In Year 5 of the Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health by strengthening adult immunization practices in health centers serving high risk vulnerable populations, the National Association of Community Health Centers, (NACHC) will apply lessons learned from COVID-19 to address Flu, Pneumococcal, and other adult immunizations.  

NACHC’s strategies to close immunization gaps includes working with primary care associations, health center-controlled networks, and health centers in evidence based quality improvement efforts and  engage high risk vulnerable populations through:  

• Data driven quality improvement tools (assessment, feedback, incentives and coaching) 

• Application of CDC Standards for Adult Immunization Practice  

• Harmonization of adult immunization service delivery with clinical and data workflows  

• Working with care extenders such as pharmacists and community health workers  

By applying Human Centered Design (HCD), LEAN Informatics, and implementation science methods NACHC’s proposal includes blended learning model using the following elements:  

• Data analytic plan for adult immunizations for participating sites 

• Team focused coaching and data intervention  

• Mixed method learning models for scale and spread of adult immunizations 

• Quantify the results of the past 5 yeas of the Cooperative Agreement