Jurisdiction
Washington
Strategy
Train providers and clinics to implement evidence-based interventions and sustain changes after intervention using Plan Do Study Act (PDSA) methodology.
Challenge
Before 2020, the total number of vaccinations administered to children in Washington from the ranges of ages 4-6 and 13-17 lagged behind the national average.
Solution
The Washington Department of Health created WA-CHIP, the Washington Child Health Improvement Partnership, with the goal of improving childhood and adolescent vaccination rates in the state. Partners included the Washington Department of Health, Public Health of Seattle and King County, the Washington Chapter of the American Academy of Pediatrics, and Seattle Children’s Hospital. In this partnership, the Washington Department of Health and its partners trained providers and worked with clinics to implement evidence-based interventions. Clinics were divided into three cohorts, with each group receiving separate training. Training topics covered included QI fundamentals and content specific to increasing adolescent vaccinations and data collection. Following the initial training, one in-person coaching session and two telephone-based coaching sessions were provided to the entire clinic staff. Several webinars were also provided to clinics covering topics such as communicating with parents and maintaining QI momentum.
Outcome
Cohort 1 was able to successfully contact over 11,000 adolescents, Cohort 2 was able to successfully contact over 7,000 adolescents, with over 2,400 of them needing vaccinations, and Cohort 3 was able to contact 2300 adolescents needing vaccinations. Cohort 2 was able to reduce their missed opportunities by 39%, while Cohort 3 was able to reduce their missed opportunities by 20%.
Supplemental Materials