Improving Immunization Rates

Checklist for Improvement

A statement is posted in my office that clearly shows the commitment this office
has to immunization.
This office has done an assessment to identify obstacles to immunization that may
be in place (on purpose or inadvertently).
Written standing orders and protocols for immunization are in place.
A process is in place so that immunization opportunities are assessed during every
patient visit.
An audit has been done within the prior 12 months that focuses on missed
opportunities for immunization.
Results of all audits have been shared with office staff and a plan of improvement
has been developed with clear metrics for success.
This office knows what our immunization rates are for vaccine preventable
diseases (e.g., # of vaccine doses administered/100 patients in whom the vaccine
is appropriate).
This office has determined and has set achievable goals including and timeframes
to drive improvement.
An action plan is in place to capture those patients not coming to the office on a
routine basis either through emails, phone calls, or direct mail.
Scripts addressing questions and/or concerns regarding immunization have been
developed and reviewed by all personnel in this office.
If/when patients or parents decline immunization, the ordering clinician is
immediately notified so he/she can discuss it with those individuals and address
their questions or concerns before they leave the office.
Material regarding immunization is available in the waiting area.
Material regarding immunization is available in the examination rooms.
All office personnel have been involved in discussions regarding immunization as a
means of addressing their conflicting thoughts or opinions that may negatively
influence immunization decision-making.

Ruth Carrico PhD RN FSHEA CIC

University of Louisville ruth.carrico@louisville.edu
September 2010