Vaccine Champion Training Course : Three-Part Module-Module 2: Quality Intervention Programs and Documenting Vaccines

Module 2: Quality Intervention Programs and Documenting Vaccines

Video Transcription

Vaccine Champion Training Course, Module 2, Quality Intervention Programs and Documenting Vaccines.  The American College of Occupational and Environmental Medicine Vaccine Initiative is supported by  the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services as part of a financial assistance award to the Council of Medical Specialty  Societies with 100% funded by CDC and HHS. The contents are those of the authors and do not necessarily represent the official  views of, nor endorsement by, CDC, HHS, or the U.S. government. Hello, my name is Arthur Sanchez and I'm a nurse informaticist and nurse practitioner at UC San Diego Health.  I have a background in occupational medicine and health informatics. As part of this project, I am collaborating with the American College of Occupational  and Environmental Medicine to develop these educational modules to help you become a vaccine champion.  In the past 24 months, I have not had any financial relationships with any ineligible companies. In this module, we will have a discussion regarding immunization information systems  and their interaction with electronic health records. We will also review critical concepts in the implementation of quality improvement in clinical practice.  At the end of this module, you will be able to identify the following, health level seven  and fast healthcare interoperability resources, better known as FHIR, immunization information  systems, benefits of immunization information systems and data integration, and strategized quality improvement initiatives.  Immunization information systems are confidential, population-based, computerized databases that record all immunization doses administered by participating providers.  Typically, they contain regional information at either the state or local level.  Examples of this include the California Immunization Registry and the San Diego Immunization Registry.  Health Level 7, or HL7 for short, and Fast Healthcare Interoperability Resources, FHIR  for short, are standards developed to facilitate the exchange and sharing of health information.  FHIR is a more modern standard that addresses complexities of previous HL7 standards.  FHIR enhances the functionality and accessibility of information immunization systems by standardizing  sharing of immunization and other pertinent healthcare data across different systems and electronic health record platforms. What are some of the benefits of FHIR?  FHIR improves interoperability. It simplifies development, improves scalability and adaptability, enhances a patient-centric approach, and creates an interoperable ecosystem.  What are the benefits of immunization data integration? When we consider the benefits of immunization data integration, we can look at it from the  point-of-care perspective and the population-level perspective. At the point-of-care, it provides immunization histories so healthcare providers can determine  appropriate patient vaccinations. It can also help generate reminders and recall notices, leading to better vaccine uptake.  At the population level, it provides aggregate data on vaccinations for use in surveillance program operations.  Also, it can guide public health actions to improve vaccination rates. What is quality improvement?  The Centers for Disease Control and Prevention defines quality improvement as a continuous  and ongoing effort to achieve measurable improvements in efficiency, effectiveness, performance,  accountability, outcomes, and other indicators of quality in services or processes which achieve equity and improve the health of the community.  The PDSA framework is easy to adopt and provides a structured framework to make QI part of your practice culture. It allows for small changes to be tested in workflows and practice.  In the PDSA cycle, plan is where we identify an opportunity for improvement and develop an action plan. Do, this is where we implement the plan.  Study, we analyze the effects of the implementation. Act, this is where we adjust the plan or the process. Please note that QI is an ongoing and never-ending process.  Here are a couple things to remember about quality improvement. Number one, start small. Number two, celebrate wins, even if they are small. Number three, revise and repeat.  And number four, make QI part of your organization's culture. Some key takeaways. Immunization data integration provides several benefits.  These include access to patient immunization history, enhanced patient reminders, and enhanced  population level immunization data to guide public health efforts. Quality improvement is a continuous and ongoing effort to achieve measurable improvements.  When it comes to QI, start small, celebrate wins, revise and repeat, and make QI part of your organization's culture.

Video Summary

The Vaccine Champion Training Course, Module 2, focuses on quality intervention programs and documenting vaccines. Developed by the American College of Occupational and Environmental Medicine and supported by the CDC and HHS, this module highlights immunization information systems (IIS) and the Health Level 7 (HL7) and FHIR standards. These systems facilitate data exchange and improve healthcare interoperability, enhancing patient care and public health actions. Quality improvement (QI) is emphasized using the PDSA cycle to evaluate and revise healthcare practices, suggesting starting small, celebrating wins, and fostering a culture of continuous improvement.