AACE Advancing Immunization Quality Improvement Communication Platform-PDSA Cycle 1 MF UCLA

PDSA Cycle 1 MF UCLA

Pdf Summary

The goal of PDSA cycle #1 was to improve vaccination documentation rates for patients with type 1 or type 2 diabetes in a diabetes clinic. The baseline data showed low rates of documentation for both flu and COVID vaccinations. The planned change was to use a modified clinic note that includes vaccination documentation and to standardize recommendations for vaccinations when they are not completed. The change was implemented in June 2023, and the implementation was measured through chart reviews of the lead clinician's notes. The data showed an increase in the rate of review and recommendations for vaccinations, but it did not meet the goal of 100%.<br /><br />For the next cycle, the plan is to modify the clinic note again by including a requirement for review of vaccination completions in the history of present illness and to include patient education forms in the after-visit summary. The observations showed that rates of vaccination in the CAIR database matched patient responses, and a higher percentage of patients with type 2 diabetes were up-to-date on vaccinations compared to patients with type 1 diabetes.<br /><br />In summary, PDSA cycle #1 aimed to improve vaccination documentation rates in a diabetes clinic. The implementation of a modified clinic note and standardized recommendations led to an increase in the rate of review and recommendations, but the goal of 100% was not met. Modifications will be made for the next cycle to continue improving the vaccination rates.

Keywords

PDSA cycle

vaccination documentation rates

type 1 diabetes

type 2 diabetes

diabetes clinic

flu vaccination

COVID vaccination

modified clinic note

standardized recommendations

chart reviews