presentation:
By the end of the presentation, participants will be able to:
Demonstrate an understanding of the approaches, change concepts, and tools used in an improvement project.
Explain how an immunization registry can support improvement.
Choose a spread framework for dissemination of the project in their state or practice.


Background:
Since 2004, New Jersey's Improving Preventive Services Project (NJIPSP) has been a collaborative to improve immunization service delivery at primary care sites, with the integration of the statewide immunization registry (NJIIS) into the provider's practice. In 2007, the focus will spread from childhood to adolescent immunizations.

Objectives:
To present updated results of the NJIPSP, a collaborative network of primary care sites, the NJ Dept. of Health and Senior Services, the American Academy of Pediatrics/New Jersey Chapter's Pediatric Council on Research and Education (PCORE).

Methods:
The NJIPSP uses an “enhanced” learning collaborative model, with practice teams working with expert faculty during learning sessions, utilizing a Model for Improvement, sharing challenges and innovative solutions, participating in monthly conference calls, a list serv and receiving on-site support. The NJIIS is used to calculate monthly improvement.

Results:
As a result of participation:
100% are now using the NJIIS to:
• Identify patients' needs at every visit
• Remind and recall patients
• Track inventory and vaccine accountability
• Report monthly on project outcome measures
Mentoring opportunities in “spread” phase kept pilot practices actively engaged.


Conclusions:
Improvement of immunization delivery is possible and sustainable, with innovative technology and a plan for continuous quality improvement. Utilizing a registry supports easy improvement measurement. NJIPSP is a model to be spread to other states.