Improving Pediatric Immunization Rates in a Safety-Net Delivery System

摘要: Article-at-a-Glance Background Denver Community Health Services (DCHS)' goal was to increase childhood immunization rates in the high-risk pediatric patient population served through its safety-net delivery system. The specific of initiative ensure that children younger than 3 years age with at least one primary care visit received all recommended vaccines by 24 months age. Methods An registry developed accurately track patients, regular assessment levels were conducted provision clinic-specific feedback, and team-based quality improvement meetings held. computerized assisted implementing remaining activities. For example, on-time clinics accomplished a rules engine vaccine registry, standing orders for delivery, implementation protocols eliminated missed opportunities. Results From 1995 2006, documented 47% 2-year-old patients 26% 1-year-old-patients. Two-year-old exceeded 85% end this time period. Discussion improved demonstrated sustainability during 10-year Success is attributed staff commitment process activities use delivery.