Quality Improvement Projects Targeting Immunization

Physicians, nurses, pharmacists and other healthcare professionals are sometimes required to carry out a quality improvement project. Quality improvement projects may be required for “Maintenance of Certification,” and for some residency training programs.
The American Board of Medical Specialty lists requirements for each of its specialty members for the Maintenance of Certification Part IV Practice Performance Assessment. [4 pages]

Immunization quality improvement projects are often selected because immunization is a dynamic, critical and measurable area of healthcare. It is rapidly evolving, making fast strides in some areas but lagging in other areas, such as HPV vaccination.

CDC encourages healthcare providers to consider immunization quality improvement projects that:

  1. Implement measurable increases in adult immunization rates,
  2. Bring about measurable increases in HPV vaccination rates, particularly co-administration rates with other adolescent vaccines at the 11-12 year old visit,
  3. Bring about measurable increases in vaccination rates of pregnant women, specifically against influenza and pertussis, and/or
  4. Reduce disparities in immunization rates, whether associated with race, ethnicity, lack of insurance coverage or any other factor resulting in less-than-optimal rates.

Resources for Providers Seeking Quality Improvement Projects:

The 4 Pillars™ Immunization Toolkit

University of Pittsburgh

This website provides a comprehensive program which helps providers to implement new protocols to increase immunization rates within their practices. Resources are evidence-based and include an overview of standing order protocols. American Board of Family Medicine Maintenance of Certification Part IV is available.


American College of Physicians with CE City

MedConcert™ is a learning health system platform for patient safety, quality, and performance improvement. It provides a central platform for both individual and organizational data collection, performance measurement and real-time gap analysis across all areas of care. American Board of Internal Medicine Maintenance of Certification credit is available.


American Academy of Pediatrics

EQIPP is an online learning system for pediatricians and can provide Maintenance of Certification and CE credit. EQIPP has information, tools and guidance needed to make systematic and continuous practice improvements on several topics, including one module on immunization. Using built-in online tools, EQIPP enables you to collect, analyze, and measure data over time and make small, rapid cycles of change.


University of Nebraska Program

PROTECT™ (Supporting Appropriate Immunizations Across the Age Spectrum) is a multi-organizational educational initiative that consists of interconnected modules of varying learning formats, practice-oriented delivery channels, and outcomes measurement platforms. It provides effective and clinically relevant strategies to increase immunization rates for patients followed in multiple practice settings. CE credit is available.

Disclaimer: CDC does not endorse training, educational or other products of outside organizations. CDC welcomes a broad array of diverse approaches to implementing the most current recommendations of the Advisory Committee on Immunization Practice.

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