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Mini Intervention Activity: | Assess | Recommend | Administer | Refer | Document |
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Sprint | By End of October | By End of October | By End of November | By End of December | By End of December |
People (Health Center Staff) |
Standing orders: Assess presence and use of standing orders for CDC recommended vaccines | | | | | |
Patient reminders: Assess presence, use, and efficacy of patient reminders for CDC recommended vaccines | | | | | |
Vaccine safety: Assess or collect feedback on staff awareness of and adherence to vaccine safety policies and procedures | | | | | |
External data sources: Assess or collect feedback on staff awareness and routine use of external sources of immunization data (local or regional HIEs, immunization registries, and/or national networks such as CommonWell and Carequality) | | | | | |
Refer: For vaccines that are referred out, ensure staff know how and where to refer for vaccines that are not administered by the health center | | | | | |
Conduct training, as needed, to support staff in following the standards | | | | | |
Process (Workflows) |
Standing orders: Review and assess policies and procedures related to standing orders for CDC recommended vaccines; where gaps exist, develop plan to introduce standing orders | | | | | |
Patient reminders: Review and assess policies and procedures related to identifying and sending patient reminders for CDC recommended vaccines; where gaps exist, develop plan to send patient reminders | | | | | |
Vaccine safety: Review and assess health center policies and/or training on vaccine administration, storage and handling, safety protocols, standard precautions, and adverse reactions | | | | | |
External data sources: Review and assess policies and procedures to check external data sources for immunizations | | | | | |
Refer: For vaccines that are referred out, review or design a list of referral partners by vaccine and disseminate the information; for vaccines where a referral partner does not exist, conduct search to identify partners | | | | | |
Refer: Review and address gaps in referral workflows, including closing the loop and documenting vaccines administered outside the practice | | | | | |
Technology/Informatics |
Standing orders: Assess electronic workflow and modify/streamline (or develop a plan to modify/streamline) one or more standing orders | | | | | |
Patient reminders: Assess the electronic workflow and modify/ streamline (or develop a plan to modify/streamline) the process to identify and send reminders for patients due for one or more vaccines | | | | | |
External data sources: Assess electronic workflow to view and incorporate external immunization data; develop plan to fill in gaps if there is no HIE or IIS connection, including exploring costs, timeline, and effort to establish connections | | | | | |
Refer: Assess electronic workflows to refer patients for vaccines that are not administered at the health center | | | | | |
Additional Areas |
Additional areas that apply to the People & Process & Technology framework: Encounter templates and documentation for all Standards Patient education vaccine resources to print and/or send to portal, identify gaps, and address (or develop plan) to address VAERS workflows for documenting and reporting adverse reactions Referral partner outreach and coordination for vaccines that are not administered at the health center IIS connections, data quality, and workflows to view and incorporate
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