AACE Advancing Immunization Quality Improvement Communication Platform-AACE - UNLV Health Updated Workflow Assessment

AACE - UNLV Health Updated Workflow Assessment - July 2023

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The document outlines a revised clinical workflow aimed at optimizing patient vaccination processes within a healthcare setting. It provides a step-by-step guide on handling patients from registration to checkout, focusing on vaccination status assessment and updating records effectively.<br /><br />### Front Office Responsibilities:<br />1. **Patient registration and rooming:** Initial data entry and patient preparation.<br />2. **Patient checkout:** Finalizing patient visit, ensuring all necessary information and vaccinations are processed.<br /><br />### Medical Assistant Responsibilities:<br />1. **Pre-visit tasks:** Collecting patient history, vitals, and conducting point-of-care testing. They are also responsible for downloading data from devices (e.g., meters/pumps) and assessing the patient's vaccination status.<br />2. **Administering procedures and tests suggested by the provider.**<br /><br />### Provider Responsibilities:<br />1. **Patient interaction:** Conducting discussions, examinations, and recommending necessary procedures, additional tests, or vaccinations.<br /><br />### Vaccination Workflow:<br />1. **Assessment:** All patients are assessed for their vaccination status.<br />2. **Recommendations:** If vaccinations are needed, they are recommended and administered on-site if the patient agrees.<br />3. **Documentation:** Vaccination status, including updates, is documented in the electronic health record (EHR) and WebIZ (a vaccination information system).<br />4. **Flagging and Follow-up:** If a patient declines vaccination or requires further discussion, this is flagged for the provider's review and potential follow-up.<br /><br />### Additional Measures:<br />- **Education and Resources:** Includes adding vaccination information, videos, and posters in both the waiting and exam rooms.<br />- **Communication Enhancement:** Staff education on vaccines, identifying vaccine champions, and encouraging dialogue between primary care physicians (PCPs) and specialists.<br />- **Technology Integration:** Utilizing text reminders and encouraging the use of patient portals for vaccination updates. Regular pop-up vaccine clinics and enabling inter-state immunization information system communication are also recommended.<br /><br />### Notes:<br />- Emphasize the importance of real-time EHR and WebIZ reconciliation.<br />- Continuous improvement through staff training and patient education using various media in the clinic environment.<br /><br />This workflow aims to ensure comprehensive vaccination status assessment and intervention, improving patient health outcomes and record accuracy.

Keywords

clinical workflow

patient vaccination

healthcare setting

registration

vaccination status

electronic health record

WebIZ

staff education

communication enhancement

technology integration