Affordable Access

deepdyve-link
Publisher Website

Taking Action on Asthma: Increasing Influenza Vaccination Rates in Pediatric Asthma Through Quality Improvement.

Authors
  • Tielsch Goddard, Anna
  • Borkowski, Vera
  • Konesky, Andrew
  • Bennhoff, Aymi
Type
Published Article
Journal
Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
Publication Date
Jan 01, 2019
Volume
33
Issue
6
Pages
653–662
Identifiers
DOI: 10.1016/j.pedhc.2019.04.016
PMID: 31253452
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Through a QI Collaborative, a school-based health center (SBHC) program was tasked with identifying ways to decrease asthma mortality and promote national asthma guidelines with evidence-based interventions. Children with asthma are at increased risk for influenza complications such as pneumonia, hospitalization, and death. Flu vaccinations reduce these morbidities. Utilizing the Institute for Healthcare Improvement Framework, a clinical microsystems assessment and root cause analysis evaluated both enablers and barriers in improving flu vaccination rates in asthma students. Continuous quality improvement over three academic years with adaption of process efficiencies including asthma database tracking, flu vaccination rates, and asthma preventative visits was demonstrated. The number of students with asthma who received their flu vaccination increased from 11% to 47%. The SBHC program improved flu vaccination rates and targeted asthma preventative services. Additional successes included the adaptation of a vaccination campaign to 14 SBHCs, education on flu vaccination, and better electronic health record documentation of asthma severity. Copyright © 2019 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

Report this publication

Statistics

Seen <100 times